Key Laboratory of Smart Drug Delivery, Ministry of Education, ‡Department of Pharmaceutics, School of Pharmacy, and §Department of Medical Chemistry, School of Pharmacy, Fudan University , Shanghai 201203, People's Republic of China.
ACS Nano. 2014 Feb 25;8(2):1191-203. doi: 10.1021/nn406285x. Epub 2014 Jan 13.
Malignant glioma, a highly aggressive tumor, is one of the deadliest types of cancer associated with dismal outcome despite optimal chemotherapeutic regimens. One explanation for this is the failure of most chemotherapeutics to accumulate in the tumors, additionally causing serious side effects in periphery. To solve these problems, we sought to develop a smart therapeutic nanodevice with cooperative dual characteristics of high tumor-targeting ability and selectively controlling drug deposition in tumor cells. This nanodevice was fabricated with a cross-linker, containing disulfide linkage to form an inner cellular microenvironment-responsive "-S-S-" barrier, which could shield the entrapped drug leaking in blood circulation. In addition, dehydroascorbic acid (DHA), a novel small molecular tumor-specific vector, was decorated on the nanodevice for tumor-specific recognition via GLUT1, a glucose transporter highly expressed on tumor cells. The drug-loaded nanodevice was supposed to maintain high integrity in the bloodstream and increasingly to specifically bind with tumor cells through the association of DHA with GLUT1. Once within the tumor cells, the drug release was triggered by a high level of intracellular glutathione. When these two features were combined, the smart nanodevice could markedly improve the drug tumor-targeting delivery efficiency, meanwhile decreasing systemic toxicity. Herein, this smart nanodevice showed promising potential as a powerful platform for highly effective antiglioma treatment.
恶性胶质瘤是一种高度侵袭性肿瘤,是最致命的癌症类型之一,尽管采用了最佳的化疗方案,但预后仍然很差。造成这种情况的一个原因是大多数化疗药物无法在肿瘤中积累,此外还会在周围组织中引起严重的副作用。为了解决这些问题,我们试图开发一种具有高肿瘤靶向能力和选择性控制药物在肿瘤细胞中沉积的协同双重特性的智能治疗纳米器件。该纳米器件由交联剂制成,其中包含二硫键以形成内部细胞微环境响应的“-S-S-”屏障,可防止包封的药物在血液循环中泄漏。此外,还在纳米器件上修饰了脱氢抗坏血酸(DHA),一种新型小分子肿瘤特异性载体,通过在肿瘤细胞上高度表达的葡萄糖转运蛋白 GLUT1 进行肿瘤特异性识别。载药纳米器件在血液中应保持高度完整性,并通过 DHA 与 GLUT1 的结合,越来越特异地与肿瘤细胞结合。一旦进入肿瘤细胞,药物释放就会被细胞内高水平的谷胱甘肽触发。当这两个特性结合在一起时,智能纳米器件可以显著提高药物的肿瘤靶向递送效率,同时降低全身毒性。本研究表明,这种智能纳米器件作为一种高效抗脑胶质瘤治疗的强大平台具有广阔的应用前景。