J Biomed Nanotechnol. 2014 Jul;10(7):1369-81. doi: 10.1166/jbn.2014.1864.
Severe toxic side effects and drug resistance are the major limitations of doxorubicin (Dox), one of the most potent anticancer agents in clinical use. Nanocarrier preparations offer the opportunity to overcome these drawbacks, which is reflected in the clinical approval of two liposomal Dox preparations. Additionally, there are many attempts to enhance the activity of Dox against multi-drug resistant (MDR) cancer cells. However, most of these strategies resulted in the increased uptake of Dox in resistant cells, only, while it remained unchanged in chemo-sensitive cells. Here, we present a new polymeric-phospholipidic hybrid delivery system which distinctly enhanced the accumulation and activity of Dox in all tested cancer cell lines including several MDR cell models. Notably, the resistance levels against Dox were reduced from about 6-fold to about 2-fold. Moreover, the new nanocarriers were shown to rapidly (within 10 min) and effectively transport Dox into resistant as well as sensitive cancer cells. Consequently, treatment with the new Dox-containing nanocarriers resulted in effective cell cycle arrest in G2/M phase and ROS-induced cell death induction. Finally, the new nanocarriers were tested against NK/Ly lymphoma and L1210 leukemia cells in vivo. In both cell models, the nanoformulation of Dox resulted in 100% cured animals already at low concentrations (0.1 mg/kg), while free Dox solely extended survival time. This indicates that the incorporation of phospholipids into PEGylated polymeric nanocarriers is a promising strategy to enhance efficacy and reduce toxicity of Dox treatment against both sensitive and resistant cancer models in vitro and in vivo.
多柔比星(Dox)是临床应用中最有效的抗癌药物之一,但严重的毒性副作用和耐药性是其主要限制。纳米载体制剂提供了克服这些缺点的机会,这反映在两种脂质体 Dox 制剂的临床批准上。此外,还有许多尝试来增强 Dox 对多药耐药(MDR)癌细胞的活性。然而,大多数这些策略仅导致耐药细胞中 Dox 的摄取增加,而在化疗敏感细胞中则保持不变。在这里,我们提出了一种新的聚合物-磷脂混合递药系统,该系统明显增强了所有测试的癌细胞系(包括几种 MDR 细胞模型)中 Dox 的积累和活性。值得注意的是,对 Dox 的耐药水平从约 6 倍降低至约 2 倍。此外,新的纳米载体被证明能够快速(在 10 分钟内)有效地将 Dox 递送至耐药和敏感的癌细胞中。因此,用新的载有 Dox 的纳米载体进行治疗导致细胞周期在 G2/M 期停滞和 ROS 诱导的细胞死亡诱导。最后,新的纳米载体在 NK/Ly 淋巴瘤和 L1210 白血病细胞的体内模型中进行了测试。在这两种细胞模型中,Dox 的纳米制剂在低浓度(0.1mg/kg)下已使 100%的动物治愈,而游离 Dox 仅延长了存活时间。这表明将磷脂掺入聚乙二醇化的聚合物纳米载体中是一种很有前途的策略,可以提高 Dox 治疗对体外和体内敏感和耐药癌症模型的疗效并降低其毒性。
Mater Sci Eng C Mater Biol Appl. 2017-11-28
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