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脂质体硝基氧-阿霉素:在耐药性人类癌细胞中比凯素更具优势。

Liposomal nitrooxy-doxorubicin: one step over caelyx in drug-resistant human cancer cells.

作者信息

Pedrini Isabella, Gazzano Elena, Chegaev Konstantin, Rolando Barbara, Marengo Alessandro, Kopecka Joanna, Fruttero Roberta, Ghigo Dario, Arpicco Silvia, Riganti Chiara

机构信息

Department of Drug Science and Technology, University of Torino , via Pietro Giuria 9, 10125 Torino, Italy.

出版信息

Mol Pharm. 2014 Sep 2;11(9):3068-79. doi: 10.1021/mp500257s. Epub 2014 Jul 30.

Abstract

In this work we prepared and characterized two liposomal formulations of a semisynthetic nitric oxide (NO)-releasing doxorubicin (Dox), called nitrooxy-Dox (NitDox), which we previously demonstrated to be cytotoxic in Dox-resistant human colon cancer cells. Liposomes with 38.2% (Lip A) and 19.1% (Lip B) cholesterol were synthesized: both formulations had similar size and zeta potential values and caused the same intracellular distribution of free NitDox, but Lip B accumulated and released NitDox more efficiently. In Dox-resistant human colon cancer cells, Lip A and Lip B exhibited a more favorable kinetics of drug uptake and NO release, and a stronger cytotoxicity than Dox and free NitDox. While Caelyx, one of the liposomal Dox formulations approved for breast and ovary tumors treatment, was ineffective in Dox-resistant breast/ovary cancer cells, Lip B, and to a lesser extent Lip A, still exerted a significant cytotoxicity in these cells. This event was accompanied in parallel by a higher release of NO, which caused nitration of P-glycoprotein (Pgp) and multidrug resistance related protein 1 (MRP1), two transporters involved in Dox efflux, and impaired their pump activity. By doing so, the efflux kinetics of Dox after treatment with Lip B was markedly slowed down and the intracellular accumulation of Dox was increased in breast and ovary drug-resistant cells. We propose these liposomal formulations of NitDox as new tools with a specific indication for tumors overexpressing Pgp and MRP1.

摘要

在本研究中,我们制备并表征了两种半合成一氧化氮(NO)释放型阿霉素(Dox)的脂质体制剂,称为硝基氧代阿霉素(NitDox),我们之前已证明其对阿霉素耐药的人结肠癌细胞具有细胞毒性。合成了胆固醇含量分别为38.2%(脂质体A)和19.1%(脂质体B)的脂质体:两种制剂具有相似的尺寸和zeta电位值,并导致游离NitDox在细胞内的分布相同,但脂质体B积累和释放NitDox的效率更高。在阿霉素耐药的人结肠癌细胞中,脂质体A和脂质体B表现出更有利的药物摄取和NO释放动力学,并且比阿霉素和游离NitDox具有更强的细胞毒性。虽然Caelyx是一种被批准用于治疗乳腺癌和卵巢癌的脂质体阿霉素制剂之一,但在阿霉素耐药的乳腺癌/卵巢癌细胞中无效,而脂质体B,以及程度较轻的脂质体A,在这些细胞中仍具有显著的细胞毒性。这一事件同时伴随着更高的NO释放,这导致参与阿霉素外排的两种转运蛋白——P-糖蛋白(Pgp)和多药耐药相关蛋白1(MRP1)发生硝化,并损害了它们的泵活性。通过这样做,脂质体B处理后阿霉素的外排动力学明显减慢,并且在乳腺癌和卵巢癌耐药细胞中阿霉素的细胞内积累增加。我们提出这些NitDox脂质体制剂作为针对过表达Pgp和MRP1的肿瘤的具有特定适应症的新工具。

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