College of Pharmacy, Yeungnam University , 214-1 Dae-Dong, Gyeongsan 712-749, South Korea.
College of Pharmacy, Hanyang University , 55 Hanyangdaehak-ro, Sangnok-gu, Ansan 426-791, South Korea.
ACS Appl Mater Interfaces. 2015 Dec 30;7(51):28647-55. doi: 10.1021/acsami.5b10426. Epub 2015 Dec 17.
Despite tremendous progress in chemotherapy, drug resistance remains a major challenge for anticancer treatment. The combinations of chemo-photothermal and chemo-chemo treatments have been reported to be potential solutions to overcome drug resistance. In this study, we developed a dual-in-dual synergistic therapy based on the use of dual anticancer drug-loaded graphene oxide (GO) stabilized with poloxamer 188 for generating heat and delivering drugs to kill cancer cells under near-infrared (NIR) laser irradiation. The nanocomparable system is stable and uniform in size, generating sufficient heat to induce cell death. Dual drugs (doxorubicin and irinotecan)-loaded GO (GO-DI) in combination with laser irradiation caused higher cytotoxicity than that caused by the administration of a free single drug as well as a combination of drugs and blank GO in various cancer cells, especially in MDA-MB-231 resistant breast cancer cells. Exposure to "hot" NIR and GO-DI activated the intrinsic apoptosis pathway, which was confirmed based on changes in the morphology of cell nuclei and overexpression of apoptosis-related proteins. On the basis of the results, the combined treatment showed a synergistic effect compared to the effect of chemotherapy or photothermal treatment alone, demonstrating higher therapeutic efficacy to overcome one of the most severe problem in anticancer therapy, that of intrinsic resistance to chemotherapeutics.
尽管化疗取得了巨大进展,但耐药性仍然是抗癌治疗的主要挑战。已经有报道称,化疗-光热和化疗-化疗联合治疗是克服耐药性的潜在解决方案。在这项研究中,我们开发了一种基于使用载有阿霉素和伊立替康的双抗癌药物的双载药氧化石墨烯(GO)与泊洛沙姆 188 稳定化,以在近红外(NIR)激光照射下产生热量并输送药物杀死癌细胞的双重协同治疗。纳米级可比系统具有稳定且均匀的尺寸,可产生足够的热量以诱导细胞死亡。与单独给予游离单药以及药物和空白 GO 联合治疗相比,载有双重药物(阿霉素和伊立替康)的 GO(GO-DI)与激光照射联合使用会导致更高的细胞毒性,尤其是在 MDA-MB-231 耐药乳腺癌细胞中。暴露于“热”NIR 和 GO-DI 激活了内在凋亡途径,这是基于细胞核形态的变化和凋亡相关蛋白的过度表达来证实的。基于这些结果,与单独进行化疗或光热治疗相比,联合治疗显示出协同作用,表明其具有更高的治疗效果,可以克服抗癌治疗中最严重的问题之一,即对化疗药物的内在耐药性。
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