BPTES纳米颗粒与二甲双胍联合治疗针对胰腺癌的代谢异质性。
Combination therapy with BPTES nanoparticles and metformin targets the metabolic heterogeneity of pancreatic cancer.
作者信息
Elgogary Amira, Xu Qingguo, Poore Brad, Alt Jesse, Zimmermann Sarah C, Zhao Liang, Fu Jie, Chen Baiwei, Xia Shiyu, Liu Yanfei, Neisser Marc, Nguyen Christopher, Lee Ramon, Park Joshua K, Reyes Juvenal, Hartung Thomas, Rojas Camilo, Rais Rana, Tsukamoto Takashi, Semenza Gregg L, Hanes Justin, Slusher Barbara S, Le Anne
机构信息
Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD 21205;
Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD 21205; Wilmer Eye Institute Center for Nanomedicine, Johns Hopkins University School of Medicine, Baltimore, MD 21205;
出版信息
Proc Natl Acad Sci U S A. 2016 Sep 6;113(36):E5328-36. doi: 10.1073/pnas.1611406113. Epub 2016 Aug 24.
Targeting glutamine metabolism via pharmacological inhibition of glutaminase has been translated into clinical trials as a novel cancer therapy, but available drugs lack optimal safety and efficacy. In this study, we used a proprietary emulsification process to encapsulate bis-2-(5-phenylacetamido-1,2,4-thiadiazol-2-yl)ethyl sulfide (BPTES), a selective but relatively insoluble glutaminase inhibitor, in nanoparticles. BPTES nanoparticles demonstrated improved pharmacokinetics and efficacy compared with unencapsulated BPTES. In addition, BPTES nanoparticles had no effect on the plasma levels of liver enzymes in contrast to CB-839, a glutaminase inhibitor that is currently in clinical trials. In a mouse model using orthotopic transplantation of patient-derived pancreatic tumor tissue, BPTES nanoparticle monotherapy led to modest antitumor effects. Using the HypoxCR reporter in vivo, we found that glutaminase inhibition reduced tumor growth by specifically targeting proliferating cancer cells but did not affect hypoxic, noncycling cells. Metabolomics analyses revealed that surviving tumor cells following glutaminase inhibition were reliant on glycolysis and glycogen synthesis. Based on these findings, metformin was selected for combination therapy with BPTES nanoparticles, which resulted in significantly greater pancreatic tumor reduction than either treatment alone. Thus, targeting of multiple metabolic pathways, including effective inhibition of glutaminase by nanoparticle drug delivery, holds promise as a novel therapy for pancreatic cancer.
通过对谷氨酰胺酶的药理抑制作用来靶向谷氨酰胺代谢已作为一种新型癌症疗法进入临床试验阶段,但现有药物缺乏最佳的安全性和疗效。在本研究中,我们采用一种专利乳化工艺,将双-2-(5-苯乙酰胺基-1,2,4-噻二唑-2-基)乙基硫醚(BPTES),一种选择性但相对不溶性的谷氨酰胺酶抑制剂,包裹在纳米颗粒中。与未包裹的BPTES相比,BPTES纳米颗粒表现出改善的药代动力学和疗效。此外,与目前正在进行临床试验的谷氨酰胺酶抑制剂CB-839不同,BPTES纳米颗粒对肝酶的血浆水平没有影响。在一个使用患者来源的胰腺肿瘤组织原位移植的小鼠模型中,BPTES纳米颗粒单一疗法产生了适度的抗肿瘤效果。利用体内HypoxCR报告基因,我们发现谷氨酰胺酶抑制通过特异性靶向增殖的癌细胞来减少肿瘤生长,但不影响缺氧的、非循环细胞。代谢组学分析表明,谷氨酰胺酶抑制后存活的肿瘤细胞依赖于糖酵解和糖原合成。基于这些发现,选择二甲双胍与BPTES纳米颗粒联合治疗,其导致的胰腺肿瘤缩小比单独使用任何一种治疗方法都显著更大。因此,靶向多种代谢途径,包括通过纳米颗粒药物递送有效抑制谷氨酰胺酶,有望成为一种新型的胰腺癌治疗方法。
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