Department of Radiology, Molecular Imaging Program at Stanford, Stanford University, 725 Welch Road, Stanford, California 94305, USA.
Institute of Stem Cell Research and Regenerative Medicine, Stanford University, Stanford, California 94305, USA.
Nat Nanotechnol. 2016 Nov;11(11):986-994. doi: 10.1038/nnano.2016.168. Epub 2016 Sep 26.
Until now, the Food and Drug Administration (FDA)-approved iron supplement ferumoxytol and other iron oxide nanoparticles have been used for treating iron deficiency, as contrast agents for magnetic resonance imaging and as drug carriers. Here, we show an intrinsic therapeutic effect of ferumoxytol on the growth of early mammary cancers, and lung cancer metastases in liver and lungs. In vitro, adenocarcinoma cells co-incubated with ferumoxytol and macrophages showed increased caspase-3 activity. Macrophages exposed to ferumoxytol displayed increased mRNA associated with pro-inflammatory Th1-type responses. In vivo, ferumoxytol significantly inhibited growth of subcutaneous adenocarcinomas in mice. In addition, intravenous ferumoxytol treatment before intravenous tumour cell challenge prevented development of liver metastasis. Fluorescence-activated cell sorting (FACS) and histopathology studies showed that the observed tumour growth inhibition was accompanied by increased presence of pro-inflammatory M1 macrophages in the tumour tissues. Our results suggest that ferumoxytol could be applied 'off label' to protect the liver from metastatic seeds and potentiate macrophage-modulating cancer immunotherapies.
截至目前,美国食品和药物管理局(FDA)批准的铁补充剂 ferumoxytol 和其他氧化铁纳米颗粒已被用于治疗缺铁症、磁共振成像对比剂和药物载体。在这里,我们展示了 ferumoxytol 对早期乳腺癌和肺癌转移到肝和肺的生长的内在治疗作用。在体外,与 ferumoxytol 共孵育的腺癌细胞显示 caspase-3 活性增加。暴露于 ferumoxytol 的巨噬细胞显示与促炎 Th1 型反应相关的 mRNA 增加。在体内,ferumoxytol 显著抑制了小鼠皮下腺癌的生长。此外,在静脉注射肿瘤细胞挑战前静脉注射 ferumoxytol 治疗可预防肝转移的发展。荧光激活细胞分选(FACS)和组织病理学研究表明,观察到的肿瘤生长抑制伴随着肿瘤组织中促炎 M1 巨噬细胞的增加。我们的结果表明,ferumoxytol 可以“超适应证”应用,以保护肝脏免受转移性种子的侵害,并增强巨噬细胞调节的癌症免疫疗法。
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