Frazier Nick, Payne Allison, Dillon Christopher, Subrahmanyam Nithya, Ghandehari Hamidreza
Department of Bioengineering, University of Utah, Salt Lake City, UT, USA; Center for Nanomedicine, Nano Institute of Utah, University of Utah, Salt Lake City, UT, USA.
Department of Radiology and Imaging Sciences, University of Utah, Salt Lake City, UT, USA.
Nanomedicine. 2017 Apr;13(3):1235-1243. doi: 10.1016/j.nano.2016.11.014. Epub 2016 Nov 29.
Combination of polymer therapeutics and hyperthermia has been shown to enhance accumulation in selectively heated tumor tissue. The additional use of heat shock (HS)-targeting towards tumor tissues can further enhance accumulation and retention, and improve therapeutic outcomes. In this work, high intensity focused ultrasound (HIFU) was used to generate hyperthermia in prostate tumor tissue. Upregulation of the cell surface HS receptor glucose regulated protein 78 kDa (GRP78) was observed after treatment with HIFU hyperthermia which was then targeted by specific HS-targeting peptides. We used the peptide sequence WDLAWMFRLPVG attached to the side chains of water-soluble N-(2-hydroxypropyl)methacrylamide (HPMA) copolymers containing docetaxel (DOC) conjugated via a lysosomally degradable linker. It was shown that HIFU-mediated HS-targeted copolymer-DOC conjugates improved treatment efficacy in a murine prostate tumor xenograft model. These results show that the use of HIFU hyperthermia in combination with HS-targeted polymer-drug conjugates has potential to improve therapeutic outcomes in prostate cancer treatment.
聚合物疗法与热疗相结合已被证明可增强在选择性加热的肿瘤组织中的蓄积。额外采用针对肿瘤组织的热休克(HS)靶向可进一步增强蓄积和滞留,并改善治疗效果。在这项研究中,高强度聚焦超声(HIFU)被用于在前列腺肿瘤组织中产生热疗。在用HIFU热疗处理后,观察到细胞表面HS受体葡萄糖调节蛋白78 kDa(GRP78)上调,随后被特异性HS靶向肽靶向。我们使用了连接到含有多西他赛(DOC)的水溶性N-(2-羟丙基)甲基丙烯酰胺(HPMA)共聚物侧链上的肽序列WDLAWMFRLPVG,该共聚物通过溶酶体可降解连接子缀合。结果表明,HIFU介导的HS靶向共聚物-DOC缀合物在小鼠前列腺肿瘤异种移植模型中提高了治疗效果。这些结果表明,将HIFU热疗与HS靶向聚合物-药物缀合物联合使用有潜力改善前列腺癌治疗的效果。
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