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基于角鲨烯的纳米医学用于结肠癌的口服治疗。

A Squalene-Based Nanomedicine for Oral Treatment of Colon Cancer.

机构信息

Institut Galien Paris-Sud, UMR 8612, CNRS; Univ. Paris-Sud, Université Paris-Saclay, Châtenay-Malabry, France.

INSERM U938, Centre de Recherche Saint-Antoine, Paris, France.

出版信息

Cancer Res. 2017 Jun 1;77(11):2964-2975. doi: 10.1158/0008-5472.CAN-16-1741. Epub 2017 Apr 17.

Abstract

Nanotechnology offers many possibilities to improve drug treatments, including with regard to drug pharmacology. The current study reports a simple approach to improve cisplatin efficacy in the treatment of colon cancer through the creation of orally administered squalenoylated nanoparticles loaded with cisplatin (SQ-CDDP NP). Cytotoxic effects of SQ-CDDP NP were assessed in human colonic cells and in mouse models of intestinal cancer. In cell culture, SQ-CDDP NP exhibited at least 10-fold greater cytotoxic potency compared with uncomplexed cisplatin, reflecting an enhancement in intracellular accumulation and DNA platination. Mechanistic investigations showed that SQ-CDDP NP stimulated ROS production, expression of heavy metal-inducible and stress-inducible genes, stress kinase cascades, and apoptosis. In Apc mice, a model of intestinal tumorigenesis, oral administration of SQ-CDDP NP curtailed spontaneous tumor formation and azoxymethane-induced colon carcinogenesis with no apparent evidence of tissue toxicity. Our results offer preclinical validation of a nanocarrier formulation that can safely improve chemotherapeutic efficacy, address risks of drug resistance, and improve patient compliance by enabling oral administration. .

摘要

纳米技术为改善药物治疗提供了许多可能性,包括药物药理学方面。本研究报告了一种简单的方法,通过创建口服负载顺铂的 squalenoylated 纳米颗粒(SQ-CDDP NP)来提高顺铂在结肠癌治疗中的疗效。在人结肠细胞和小鼠肠道癌模型中评估了 SQ-CDDP NP 的细胞毒性作用。在细胞培养中,SQ-CDDP NP 与未络合的顺铂相比具有至少 10 倍的更高细胞毒性效力,反映了细胞内积累和 DNA 铂化的增强。机制研究表明,SQ-CDDP NP 刺激 ROS 产生、重金属诱导和应激诱导基因、应激激酶级联和细胞凋亡。在 Apc 小鼠,一种肠道肿瘤发生模型中,口服 SQ-CDDP NP 可抑制自发性肿瘤形成和氧化偶氮甲烷诱导的结肠癌发生,而没有明显的组织毒性证据。我们的结果为纳米载体配方提供了临床前验证,该配方可以通过口服给药安全地提高化疗疗效、解决药物耐药性风险并提高患者依从性。

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