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通过结合配体靶向递药和酶刺激激活,开发用于结肠癌治疗的诊疗一体前药。

Development of a theranostic prodrug for colon cancer therapy by combining ligand-targeted delivery and enzyme-stimulated activation.

机构信息

Department of Chemistry, Korea University, Seoul 02841, South Korea.

Department of Mechanical Engineering, Sogang University, Seoul 04107, South Korea.

出版信息

Biomaterials. 2018 Feb;155:145-151. doi: 10.1016/j.biomaterials.2017.11.019. Epub 2017 Nov 20.

DOI:10.1016/j.biomaterials.2017.11.019
PMID:29175083
Abstract

The high incidence of colorectal cancer worldwide is currently a major health concern. Although conventional chemotherapy and surgery are effective to some extent, there is always a risk of relapse due to associated side effects, including post-surgical complications and non-discrimination between cancer and normal cells. In this study, we developed a small molecule-based theranostic system, Gal-Dox, which is preferentially taken up by colon cancer cells through receptor-mediated endocytosis. After cancer-specific activation, the active drug Dox (doxorubicin) is released with a fluorescence turn-on response, allowing both drug localization and site of action to be monitored. The therapeutic potency of Gal-Dox was also evaluated, both in vivo and ex vivo, thus illustrating the potential of Gal-Dox as a colorectal cancer theranostic with great specificity.

摘要

全球结直肠癌发病率居高不下,目前是一个主要的健康关注点。虽然常规化疗和手术在一定程度上有效,但由于相关副作用,包括手术后并发症和对癌细胞与正常细胞的无差别杀伤,总是存在复发的风险。在这项研究中,我们开发了一种基于小分子的治疗诊断系统 Gal-Dox,它可以通过受体介导的内吞作用被结肠癌细胞优先摄取。在癌症特异性激活后,活性药物 Dox(阿霉素)被释放,并伴有荧光开启响应,从而可以监测药物的定位和作用部位。我们还评估了 Gal-Dox 的治疗效果,包括在体内和体外,因此说明了 Gal-Dox 作为一种具有高度特异性的结直肠癌治疗诊断试剂的潜力。

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