Huo Qiang, Zhu Jianhua, Niu Yimin, Shi Huihui, Gong Yaxiang, Li Yang, Song Huihui, Liu Yang
School of Pharmacy, Bengbu Medical College, Bengbu.
School of Pharmacy, Nanjing Medical University.
Int J Nanomedicine. 2017 Dec 4;12:8631-8647. doi: 10.2147/IJN.S144452. eCollection 2017.
Multidrug resistance (MDR) remains a major challenge for providing effective chemotherapy for many cancer patients. To address this issue, we report an intelligent polymer-based drug co-delivery system which could enhance and accelerate cellular uptake and reverse MDR. The nanodrug delivery systems were constructed by encapsulating disulfiram (DSF), a P-glyco-protein (P-gp) inhibitor, into the hydrophobic core of poly(ethylene glycol)--poly(l-lysine) (PEG--PLL) block copolymer micelles, as well as 2,3-dimethylmaleic anhydride (DMA) and paclitaxel (PTX) were grafted on the side chain of l-lysine simultaneously. The surface charge of the drug-loaded micelles represents as negative in plasma (pH 7.4), which is helpful to prolong the circulation time, and in a weak acid environment of tumor tissue (pH 6.5-6.8) it can be reversed to positive, which is in favor of their entering into the cancer cells. In addition, the carrier could release DSF and PTX successively inside cells. The results of in vitro studies show that, compared to the control group, the DSF and PTX co-loaded micelles with charge reversal exhibits more effective cellular uptake and significantly increased cytotoxicity of PTX to MCF-7/ADR cells which may be due to the inhibitory effect of DSF on the efflux function of P-gp. Accordingly, such a smart pH-sensitive nanosystem, in our opinion, possesses significant potential to achieve combinational drug delivery and overcome drug resistance in cancer therapy.
多药耐药性(MDR)仍然是为许多癌症患者提供有效化疗的主要挑战。为了解决这个问题,我们报道了一种基于智能聚合物的药物共递送系统,该系统可以增强并加速细胞摄取并逆转多药耐药性。通过将双硫仑(DSF,一种P-糖蛋白(P-gp)抑制剂)封装到聚(乙二醇)-聚(L-赖氨酸)(PEG-PLL)嵌段共聚物胶束的疏水核心中构建纳米药物递送系统,同时将2,3-二甲基马来酸酐(DMA)和紫杉醇(PTX)接枝到L-赖氨酸的侧链上。载药胶束在血浆(pH 7.4)中的表面电荷呈阴性,这有助于延长循环时间,而在肿瘤组织的弱酸环境(pH 6.5 - 6.8)中其表面电荷可逆转至阳性,这有利于它们进入癌细胞。此外,载体可以在细胞内依次释放DSF和PTX。体外研究结果表明,与对照组相比,具有电荷逆转功能的DSF和PTX共载胶束表现出更有效的细胞摄取,并且PTX对MCF-7/ADR细胞的细胞毒性显著增加,这可能是由于DSF对P-gp外排功能的抑制作用。因此,我们认为这样一种智能的pH敏感纳米系统在癌症治疗中具有实现联合药物递送和克服耐药性的巨大潜力。