Center for Functional Biomaterials, School of Materials Science and Engineering, Key Laboratory for Polymeric Composite and Functional Materials of Ministry of Education, Sun Yat-sen University, Guangzhou, 510275, China.
Department of Biomedical Engineering, University of Minnesota, Minneapolis, MN, 55455, USA.
Adv Healthc Mater. 2018 Jun;7(11):e1800121. doi: 10.1002/adhm.201800121. Epub 2018 Mar 27.
Autophagy is a homeostatic lysosome-dependent metabolic process to eliminate damaged or dysfunctional cellular organelles, which is closely associated with tumor progression. Indocyanine green (ICG) can convert NIR light energy to localized heat for cancer cell and tissue ablation. However, the effect of autophagy modulation on ICG-mediated photothermal therapy remains unknown. In this study, it is found that primaquine (PQ) suppresses autophagy flux at a late stage through the impeding fusion of the autophagosome with the lysosome to form an autophagolysosome, leading to cell apoptosis or necrosis. This autophagosome-lysosome fusion inhibitory effect and the autophagosome accumulation are more evident in the photothermal therapy combined with autophagy inhibition. Motivated by this notable effect, a cascade-targeting nanocapsule (HCP) is constructed using an organic solvent-free strategy to coencapsulate PQ and ICG. By targeting the cluster designation 44 molecule and sequentially enhancing the cell-penetrating peptide-mediated endocytosis, the codelivery of PQ/ICG by HCP achieves selective recognition and reinforces the internalization by MCF-7 cells to exert a synergistic therapeutic effect on MCF-7 cells both in vitro and in vivo. The HCP system for the photothermal and autophagy inhibition combination therapy represents a novel strategy for the treatment of breast cancer.
自噬是一种溶酶体依赖性的细胞内稳态代谢过程,用于清除受损或功能失调的细胞细胞器,与肿瘤进展密切相关。吲哚菁绿(ICG)可以将近红外光能转化为局部热量,用于癌细胞和组织消融。然而,自噬调节对 ICG 介导的光热治疗的影响尚不清楚。在这项研究中,发现伯氨喹(PQ)通过阻碍自噬体与溶酶体融合形成自噬溶酶体,在晚期抑制自噬流,导致细胞凋亡或坏死。这种自噬体-溶酶体融合抑制作用和自噬体积累在与自噬抑制联合的光热治疗中更为明显。受这一显著效果的启发,采用无有机溶剂的策略构建了级联靶向纳米胶囊(HCP),以共包封 PQ 和 ICG。通过靶向簇分化 44 分子并依次增强细胞穿透肽介导的内吞作用,HCP 共递送 PQ/ICG 实现了 MCF-7 细胞的选择性识别,并增强了 MCF-7 细胞的内化,从而在体外和体内对 MCF-7 细胞发挥协同治疗作用。用于光热和自噬抑制联合治疗的 HCP 系统为乳腺癌的治疗提供了一种新策略。
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