Center for Nanomedicine and Department of Anesthesiology, Brigham and Women's Hospital , Harvard Medical School , Boston , Massachusetts 02115 , United States.
Department of Biomedical Engineering, School of Engineering , Sun Yat-sen University , Guangzhou , Guangdong 510006 , China.
Nano Lett. 2018 Jul 11;18(7):4618-4625. doi: 10.1021/acs.nanolett.8b01924. Epub 2018 Jun 19.
Despite the broad antitumor spectrum of cisplatin, its therapeutic efficacy in cancer treatment is compromised by the development of drug resistance in tumor cells and systemic side effects. A close correlation has been drawn between cisplatin resistance in tumor cells and increased levels of intracellular thiol-containing species, especially glutathione (GSH). The construction of a unique nanoparticle (NP) platform composed of poly(disulfide amide) polymers with a high disulfide density for the effective delivery of Pt(IV) prodrugs capable of reversing cisplatin resistance through the disulfide-group-based GSH-scavenging process, as described herein, is a promising route by which to overcome limitations associated with tumor resistance. Following systematic screening, the optimized NPs (referred to as CP5 NPs) showed a small particle size (76.2 nm), high loading of Pt(IV) prodrugs (15.50% Pt), a sharp response to GSH, the rapid release of platinum (Pt) ions, and notable apoptosis of cisplatin-resistant A2780cis cells. CP5 NPs also exhibited long blood circulation and high tumor accumulation after intravenous injection. Moreover, in vivo efficacy and safety results showed that CP5 NPs effectively inhibited the growth of cisplatin-resistant xenograft tumors with an inhibition rate of 83.32% while alleviating serious side effects associated with cisplatin. The GSH-scavenging nanoplatform is therefore a promising route by which to enhance the therapeutic index of Pt drugs used currently in cancer treatment.
尽管顺铂具有广泛的抗肿瘤谱,但由于肿瘤细胞产生耐药性和全身副作用,其在癌症治疗中的疗效受到了限制。肿瘤细胞中顺铂耐药性与细胞内含巯基物质水平的增加,尤其是谷胱甘肽(GSH)之间存在密切关系。本文构建了一种独特的纳米颗粒(NP)平台,该平台由具有高二硫键密度的聚(二硫键酰胺)聚合物组成,可有效递送电 Pt(IV)前药,通过基于二硫键的 GSH 清除过程逆转顺铂耐药性,这是克服与肿瘤耐药相关的限制的一种很有前途的途径。经过系统筛选,优化后的 NPs(称为 CP5 NPs)表现出较小的粒径(76.2nm)、高 Pt(IV)前药负载(15.50%Pt)、对 GSH 的快速响应、铂(Pt)离子的快速释放以及顺铂耐药 A2780cis 细胞的明显凋亡。CP5 NPs 经静脉注射后还表现出较长的血液循环和高肿瘤积累。此外,体内疗效和安全性结果表明,CP5 NPs 有效抑制了顺铂耐药异种移植肿瘤的生长,抑制率为 83.32%,同时缓解了与顺铂相关的严重副作用。因此,GSH 清除纳米平台是提高目前用于癌症治疗的 Pt 药物治疗指数的一种很有前途的途径。
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