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载药药物策略用于转移性乳腺癌的联合治疗。

A drug-delivering-drug strategy for combined treatment of metastatic breast cancer.

机构信息

Department of Pharmaceutics, School of Pharmacy, China Pharmaceutical University, Nanjing, PR China.

Department of Pharmaceutics, School of Pharmacy, China Pharmaceutical University, Nanjing, PR China.

出版信息

Nanomedicine. 2018 Nov;14(8):2678-2688. doi: 10.1016/j.nano.2018.06.012. Epub 2018 Jul 9.

DOI:10.1016/j.nano.2018.06.012
PMID:30003972
Abstract

Treatment of metastatic cancer continues to be a huge challenge worldwide. Notably, drug nanocrystals (Ns) in nanosuspensions clearly belong to a type of nanoparticle. Therefore, a question arose as to whether these drug particles can also be applied as carriers for drug delivery. Here, we design a novel paclitaxel (PTX) nanocrystal stabilized with complexes of matrix metalloproteinase (MMP)-sensitive β-casein/marimastat (MATT) for co-delivering MATT and PTX and combined therapy of metastatic breast cancer. The prepared Ns (200 nm) with a drug-loading of >50% were potent in treatment of metastatic cancer, which markedly inhibited MMP expression and activity and greatly blocked the lung metastasis and angiogenesis. In conclusion, employing protein-drug complexes as stabilizers, Ns with dual payloads are developed and are a promising strategy for co-delivery. Furthermore, the developed Ns can target the tumor microenvironment and cancer cells and, as a result, enable efficient treatment for breast metastatic cancer.

摘要

转移性癌症的治疗仍然是全球范围内的一个巨大挑战。值得注意的是,纳米悬浮液中的药物纳米晶体(Ns)显然属于纳米颗粒的一种。因此,人们提出了一个问题,即这些药物颗粒是否也可以用作药物递送的载体。在这里,我们设计了一种新型紫杉醇(PTX)纳米晶体,该晶体由基质金属蛋白酶(MMP)敏感的β-酪蛋白/马立司他(MATT)复合物稳定,用于共递送 MATT 和 PTX 以及联合治疗转移性乳腺癌。所制备的载药量超过 50%的纳米晶体(200nm)在治疗转移性癌症方面非常有效,它显著抑制 MMP 的表达和活性,并大大阻断了肺转移和血管生成。总之,采用蛋白质-药物复合物作为稳定剂,开发了具有双重载药能力的纳米晶体,这是一种很有前途的共递药策略。此外,所开发的纳米晶体可以靶向肿瘤微环境和癌细胞,从而实现对乳腺癌转移的有效治疗。

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