Laboratorio de Inmunología, Departamento de Fisiología, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadalajara, Guadalajara, 44340, Mexico.
Departamento de Ciencias Químico Biológicas y Agropecuarias, Universidad de Sonora, Unidad Regional Sur, Lázaro Cárdenas 100, Colonia Francisco Villa, Navojoa, Sonora C.P. 85880, Mexico.
Colloids Surf B Biointerfaces. 2019 Jun 1;178:199-207. doi: 10.1016/j.colsurfb.2019.03.011. Epub 2019 Mar 6.
The conventional treatment (cytoreduction combined with cisplatin/carboplatin and taxane drugs) of ovarian cancer has a high rate of failure and recurrence despite a favorable initial response. This lack of success is usually attributed to the development of multidrug resistance mechanisms by cancer cells and avoidance of the anti-growth effects of monoclonal targeted therapeutic antibodies. The disease, like other cancers, is characterized by the overexpression of molecular markers, including HER2 receptors. Preclinical and clinical studies with trastuzumab, a HER2-targeted therapeutic antibody, reveal a low improvement of the outcomes of HER2 positive ovarian cancer patients. Therefore, here, we propose a cisplatin-loaded, HER2 targeted poly(lactic-co-glycolic) nanoplatform, a system capable to escape the drug-efflux effect and to take advantage of the overexpressed HER2 receptors, using them as docks for targeted chemotherapy. The NP/trastuzumab ratio was determined after fluorescein labeling of antibodies and quantification of fluorescence in NPs. The system was also characterized in terms of size, zeta potential, drug release kinetics, cytotoxicity and cellular internalization in the epithelial ovarian cancer cell line SKOV-3, and compared with the HER2 negative breast cancer cell line HCC70. Our results show an increased cytotoxicity of NPs as compared to free cisplatin, and moreover, an enhanced internalization and cytotoxicity due to the bionfunctionalization of NPs with the monoclonal antibody.
尽管卵巢癌的初始反应良好,但传统的治疗方法(细胞减灭术联合顺铂/卡铂和紫杉烷类药物)失败和复发率很高。这种治疗失败通常归因于癌细胞产生多药耐药机制,并逃避单克隆靶向治疗抗体的抗生长作用。与其他癌症一样,该疾病的特征是分子标志物过度表达,包括 HER2 受体。曲妥珠单抗是一种 HER2 靶向治疗抗体,其临床前和临床研究表明,HER2 阳性卵巢癌患者的预后改善程度较低。因此,在这里,我们提出了一种载顺铂的 HER2 靶向聚(乳酸-共-乙醇酸)纳米平台,该系统能够逃避药物外排效应,并利用过表达的 HER2 受体,将其用作靶向化疗的码头。通过抗体的荧光标记和 NPs 中荧光的定量,确定了 NP/曲妥珠单抗的比值。还从尺寸、ζ电位、药物释放动力学、细胞毒性和上皮性卵巢癌细胞系 SKOV-3 的细胞内化等方面对该系统进行了表征,并与 HER2 阴性乳腺癌细胞系 HCC70 进行了比较。我们的结果表明,与游离顺铂相比, NPs 的细胞毒性增加,而且由于 NPs 与单克隆抗体的生物功能化,其内化和细胞毒性增强。