Gao Caifang, Liang Jianming, Zhu Ying, Ling Chengli, Cheng Zhekang, Li Ruixiang, Qin Jing, Lu Weigen, Wang Jianxin
Department of Pharmaceutics, School of Pharmacy, Fudan University & Key Laboratory of Smart Drug Delivery, Ministry of Education, Shanghai 201203, China.
Shanghai Institute of Pharmaceutical Industry, China State Institute of Pharmaceutical Industry, Shanghai 201203, China.
Acta Pharm Sin B. 2019 Jul;9(4):843-857. doi: 10.1016/j.apsb.2019.01.006. Epub 2019 Jan 11.
Chemotherapy outcomes for the treatment of glioma remains unsatisfactory due to the inefficient drug transport across the blood-brain barrier (BBB) and insufficient drug accumulation in the tumor region. Although many approaches, including various nanosystems, have been developed to promote the distribution of chemotherapeutics in the brain tumor, the delivery efficiency and the possible damage to the normal brain function still greatly restrict the clinical application of the nanocarriers. Therefore, it is urgent and necessary to discover more safe and effective BBB penetration and glioma-targeting strategies. In the present study, menthol, one of the strongest BBB penetration enhancers screened from traditional Chinese medicine, was conjugated to casein, a natural food protein with brain targeting capability. Then the conjugate self-assembled into the nanoparticles to load anti-cancer drugs. The nanoparticles were characterized to have appropriate size, spheroid shape and high loading drug capacity. Tumor spheroid penetration experiments demonstrated that penetration ability of menthol-modified casein nanoparticles (M-CA-NP) into the tumor were much deeper than that of unmodified nanoparticles. imaging further verified that M-CA-NPs exhibited higher brain tumor distribution than unmodified nanoparticles. The median survival time of glioma-bearing mice treated with HCPT-M-CA-NPs was significantly prolonged than those treated with free HCPT or HCPT-CA-NPs. HE staining of the organs indicated the safety of the nanoparticles. Therefore, the study combined the advantages of traditional Chinese medicine strategy with modern delivery technology for brain targeting, and provide a safe and effective approach for glioma therapy.
由于药物穿过血脑屏障(BBB)的效率低下以及肿瘤区域药物蓄积不足,胶质瘤化疗的效果仍不尽人意。尽管已经开发了许多方法,包括各种纳米系统,以促进化疗药物在脑肿瘤中的分布,但纳米载体的递送效率以及对正常脑功能可能造成的损害仍然极大地限制了其临床应用。因此,迫切需要发现更安全有效的血脑屏障穿透和胶质瘤靶向策略。在本研究中,从传统中药中筛选出的最强血脑屏障穿透增强剂之一薄荷醇与具有脑靶向能力的天然食品蛋白酪蛋白偶联。然后,该偶联物自组装成纳米颗粒以负载抗癌药物。所制备的纳米颗粒具有合适的尺寸、球形形状和高载药能力。肿瘤球穿透实验表明,薄荷醇修饰的酪蛋白纳米颗粒(M-CA-NP)进入肿瘤的穿透能力比未修饰的纳米颗粒深得多。成像进一步证实,M-CA-NPs在脑肿瘤中的分布高于未修饰的纳米颗粒。用HCPT-M-CA-NPs治疗的荷胶质瘤小鼠的中位生存时间明显长于用游离HCPT或HCPT-CA-NPs治疗的小鼠。器官的HE染色表明纳米颗粒的安全性。因此,本研究将传统中药策略与现代脑靶向递送技术的优势相结合,为胶质瘤治疗提供了一种安全有效的方法。