Department of Mastopathy, The Affiliated Hospital of Nanjing University of Chinese Medicine (Jiangsu Province Hospital of TCM), No. 155 Hanzhong Road, Nanjing 210029, China.
Department of general surgery, Pukou district central hospital, Pukou branch of jiangsu province hospital, China.
J Mater Chem B. 2019 Oct 14;7(38):5814-5824. doi: 10.1039/c9tb00651f. Epub 2019 Sep 9.
Podophyllotoxin (PPT), a toxic polyphenol extracted from the roots of Podophyllum species, showed remarkable activity against P-glycoprotein (P-gp) mediated multidrug resistant (MDR) cancer cells. Many PPT-prodrugs based on nano-technology have been developed for increasing aqueous solubility and reducing the side effects of PPT; however, the sensitive linkers in almost all PPT-prodrugs were ester bonds, resulting in slow and incomplete drug release. We developed a redox/pH double-sensitive and tumor active targeted drug delivery system for PPT delivery, in which PPT was covalently coupled to T7-peptide (Pep) modified polyethylene glycol (PEG) or methoxy-polyethylene glycol (mPEG) through a disulfide bond to obtain the final polymer (Pep-PEG-SS-PPT or PEG-SS-PPT). The mixed micelles (Pep-SS-NPs) were made by mixing Pep-PEG-SS-PPT with PEG-SS-PPT, and the mixed micelles showed good size uniformity and high stability in serum solution. The in vitro release experiment showed that about (81.7 ± 2.8)% PPT was released from Pep-SS-NPs in 10 mM glutathione (GSH) at pH 7.4, and also about (64.6 ± 1.7)% PPT was released from Pep-SS-NPs at pH 5.0. In vitro cytotoxicity analysis suggested that Pep-SS-NPs exhibited 57- to 270-fold lower resistance index (RI) values for different drug-resistant cancer cell lines than paclitaxel (PTX) or docetaxel (DTX). The cell uptake assay indicated that the Pep-SS-NPs could significantly enhance the intracellular level of coumarin-6 compared to that of the control group. The maximum tolerated dose (MTD) of Pep-SS-NPs was increased greatly compared to that of free PPT (5.3-fold). In vivo research showed that Pep-SS-NPs significantly enhanced antitumor efficacy against MCF-7/ADR xenograft tumors compared to the control groups. These findings suggest that mixed micelles could be a potentially successful nanomedicine for MDR breast cancer therapy.
鬼臼毒素(PPT)是从鬼臼属植物根部提取的一种有毒多酚,对 P-糖蛋白(P-gp)介导的多药耐药(MDR)癌细胞具有显著活性。许多基于纳米技术的 PPT 前药已被开发出来,以提高水溶解度并降低 PPT 的副作用;然而,几乎所有 PPT 前药中的敏感键都是酯键,导致药物释放缓慢且不完全。我们开发了一种用于 PPT 递送的氧化还原/ pH 双重敏感和肿瘤主动靶向药物递送系统,其中 PPT 通过二硫键共价偶联到 T7 肽(Pep)修饰的聚乙二醇(PEG)或甲氧基-聚乙二醇(mPEG)上,得到最终聚合物(Pep-PEG-SS-PPT 或 PEG-SS-PPT)。混合胶束(Pep-SS-NPs)由 Pep-PEG-SS-PPT 与 PEG-SS-PPT 混合制成,混合胶束在血清溶液中具有良好的粒径均匀性和高稳定性。体外释放实验表明,在 pH7.4 时,10mM 谷胱甘肽(GSH)中约有(81.7±2.8)%的 PPT 从 Pep-SS-NPs 中释放出来,在 pH5.0 时也有(64.6±1.7)%的 PPT 从 Pep-SS-NPs 中释放出来。体外细胞毒性分析表明,与紫杉醇(PTX)或多西紫杉醇(DTX)相比,Pep-SS-NPs 对不同耐药癌细胞系的耐药指数(RI)值降低了 57 至 270 倍。细胞摄取实验表明,与对照组相比,Pep-SS-NPs 可显著提高香豆素-6 的细胞内水平。与游离 PPT 相比,Pep-SS-NPs 的最大耐受剂量(MTD)大大增加(增加了 5.3 倍)。体内研究表明,与对照组相比,Pep-SS-NPs 显著增强了对 MCF-7/ADR 异种移植瘤的抗肿瘤疗效。这些发现表明,混合胶束可能是一种用于治疗多药耐药乳腺癌的有前途的纳米医学方法。
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