Department of Chemistry, University of Texas at San Antonio, San Antonio, TX, USA.
J Biol Inorg Chem. 2020 May;25(3):441-449. doi: 10.1007/s00775-020-01774-3. Epub 2020 Mar 18.
Nanoformulations, prodrugs, and targeted therapies are among the most intensively investigated approaches to new cancer therapeutics. Human ferritin has been used extensively as a nanocarrier for the delivery of drugs and imaging agents to cancerous tumor cells both in vitro and in vivo. We report exploitation of the native properties of ferritin, which can be co-loaded with simple forms of iron (FeOOH) and arsenic (arsenate) in place of the native phosphate. The As(III) form arsenic trioxide has been successfully used to treat one blood cancer, but has so far proven too systemically toxic for use on solid tumors in the clinic. The As(V) form, arsenate, on the other hand, while much less systemically toxic upon bolus injection has also proven ineffective for cancer therapy. We extended the C-terminal ends of the human ferritin subunits with a tumor cell receptor targeting peptide and loaded this modified ferritin with ~ 800 arsenates and ~ 1100 irons. Our results demonstrate targeting and uptake of the iron, arsenate-loaded modified human ferritin by breast cancer cells. At the same arsenic levels, the cytotoxicity of the iron, arsenate-loaded human ferritin was equivalent to that of free arsenic trioxide and much greater than that of free arsenate. The iron-only loaded human ferritin was not cytotoxic at the highest achievable doses. The results are consistent with the receptor-targeted human ferritin delivering arsenate as a reductively activated 'prodrug'. This targeted delivery could be readily adapted to treat other types of solid tumor cancers.
纳米制剂、前药和靶向治疗是癌症新疗法中研究最广泛的方法之一。人血转铁蛋白已被广泛用作药物和成像剂向体外和体内癌细胞传递的纳米载体。我们报告了利用转铁蛋白的固有特性,它可以与简单形式的铁(FeOOH)和砷(砷酸盐)共载,而不是天然的磷酸盐。三氧化二砷的 As(III) 形式已成功用于治疗一种血液癌,但迄今为止,由于其在临床上对实体瘤的系统性毒性太大,无法使用。另一方面,As(V) 形式的砷酸盐,尽管在大剂量注射时毒性较低,但对癌症治疗也没有效果。我们扩展了人血转铁蛋白亚基的 C 末端,用肿瘤细胞受体靶向肽进行修饰,并将这种修饰后的转铁蛋白负载约 800 个砷酸盐和 1100 个铁原子。我们的研究结果表明,铁、载砷人血转铁蛋白被乳腺癌细胞靶向和摄取。在相同的砷水平下,铁、载砷人血转铁蛋白的细胞毒性与游离三氧化二砷相当,远高于游离砷酸盐。在最高可达剂量下,仅负载铁的人血转铁蛋白没有细胞毒性。这些结果与受体靶向的人血转铁蛋白将砷酸盐作为还原激活的“前药”递送至一致。这种靶向递送可以很容易地适应治疗其他类型的实体瘤癌症。
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