Department of Gastroenterology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu 210008, China.
Department of Interventional Radiology, Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, Jiangsu 210009, China.
Biomed Pharmacother. 2020 Sep;129:110512. doi: 10.1016/j.biopha.2020.110512. Epub 2020 Jul 10.
Transcatheter arterial chemoembolization (TACE) is extensively used in the treatment of advanced hepatocellular carcinoma (HCC). However, the efficacy of TACE is usually limited to secondary tumor hypoxia and hypoxia-related tumor angiogenesis.
In this study, poly(lactic-co-glycolic acid) (PLGA) microspheres (SOR-CAT-PLGA MSs) encapsulating sorafenib (SOR) and catalase (CAT) were prepared by double-emulsion solvent diffusion method. Sorafenib inhibits tumor angiogenesis, and catalase decomposes hydrogen peroxide (HO) to generate oxygen in the tumor.
In vitro and in vivo, SOR -CAT-PLGA MSs could significantly improve the efficacy of hepatic artery embolization in the treatment of rabbit VX2 liver tumors, regulate tumor hypoxia and immunosuppressive microenvironment, then achieved near-complete and rapid necrosis of liver tumors.
The application of new SOR -CAT-PLGA MSs in hepatic artery chemoembolization of rabbit VX2 liver tumor is a promising approach to improve the therapeutic effect of liver tumors and has a broad clinical application prospect.
经导管动脉化疗栓塞术(TACE)广泛用于治疗晚期肝细胞癌(HCC)。然而,TACE 的疗效通常仅限于继发肿瘤缺氧和与缺氧相关的肿瘤血管生成。
在这项研究中,聚(乳酸-共-羟基乙酸)(PLGA)微球(SOR-CAT-PLGA MSs)通过双乳液溶剂扩散法包载索拉非尼(SOR)和过氧化氢酶(CAT)。索拉非尼抑制肿瘤血管生成,而过氧化氢酶将过氧化氢(HO)分解为肿瘤中的氧气。
在体外和体内,SOR-CAT-PLGA MSs 可显著提高兔 VX2 肝癌肝动脉栓塞治疗的疗效,调节肿瘤缺氧和免疫抑制微环境,从而实现肝肿瘤的近完全和快速坏死。
新型 SOR-CAT-PLGA MSs 在兔 VX2 肝癌肝动脉化疗栓塞中的应用是提高肝癌治疗效果的一种有前途的方法,具有广阔的临床应用前景。