Urologic Medical Center, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, People's Republic of China.
Department of Pharmacy, Shanghai Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai 200438, People's Republic of China.
Int J Nanomedicine. 2020 Jul 29;15:5333-5344. doi: 10.2147/IJN.S258856. eCollection 2020.
Cabazitaxel (CBZ) is a new taxane-based antitumor drug approved by the FDA for the treatment of prostate cancer, especially for patients with advanced prostate cancer for whom docetaxel is ineffective or causes aggravation. However, Tween 80 injection can cause serious allergic reactions, and CBZ itself has strong toxicity, adverse reactions, and poor tumor selectivity, which greatly limits its clinical applications. Therefore, the CBZ-loaded bovine serum albumin nanoparticles (CBZ-BSA-Gd-NPs) were developed to overcome the allergenic response of Tween 80 and realize the integration of diagnosis and treatment.
CBZ-BSA-Gd-NPs were prepared by the biomineralization method. The characterization, magnetic resonance imaging (MRI), safety, and antitumor activity of the nanoparticles were evaluated in vitro and in vivo.
The prepared nanoparticles were uniform in size (166 nm), with good MRI performance and stability over 24 h. Compared with CBZ-Tween 80 injection, CBZ-BSA-Gd-NPs showed much lower hemolysis, similar tumor inhibition, and enhanced cellular uptake in vitro. The pharmacokinetic behavior of CBZ-BSA-Gd-NPs in rats showed that the retention time of the nanoparticles was prolonged, the clearance rate decreased, and the area under the drug-time curve increased. The distribution of CBZ-BSA-Gd-NPs in nude mice was characterized by UPLC-MS/MS and MRI, and the results showed that CBZ-BSA-Gd-NPs could effectively target tumor tissues with reduced distribution in the heart, liver, spleen, lungs, and kidneys compared with CBZ-Tween 80, which indicated that CBZ-BSA-Gd-NPs not only had a passive targeting effect on tumor tissue but also achieved the integration of diagnosis and treatment. In vivo, CBZ-BSA-Gd-NPs showed improved tumor inhibitory effect with a safer profile.
In summary, CBZ-BSA-Gd-NPs can serve as an effective therapeutic drug carrier to deliver CBZ into prostate cancer, and realize the integration of diagnosis and therapy.
卡巴他赛(CBZ)是一种新型的紫杉烷类抗肿瘤药物,已被 FDA 批准用于治疗前列腺癌,特别是对于多西他赛无效或加重的晚期前列腺癌患者。然而,聚山梨酯 80 注射液可引起严重的过敏反应,且 CBZ 本身具有较强的毒性、不良反应和较差的肿瘤选择性,这极大地限制了其临床应用。因此,开发了载 CBZ 的牛血清白蛋白纳米粒(CBZ-BSA-Gd-NPs)以克服聚山梨酯 80 的过敏反应,并实现诊断和治疗的一体化。
采用生物矿化法制备 CBZ-BSA-Gd-NPs。评估了纳米粒的体外和体内的表征、磁共振成像(MRI)、安全性和抗肿瘤活性。
所制备的纳米粒粒径均一(166nm),具有良好的 MRI 性能和 24 小时稳定性。与 CBZ-聚山梨酯 80 注射液相比,CBZ-BSA-Gd-NPs 的溶血率更低,肿瘤抑制作用相似,细胞摄取能力增强。CBZ-BSA-Gd-NPs 在大鼠体内的药代动力学行为表明,纳米粒的保留时间延长,清除率降低,药时曲线下面积增加。通过 UPLC-MS/MS 和 MRI 对载药纳米粒在裸鼠体内的分布进行了研究,结果表明 CBZ-BSA-Gd-NPs 能够有效靶向肿瘤组织,与 CBZ-聚山梨酯 80 相比,在心脏、肝脏、脾脏、肺和肾脏中的分布减少,这表明 CBZ-BSA-Gd-NPs 不仅对肿瘤组织具有被动靶向作用,而且实现了诊断和治疗的一体化。在体内,CBZ-BSA-Gd-NPs 表现出更好的肿瘤抑制效果,且安全性更高。
综上所述,CBZ-BSA-Gd-NPs 可作为一种有效的治疗性药物载体将 CBZ 递送至前列腺癌中,并实现诊断和治疗的一体化。