Department of Urology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 20092, China.
Department of Urology, Huadong Hospital Affiliated to Fudan University, Shanghai 20040, China.
Theranostics. 2020 Aug 2;10(21):9808-9829. doi: 10.7150/thno.43631. eCollection 2020.
Prostate cancer has become one of the most threatening malignant tumors in men, leading to an imperative need to develop effective and safe therapies. Because of the unique metabolism of tumor cells, the tumor microenvironment (TME) exhibits distinctive properties compared with normal tissues, among which the pH difference has been utilized as an ideal antitumor strategy. Herein, we introduce a reactive oxygen species (ROS)-controlled-release nanosystem with TME-responsiveness by applying hollow mesoporous silica nanoparticles (HMSNs) as carriers loaded with calcium peroxide (CaO) and coated with polyacrylic acid (PAA) to construct the functional material CaO@HMSNs-PAA. The differences in pH values and exogenous ROS scavenging abilities between the tumor tissue and normal tissues and the dual pH-responsiveness from CaO and PAA lay a scientific foundation for the application of CaO@HMSNs-PAA in the tumor-selective therapy for prostate cancer. The morphology and the structure of the nanosystem were characterized by the transmission electron microscope, scanning electron microscope, energy-dispersive X-ray spectroscopy, Fourier transform infrared spectroscopy, zeta potential, dynamic light scattering measurement, low-angle X-ray diffraction patterns and nitrogen adsorption/desorption isotherm. The CaO loading capacity and release profiles in different buffer solutions were determined by inductively coupled plasma-mass spectrometry. The intracellular uptake of CaO@HMSNs-PAA was explored on the PC-3 prostate cancer cell line confocal laser scanning microscopy. The CCK-8 cell proliferation assay was conducted to evaluate the cytotoxicity of CaO@HMSNs-PAA against PC-3 cells. ROS produced by CaO@HMSNs-PAA was observed by a fluorescence microscope. The flow cytometry was utilized to analyze the apoptosis of PC-3 cells induced by CaO@HMSNs-PAA. The Western blot analysis was performed to detect expressions of critical mitochondria-mediated apoptosis markers in PC-3 cells after incubation with CaO@HMSNs-PAA. The biosafety and antitumor efficacy were evaluated out on BALB/c mice and BALB/c nude mice subcutaneously transplanted with PC-3 cells, respectively. Comprehensive characterizations indicated the successful synthesis of CaO@HMSNs-PAA with significant TME-responsiveness. The experimental results demonstrated that the well-developed nanocarrier could efficiently deliver CaO to the tumor site and release ROS in response to the decreased pH value of TME, exerting ideal antitumor effects both and by activating the mitochondria-mediated apoptosis pathway. Simultaneously, this nanoplatform caused no detectable damage to normal tissues. After loading into the above nanocomposite, the free CaO without a significant antitumor effect can exert excellent antitumor efficacy by responsively releasing ROS under the acidic TME to induce the mitochondria-mediated apoptosis remarkable oxidative stress and simultaneously minimize damages to normal tissues. The current study presents a new concept of "efficacy-shaping nanomedicine" for the tumor-selective treatment of prostate cancer.
前列腺癌已成为男性最具威胁性的恶性肿瘤之一,因此迫切需要开发有效且安全的治疗方法。由于肿瘤细胞的独特代谢,肿瘤微环境(TME)与正常组织相比具有独特的性质,其中 pH 值差异已被用作理想的抗肿瘤策略。在此,我们通过应用中空介孔硅纳米粒子(HMSNs)作为载体负载过氧化钙(CaO)并涂覆聚丙烯酸(PAA)来构建具有 TME 响应性的活性氧(ROS)可控释放纳米系统,从而构建了一种功能材料 CaO@HMSNs-PAA。肿瘤组织和正常组织之间的 pH 值差异和外源性 ROS 清除能力的差异以及 CaO 和 PAA 的双重 pH 响应性为 CaO@HMSNs-PAA 在前列腺癌的肿瘤选择性治疗中的应用奠定了科学基础。通过透射电子显微镜、扫描电子显微镜、能谱仪、傅里叶变换红外光谱、Zeta 电位、动态光散射测量、低角度 X 射线衍射图谱和氮气吸附/脱附等温线对纳米系统的形态和结构进行了表征。通过电感耦合等离子体质谱法确定了不同缓冲溶液中 CaO 的负载能力和释放曲线。通过共聚焦激光扫描显微镜研究了 CaO@HMSNs-PAA 在 PC-3 前列腺癌细胞系中的细胞内摄取情况。通过 CCK-8 细胞增殖实验评估了 CaO@HMSNs-PAA 对 PC-3 细胞的细胞毒性。通过荧光显微镜观察 CaO@HMSNs-PAA 产生的 ROS。通过流式细胞术分析 CaO@HMSNs-PAA 诱导的 PC-3 细胞凋亡。通过 Western blot 分析检测 CaO@HMSNs-PAA 孵育后 PC-3 细胞中关键的线粒体介导的细胞凋亡标志物的表达。通过 BALB/c 小鼠和 BALB/c 裸鼠皮下移植 PC-3 细胞,分别评估其生物安全性和抗肿瘤疗效。综合特征表明成功合成了具有显著 TME 响应性的 CaO@HMSNs-PAA。实验结果表明,这种发达的纳米载体可以将 CaO 高效递送到肿瘤部位,并响应 TME 中 pH 值的降低释放 ROS,通过激活线粒体介导的凋亡途径发挥理想的抗肿瘤作用。同时,这种纳米平台对正常组织没有造成明显的损伤。在装载到上述纳米复合材料中后,没有明显抗肿瘤作用的游离 CaO 可以通过在酸性 TME 下响应性释放 ROS 发挥优异的抗肿瘤功效,从而诱导线粒体介导的凋亡,同时显著氧化应激,同时将对正常组织的损伤降至最低。本研究为前列腺癌的肿瘤选择性治疗提出了一种“疗效塑造纳米医学”的新概念。
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