Department of General Surgery, Tongde Hospital of Zhejiang Province, Hangzhou, 310012, Zhejiang Province, China.
Pharm Res. 2020 Nov 20;37(12):247. doi: 10.1007/s11095-020-02949-y.
KRAS is the most frequently mutated gene in human cancers, and ~ 90% of pancreatic cancers exhibit KRAS mutations. Despite the well-known role of KRAS in malignancies, directly inhibiting KRAS is challenging.
In this study, we successfully synthesized apolipoprotein E3-based liposomes for the co-delivery of gemcitabine (GEM) and a small interfering RNA targeting KRAS (KRAS-siRNA) to improve the efficacy of pancreatic cancer treatment.
Apolipoprotein E3 self-assembly on the liposome surface led to a substantial increase in its internalization in PANC1 human pancreatic cancer cells. KRAS-siRNA led to downregulated KRAS protein expression and KRAS-dependent carcinogenic pathways, resulting in the inhibition of cell proliferation, cell cycle arrest, increased apoptosis, and suppression of tumor progression. The combination of KRAS-siRNA and GEM induced a synergistic improvement in cell apoptosis and significantly lower cell viability compared with single-agent therapy. The low IC value of A3-SGLP might be attributed to potentiation of the anticancer effect of GEM by siRNA-mediated silencing of KRAS mutations, thereby inducing synergistic effects on cancer cells.
A3-SGLP led to a marked decrease in the overall tumor burden and did not show any signs of toxicity. Therefore, the combination of KRAS-siRNA and GEM holds great potential for the treatment of pancreatic cancer.
KRAS 是人类癌症中最常发生突变的基因,约 90%的胰腺癌存在 KRAS 突变。尽管 KRAS 在恶性肿瘤中具有众所周知的作用,但直接抑制 KRAS 具有挑战性。
在这项研究中,我们成功合成了载脂蛋白 E3 为基础的脂质体,用于共递送吉西他滨(GEM)和靶向 KRAS 的小干扰 RNA(KRAS-siRNA),以提高胰腺癌治疗的疗效。
载脂蛋白 E3 在脂质体表面自组装导致其在 PANC1 人胰腺癌细胞中的内化显著增加。KRAS-siRNA 导致 KRAS 蛋白表达下调和 KRAS 依赖性致癌途径抑制,从而抑制细胞增殖、细胞周期停滞、增加细胞凋亡和抑制肿瘤进展。与单一药物治疗相比,KRAS-siRNA 和 GEM 的联合使用可协同改善细胞凋亡,并显著降低细胞活力。A3-SGLP 的低 IC 值可能归因于 siRNA 介导的 KRAS 突变沉默增强了 GEM 的抗癌作用,从而对癌细胞产生协同作用。
A3-SGLP 导致总肿瘤负担显著下降,没有任何毒性迹象。因此,KRAS-siRNA 和 GEM 的联合应用具有治疗胰腺癌的巨大潜力。