用于协同治疗乳腺癌骨转移和骨吸收的共递送顺铂和唑来膦酸的趋骨性纳米平台
Bone-seeking nanoplatform co-delivering cisplatin and zoledronate for synergistic therapy of breast cancer bone metastasis and bone resorption.
作者信息
Huang Yanjuan, Xiao Zhanghong, Guan Zilin, Zeng Zishan, Shen Yifeng, Xu Xiaoyu, Zhao Chunshun
机构信息
School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou 510006, China.
出版信息
Acta Pharm Sin B. 2020 Dec;10(12):2384-2403. doi: 10.1016/j.apsb.2020.06.006. Epub 2020 Jun 19.
The "vicious cycle" established between tumor growth and osteolysis aggravates the process of breast cancer bone metastasis, leading to life-threatening skeletal-related events that severely reduce survival and quality of life. To effectively interrupt the "vicious cycle", innovative therapeutic strategies that not only reduce osteolysis but also relieve tumor burden are urgently needed. Herein, a bone-seeking moiety, alendronate (ALN), functionalized coordination polymer nanoparticles (DZ@ALN) co-delivering cisplatin prodrug (DSP) and antiresorptive agent zoledronate (ZOL) Zn crosslinking for combination therapy was reported. The versatile DZ@ALN with a diameter of about 40 nm can cross the fissure in the bone marrow sinus capillaries, and possesses an excellent bone-seeking ability both and . Additionally, DZ@ALN could synergistically inhibit the proliferation of cancer cells, suppress the formation of osteoclast-like cells and induce the apoptosis of osteoclasts . Importantly, it could preferentially accumulate in bone affected site, remarkably inhibit the proliferation of tumor cells, relieving bone pain, and significantly inhibit the activation of osteoclasts, protecting the bone from destruction , eventually leading to the breakdown of "vicious cycle" without inducing obvious systemic toxicity. This innovative nanoagent combines chemotherapy and osteolysis inhibition, exhibiting an inspiring strategy for effective treatment of bone metastasis.
肿瘤生长与骨溶解之间形成的“恶性循环”加剧了乳腺癌骨转移的进程,导致危及生命的骨相关事件,严重降低了生存率和生活质量。为了有效中断“恶性循环”,迫切需要创新的治疗策略,不仅要减少骨溶解,还要减轻肿瘤负担。在此,报道了一种靶向骨的部分阿仑膦酸盐(ALN)功能化的配位聚合物纳米颗粒(DZ@ALN),其通过锌交联共同递送顺铂前药(DSP)和抗吸收剂唑来膦酸(ZOL)用于联合治疗。直径约40nm的多功能DZ@ALN能够穿过骨髓窦毛细血管中的裂隙,并且在体内和体外均具有出色的靶向骨能力。此外,DZ@ALN可以协同抑制癌细胞增殖,抑制破骨样细胞形成并诱导破骨细胞凋亡。重要的是,它可以优先在骨受累部位积聚,显著抑制肿瘤细胞增殖、缓解骨痛,并显著抑制破骨细胞活化,保护骨免受破坏,最终导致“恶性循环”的打破,且不引起明显的全身毒性。这种创新的纳米制剂结合了化疗和骨溶解抑制作用,为有效治疗骨转移提供了一种鼓舞人心的策略。