Zhang Beibei, Xu Congfei, Sun Chunyang, Yu Chunshui
Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China.
Institutes for Life Sciences, School of Medicine and National Engineering Research Center for Tissue Restoration and Reconstruction, South China University of Technology, Guangzhou, Guandong 510006, P. R. China.
ACS Biomater Sci Eng. 2019 Apr 8;5(4):1868-1877. doi: 10.1021/acsbiomaterials.9b00051. Epub 2019 Mar 22.
Recently, clinical research on tumor therapy has gradually shifted from traditional monotherapy toward combination therapy as tumors are complex, diverse, and heterogeneous. Combination therapy may be essential for achieving the optimized treatment efficacy of tumors through distinct tumor-inhibiting mechanisms. At the same time, nanocarriers are emerging as an excellent strategy for delivering both drugs simultaneously. This work presents utilization of a polyphosphoester-based nanocarrier (NP) to achieve the codelivery of hydrophobic photothermal agent IR-780 and radiosensitizer curcumin (Cur). The IR-780 and curcumin coencapsulated NP exhibited adequate drug loading, a prolonged blood half-life, enhanced passive tumor homing, and improved curcumin bioavailability as well as combined therapeutic functions. Briefly, NP could not only achieve effective thermal ablation through the conversion of near-infrared light to heat, but also give rise to a significant boosted local radiation dose to trigger promoted radiation damages, thus resulting in enhanced tumor cell growth inhibition. In conclusion, the as-prepared NP manifested excellent performance in facilitating combined photothermal and radiation therapy, thus expanding the application range of PPE-based carriers in nanomedicine, and also prompting exploration of their potential for other effective combination therapies.
近年来,由于肿瘤具有复杂性、多样性和异质性,肿瘤治疗的临床研究已逐渐从传统的单一疗法转向联合疗法。联合疗法可能是通过不同的肿瘤抑制机制实现肿瘤最佳治疗效果所必需的。与此同时,纳米载体正成为同时递送两种药物的一种出色策略。这项工作展示了利用基于聚磷酸酯的纳米载体(NP)来实现疏水性光热剂IR-780和放射增敏剂姜黄素(Cur)的共递送。共包封了IR-780和姜黄素的NP表现出足够的载药量、延长的血液半衰期、增强的被动肿瘤归巢能力、提高的姜黄素生物利用度以及联合治疗功能。简而言之,NP不仅可以通过将近红外光转化为热来实现有效的热消融,还能显著提高局部辐射剂量以引发增强的辐射损伤,从而增强对肿瘤细胞生长的抑制。总之,所制备的NP在促进光热和放射联合治疗方面表现出优异的性能,从而扩大了基于聚磷酸酯的载体在纳米医学中的应用范围,也促使人们探索它们在其他有效联合疗法中的潜力。