Department of Radiology, The Third Xiangya Hospital, Central South University, Changsha, Hunan 410013, China.
Xiangya School of Pharmaceutical Sciences, Central South University, Changsha, Hunan 410013, China.
J Mater Chem B. 2021 Feb 14;9(6):1625-1637. doi: 10.1039/d0tb02631j. Epub 2021 Jan 21.
Radiotherapy occupies an essential position in curing and palliating a wide range of solid tumors based on DNA damage responses to eradicate cancer cells. However, the tumor microenvironment generally exhibits the characteristics of hypoxia and glutathione overexpression, which play a critical role in radioresistance, to prevent irreparable breaks to DNA and necrocytosis of cancer cells. Herein, polyethylene glycol (PEG) functionalized manganese ferrite nanoparticles (MnFeO-PEG) are designed to enable self-sufficiency of oxygen by continuously catalyzing the decomposition of endogenous hydrogen peroxide. Simultaneously, the nano-platform can consume GSH to reduce the loss of reactive oxygen species in radiotherapy and achieve better therapeutic effects at the cellular and animal levels. In addition, the MnFeO-PEG could act as an optimal T- and T-weighted contrast medium for tumor-specific magnetic resonance imaging. This work proposes a systematically administered radiosensitizer that can selectively reside in tumor sites via the enhanced permeability and retention effect to relieve hypoxia and reduce GSH concentration, combined with dual-mode magnetic resonance imaging, achieving precise and effective image-guided tumor therapy.
放射治疗在基于 DNA 损伤反应消除癌细胞的基础上,对治疗和缓解多种实体肿瘤起着至关重要的作用。然而,肿瘤微环境通常表现出缺氧和谷胱甘肽过表达的特点,这对于防止 DNA 不可修复的断裂和癌细胞坏死起着关键作用。在这里,聚乙二醇(PEG)功能化的锰铁氧体纳米颗粒(MnFeO-PEG)被设计用来通过不断催化内源性过氧化氢的分解来实现自身的氧气供应。同时,该纳米平台可以消耗 GSH,减少放射治疗中活性氧的损失,从而在细胞和动物水平上实现更好的治疗效果。此外,MnFeO-PEG 可以作为一种最佳的 T-和 T2-加权磁共振成像肿瘤特异性造影剂。本工作提出了一种系统给药的放射增敏剂,它可以通过增强的通透性和保留效应选择性地驻留在肿瘤部位,缓解缺氧并降低 GSH 浓度,结合双模磁共振成像,实现精确有效的图像引导肿瘤治疗。