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NO 释放多肽纳米复合材料通过三重治疗逆转癌症多药耐药性。

NO-releasing polypeptide nanocomposites reverse cancer multidrug resistance via triple therapies.

机构信息

School of Chemistry and Chemical Engineering, Nantong University, Nantong 226019, PR China.

School of Chemistry and Chemical Engineering, Nantong University, Nantong 226019, PR China.

出版信息

Acta Biomater. 2021 Mar 15;123:335-345. doi: 10.1016/j.actbio.2021.01.015. Epub 2021 Jan 18.

DOI:10.1016/j.actbio.2021.01.015
PMID:33476826
Abstract

Multidrug resistance (MDR) induced by the overexpression of P-glycoprotein (P-gp) transporters mainly leads to chemotherapy (CT) failure. Herein, a NIR/pH dual-sensitive charge-reversal polypeptide nanocomposite (PDA-PLC) was developed for co-delivering a nitric oxide (NO) donor and doxorubicin (DOX). Under near-infrared (NIR) irradiation, the released high-concentration of NO gas inhibited the P-gp expression to sensitize the chemotherapeutic medicine DOX and assisted photothermal therapy (PTT) to eradicate cancer cells without skin scarring. Further, the distinctive charge-reversal capacity of PDA-PLC significantly facilitated cellular uptake in the tumor acidic microenvironment (pH 6.8) and enhanced its stability in the physiological environment (pH 7.4). This DOX-loading polypeptide nanocomposite (PDA-PLC/DOX) provides an effective strategy for the PTT-NO-CT triple-combination therapy to overcome MDR STATEMENT OF SIGNIFICANCE: Multidrug resistance (MDR) has been considered to be the paramount factor of chemotherapy (CT) failure in cancer. In this work, an NIR/pH dual-sensitive charge-reversal polypeptide nanomedicine (PDA-PLC/DOX) was developed to overcome MDR through the triple combination therapy of photothermal therapy (PTT), NO gas therapy, and CT. The distinctive charge-reversal capacity of PDA-PLC/DOX significantly facilitated cellular uptake in the tumor acidic microenvironment (pH 6.8) and enhanced its stability in the physiological environment (pH 7.4), while the NIR trigger-released NO gas greatly inhibited the expression of P-gp and synergistically enhanced PTT and CT efficacy. This polypeptide nanocomposite PDA-PLC/DOX provides an effective strategy of using the PTT-NO-CT triple combination therapy with charge-reversal property to completely eradicate the MCF-7/ADR tumor.

摘要

多药耐药(MDR)是导致化疗(CT)失败的主要原因,其是由 P-糖蛋白(P-gp)转运体的过度表达引起的。在此,开发了一种近红外(NIR)/pH 双重敏感电荷反转多肽纳米复合材料(PDA-PLC)用于共递送一氧化氮(NO)供体和阿霉素(DOX)。在近红外(NIR)照射下,释放的高浓度 NO 气体抑制了 P-gp 的表达,使化疗药物 DOX 敏感,并辅助光热治疗(PTT)以消除癌细胞而不会留下皮肤疤痕。此外,PDA-PLC 的独特电荷反转能力显著促进了肿瘤酸性微环境(pH 6.8)中的细胞摄取,并增强了其在生理环境(pH 7.4)中的稳定性。这种 DOX 负载多肽纳米复合材料(PDA-PLC/DOX)为克服 MDR 的 PTT-NO-CT 三重联合治疗提供了一种有效策略。

意义声明

多药耐药(MDR)被认为是癌症化疗(CT)失败的首要因素。在这项工作中,开发了一种近红外(NIR)/pH 双重敏感电荷反转多肽纳米医学(PDA-PLC/DOX),通过光热治疗(PTT)、NO 气体治疗和 CT 的三重联合治疗来克服 MDR。PDA-PLC/DOX 的独特电荷反转能力显著促进了肿瘤酸性微环境(pH 6.8)中的细胞摄取,并增强了其在生理环境(pH 7.4)中的稳定性,而 NIR 触发释放的 NO 气体则极大地抑制了 P-gp 的表达,并协同增强了 PTT 和 CT 疗效。这种多肽纳米复合材料 PDA-PLC/DOX 提供了一种有效的策略,即利用具有电荷反转特性的 PTT-NO-CT 三重联合治疗来彻底根除 MCF-7/ADR 肿瘤。

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