Istituto Italiano di Tecnologia (IIT), via Morego 30, 16163 Genova, Italy.
PROMISE Department,Piazza delle Cliniche 2, University of Palermo, 90133 Palermo, Italy.
ACS Appl Mater Interfaces. 2021 Apr 14;13(14):15959-15972. doi: 10.1021/acsami.0c21349. Epub 2021 Apr 2.
Cancer stem cells (CSCs) are the tumor cell subpopulation responsible for resistance to chemotherapy, tumor recurrence, and metastasis. An efficient therapy must act on low proliferating quiescent-CSCs (q-CSCs). We here investigate the effect of magnetic hyperthermia (MHT) in combination with local chemotherapy as a dual therapy to inhibit patient-derived colorectal qCR-CSCs. We apply iron oxide nanocubes as MHT heat mediators, coated with a thermoresponsive polymer (TR-Cubes) and loaded with DOXO (TR-DOXO) as a chemotherapeutic agent. The thermoresponsive polymer releases DOXO only at a temperature above 44 °C. In colony-forming assays, the cells exposed to TR-Cubes with MHT reveal that qCR-CSCs struggle to survive the heat damage and, with a due delay, restart the division of dormant cells. The eradication of qCR-CSCs with a complete stop of the colony formation was achieved only with TR-DOXO when exposed to MHT. The tumor formation study confirms the combined effects of MHT with heat-mediated drug release: only the group of animals that received the CR-CSCs pretreated, , with TR-DOXO and MHT lacked the formation of tumor even after several months. For DOXO-resistant CR-CSCs cells, the same results were shown, when choosing the drug oxaliplatin rather than DOXO and applying MHT. These findings emphasize the potential of our nanoplatforms as an effective patient-personalized cancer treatment against qCR-CSCs.
癌症干细胞 (CSCs) 是肿瘤细胞亚群,负责对化疗、肿瘤复发和转移产生抗性。有效的治疗方法必须作用于增殖缓慢的静止期 CSCs (q-CSCs)。我们在此研究了磁热疗 (MHT) 联合局部化疗作为双重疗法来抑制患者来源的结直肠 qCR-CSCs。我们应用氧化铁纳米立方作为 MHT 的热介质,用热响应聚合物 (TR-Cubes) 进行涂层,并装载 DOXO (TR-DOXO) 作为化疗药物。热响应聚合物仅在温度高于 44°C 时释放 DOXO。在集落形成实验中,暴露于 MHT 的 TR-Cubes 的细胞表明 qCR-CSCs 在热损伤中难以存活,并且在适当的延迟后,休眠细胞重新开始分裂。只有当暴露于 MHT 时,用 TR-DOXO 才能彻底消除 qCR-CSCs 并完全停止集落形成。肿瘤形成研究证实了 MHT 与热介导药物释放的联合效应:只有接受了用 TR-DOXO 和 MHT 预处理的 CR-CSCs 的动物组在几个月后仍然没有形成肿瘤。对于 DOXO 耐药的 CR-CSCs 细胞,当选择药物奥沙利铂而不是 DOXO 并应用 MHT 时,也得到了相同的结果。这些发现强调了我们的纳米平台作为针对 qCR-CSCs 的有效个体化癌症治疗的潜力。
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