谷胱甘肽耗竭纳米药物用于协同癌症治疗。

Glutathione-Depleting Nanomedicines for Synergistic Cancer Therapy.

机构信息

State Key Laboratory of Bioelectronics, School of Biological Science and Medical Engineering, Southeast University, 2 Sipailou Road, Nanjing 210096, P.R. China.

出版信息

ACS Nano. 2021 May 25;15(5):8039-8068. doi: 10.1021/acsnano.1c00498. Epub 2021 May 11.

Abstract

Cancer cells frequently exhibit resistance to various molecular and nanoscale drugs, which inevitably affects the drugs' therapeutic outcomes. Overexpression of glutathione (GSH) has been observed in many cancer cells, and solid evidence has corroborated the resulting tumor resistance to a variety of anticancer therapies, suggesting that this biochemical characteristic of cancer cells can be developed as a potential target for cancer treatments. The single treatment of GSH-depleting agents can potentiate the responses of the cancer cells to different cell death stimuli; therefore, as an adjunctive strategy, GSH depletion is usually combined with mainstream cancer therapies for enhancing the therapeutic outcomes. Propelled by the rapid development of nanotechnology, GSH-depleting agents can be readily constructed into anticancer nanomedicines, which have shown a steep rise over the past decade. Here, we review the common GSH-depleting nanomedicines which have been widely applied in synergistic cancer treatments in recent years. Some current challenges and future perspectives for GSH depletion-based cancer therapies are also presented. With the understanding of the structure-property relationship and action mechanisms of these biomaterials, we hope that the GSH-depleting nanotechnology will be further developed to realize more effective disease treatments and even achieve successful clinical translations.

摘要

癌细胞经常表现出对各种分子和纳米级药物的耐药性,这不可避免地影响了药物的治疗效果。许多癌细胞中都观察到谷胱甘肽 (GSH) 的过表达,并且有确凿的证据证实了肿瘤对各种抗癌疗法的耐药性,这表明癌细胞的这种生化特性可以作为癌症治疗的潜在靶点。单独使用 GSH 耗竭剂可以增强癌细胞对不同细胞死亡刺激的反应;因此,作为辅助策略,GSH 耗竭通常与主流癌症疗法联合使用,以增强治疗效果。随着纳米技术的快速发展,GSH 耗竭剂很容易被构建成抗癌纳米药物,在过去十年中,它们的应用呈急剧上升趋势。在这里,我们综述了近年来在协同癌症治疗中广泛应用的常见 GSH 耗竭纳米药物。还提出了基于 GSH 耗竭的癌症治疗的一些当前挑战和未来展望。通过了解这些生物材料的结构-性能关系和作用机制,我们希望 GSH 耗竭纳米技术能够得到进一步发展,以实现更有效的疾病治疗,甚至实现成功的临床转化。

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