Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.
Tongji School of Pharmacy, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China.
Int J Nanomedicine. 2021 Nov 16;16:7609-7622. doi: 10.2147/IJN.S335277. eCollection 2021.
Persistent HR-HPV (high-risk human papillomavirus) infection is the main cause of cervical cancer. The HPV oncogene E7 plays a key role in HPV tumorigenesis. At present, HPV preventive vaccines are not effective for patients who already have a cervical disease, and implementation of the recommended regular cervical screening is difficult in countries and regions lacking medical resources. Therefore, patients need medications to treat existing HPV infections and thus block the progression of cervical disease.
In this study, we developed nanoparticles (NPs) composed of the non-viral vector PBAE546 and a CRISPR/Cas9 recombinant plasmid targeting HPV16 E7 as a vaginal treatment for HPV infection and related cervical malignancies.
Our NPs showed low toxicity and high biological safety both in vitro (cell line viability) and in vivo (various important organs of mice). Our NPs significantly inhibited the growth of xenograft tumors derived from cervical cancer cell lines in nude mice and significantly reversed the cervical epithelial malignant phenotype of HPV16 transgenic mice.
Our NPs have great potential to be developed as a drug for the treatment of HPV-related cervical cancer and precancerous lesions.
持续性 HR-HPV(高危型人乳头瘤病毒)感染是宫颈癌的主要病因。HPV 致癌基因 E7 在 HPV 肿瘤发生中起关键作用。目前,HPV 预防性疫苗对于已经患有宫颈疾病的患者无效,在缺乏医疗资源的国家和地区,实施推荐的定期宫颈筛查也存在困难。因此,患者需要药物来治疗现有的 HPV 感染,从而阻断宫颈疾病的进展。
本研究开发了由非病毒载体 PBAE546 和针对 HPV16 E7 的 CRISPR/Cas9 重组质粒组成的纳米颗粒(NPs),作为治疗 HPV 感染和相关宫颈癌的阴道治疗方法。
我们的 NPs 在体外(细胞系活力)和体内(小鼠的各种重要器官)均表现出低毒性和高生物安全性。我们的 NPs 显著抑制了裸鼠来源的宫颈癌细胞系异种移植瘤的生长,并显著逆转了 HPV16 转基因小鼠的宫颈上皮恶性表型。
我们的 NPs 具有很大的潜力被开发为治疗 HPV 相关宫颈癌和癌前病变的药物。