Department of Oncology, the Affiliated Hospital of Southwest Medical University, Luzhou, China.
Department of Oncology, The Affiliated TCM Hospital of Southwest Medical University, Luzhou, China.
Drug Deliv. 2022 Dec;29(1):588-599. doi: 10.1080/10717544.2022.2036871.
Chemotherapy is the primary treatment for advanced non-small-cell lung cancer (NSCLC). However, related dose-dependent toxicity limits its clinical use. Therefore, it is necessary to explore new strategies for improving the clinical outcomes while reducing the side effects of chemotherapy in the treatment of NSCLC. In this study, we designed and synthesized epidermal growth factor (EGF)-modified doxorubicin nanoparticles (EGF@DOX-NPs) that selectively targets the epidermal growth factor receptor (EGFR) overexpressed in lung tumor cells. When administered in combination with low-dose X-ray radiotherapy (RT), the NPs preferentially accumulated at the tumor site due to radiation-induced outburst of the local intra-tumoral blood vessels. Compared with DOX alone, EGF@DOX-NPs significantly decreased the viability and migration and enhanced the apoptosis rates of tumor cells . Also, the EGF@DOX-NPs significantly inhibited tumor growth , increasing the survival of the tumor-bearing mice without apparent systemic toxic effects through RT-induced aggregation. The tumor cell proliferation was greatly inhibited in the RT + EGF@DOX-NPs group. Contrarily, the apoptosis of tumor cells was significantly higher in this group. These results confirm the promising clinical application of radiotherapy in combination with EGF@DOX-NPs for lung cancer treatment.
化疗是治疗晚期非小细胞肺癌(NSCLC)的主要方法。然而,相关的剂量依赖性毒性限制了其临床应用。因此,有必要探索新的策略,在治疗 NSCLC 时提高化疗的临床疗效,同时降低其副作用。在这项研究中,我们设计并合成了表皮生长因子(EGF)修饰的阿霉素纳米粒(EGF@DOX-NPs),它可以选择性地靶向在肺癌细胞中过表达的表皮生长因子受体(EGFR)。当与低剂量 X 射线放疗(RT)联合使用时,由于辐射诱导的局部肿瘤内血管突然破裂,纳米粒优先聚集在肿瘤部位。与单独使用 DOX 相比,EGF@DOX-NPs 显著降低了肿瘤细胞的活力和迁移能力,增强了其凋亡率。此外,EGF@DOX-NPs 还显著抑制了肿瘤生长,通过 RT 诱导的聚集增加了荷瘤小鼠的存活率,而没有明显的全身毒性作用。在 RT+EGF@DOX-NPs 组中,肿瘤细胞的增殖受到了极大的抑制。相反,该组中肿瘤细胞的凋亡明显更高。这些结果证实了放疗联合 EGF@DOX-NPs 治疗肺癌的临床应用前景广阔。
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