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贝伐单抗修饰的纳米结构脂质载体靶向递送多西紫杉醇治疗胶质母细胞瘤,体外抑制细胞生长,体内抑制肿瘤进展。

Glioblastoma multiforme targeted delivery of docetaxel using bevacizumab-modified nanostructured lipid carriers impair in vitro cell growth and in vivo tumor progression.

机构信息

School of Pharmaceutical Sciences, São Paulo State University (UNESP), Araraquara, São Paulo, Brazil.

Hematology and Transfusion Medicine Center, University of Campinas, Campinas, Brazil.

出版信息

Int J Pharm. 2022 Apr 25;618:121682. doi: 10.1016/j.ijpharm.2022.121682. Epub 2022 Mar 17.

DOI:10.1016/j.ijpharm.2022.121682
PMID:35307470
Abstract

Glioblastoma multiforme (GBM) is the most common malignant brain cancer, characterized by high invasiveness and poor prognosis. Docetaxel (DTX) is a chemotherapeutic drug with promising anti-tumor properties. However, conventional intravenous formulations exhibit side effects of systemic biodistribution and low brain bioavailability, limiting their clinical use. The current work aimed to evaluate the effect of DTX-loaded nanostructured lipid carriers (NLC) functionalized with bevacizumab (BVZ-NLC-DTX) against GBM using in vitro and in vivo models. The NLC was obtained by the fusion-emulsification method followed by sonication, with narrow size distribution, negative zeta potential, and low polydispersity index. NLC showed DTX entrapment efficiency above 90%. BVZ coupling efficiency was 62% and BVZ integrity after functionalization was confirmed by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE). Calorimetry studies confirmed thermal stability and molecular dispersion of DTX in the lipid matrix. NLC showed a sustained DTX release over 84 h. In vitro anti-tumor assays shown that BVZ-NLC-DTX selectively increased the cytotoxic of DTX in cells overexpressing VEGF (U87MG and A172), but not in peripheral blood mononuclear cells (PMBCs), promoting cell death by apoptosis. BVZ functionalization did not impair cellular uptake. An in vivo orthotopic rat model demonstrated that free-DTX was not capable of reducing tumor growth whereas BVZ-NLC-DTX reduced up to 70% tumor volume after 15-days of treatment. Therefore, this study contributes to understanding new nanotechnology-based vehicles capable of reaching the brain more efficiently and repurposing the use of anti-cancer drugs in GBM treatment.

摘要

多形性胶质母细胞瘤(GBM)是最常见的恶性脑癌,具有高度侵袭性和预后不良的特点。多西紫杉醇(DTX)是一种具有有前途的抗肿瘤特性的化疗药物。然而,常规的静脉内制剂表现出全身生物分布的副作用和低脑生物利用度,限制了它们的临床应用。目前的工作旨在使用体外和体内模型评估载有多西紫杉醇的纳米结构脂质载体(NLC)与贝伐单抗(BVZ-NLC-DTX)联合治疗 GBM 的效果。NLC 通过融合乳化法获得,然后进行超声处理,具有窄的粒径分布、负的 Zeta 电位和低的多分散指数。NLC 显示 DTX 的包封效率超过 90%。BVZ 偶联效率为 62%,功能化后 BVZ 的完整性通过十二烷基硫酸钠聚丙烯酰胺凝胶电泳(SDS-PAGE)得到确认。量热研究证实 DTX 在脂质基质中的热稳定性和分子分散性。NLC 显示出超过 84 小时的 DTX 持续释放。体外抗肿瘤试验表明,BVZ-NLC-DTX 选择性地增加了 VEGF 过表达细胞(U87MG 和 A172)中 DTX 的细胞毒性,但对外周血单核细胞(PMBCs)没有影响,通过凋亡促进细胞死亡。BVZ 功能化不影响细胞摄取。体内原位大鼠模型表明,游离-DTX 不能减少肿瘤生长,而 BVZ-NLC-DTX 在 15 天的治疗后可减少高达 70%的肿瘤体积。因此,本研究有助于了解能够更有效地到达大脑的新型基于纳米技术的载体,并重新利用抗癌药物治疗 GBM。

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