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新型聚合物-紫杉醇偶联胶束的两亲性抗肿瘤治疗及其抗多药耐药作用。

Two-Pronged Anti-Tumor Therapy by a New Polymer-Paclitaxel Conjugate Micelle with an Anti-Multidrug Resistance Effect.

机构信息

Department of Pharmacy, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, Henan, 450003, People's Republic of China.

Institute of Pharmacy, School of Pharmacy, Henan University, Kaifeng, Henan, 475004, People's Republic of China.

出版信息

Int J Nanomedicine. 2022 Mar 22;17:1323-1341. doi: 10.2147/IJN.S348598. eCollection 2022.

Abstract

INTRODUCTION

Cancerous tumors are still a major disease that threatens human life, with tumor multidrug resistance (MDR) being one of the main reasons for the failure of chemotherapy. Thus, reversing tumor MDR has become a research focus of medical scientists.

METHODS

Here, a reduction-sensitive polymer prodrug micelle, mPEG-DCA-SS-PTX (PDSP), was manufactured with a new polymer inhibitor of drug resistance as a carrier to overcome MDR and improve the anti-tumor effect of PTX.

RESULTS

The PDSP micelles display good stability, double-responsive drug release, and excellent biocompatibility. The PDSP micelles reduced the cytotoxicity of PTX to normal HL-7702 cells and enhanced that to SMMC-7721 and MCF-7 cells in vitro. Improved sensitivity of A549/ADR to PDSP was also observed in vitro. Furthermore, in vivo experiments show reduced systemic toxicity and enhanced therapeutic efficacy of PTX to H22 subcutaneous tumor-bearing mice.

CONCLUSION

This work proves that the reduction-sensitive polymer prodrug micelles carried by the new polymer inhibitor can be used as an alternative delivery system to target tumors and reverse MDR for paclitaxel and other tumor-resistant drugs.

摘要

简介

癌症肿瘤仍然是威胁人类生命的主要疾病,肿瘤多药耐药(MDR)是化疗失败的主要原因之一。因此,逆转肿瘤 MDR 已成为医学科学家的研究重点。

方法

本研究采用一种新的耐药聚合物抑制剂作为载体,制备了还原敏感聚合物前药胶束 mPEG-DCA-SS-PTX(PDSP),以克服 MDR 并提高 PTX 的抗肿瘤作用。

结果

PDSP 胶束显示出良好的稳定性、双重响应性药物释放和优异的生物相容性。PDSP 胶束降低了 PTX 对正常 HL-7702 细胞的细胞毒性,并增强了对 SMMC-7721 和 MCF-7 细胞的细胞毒性。体外实验还观察到 A549/ADR 对 PDSP 的敏感性提高。此外,体内实验表明,降低了 H22 皮下荷瘤小鼠对紫杉醇的全身毒性,并增强了其治疗效果。

结论

本工作证明,新型聚合物抑制剂携带的还原敏感聚合物前药胶束可以作为一种替代的靶向肿瘤和逆转多药耐药的给药系统,用于紫杉醇和其他肿瘤耐药药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faeb/8957348/00fa5ecd2e7f/IJN-17-1323-g0001.jpg

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