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康普瑞汀A4-喜树碱胶束作为联合疗法用于有效的抗癌活性。

Combretastatin A4-camptothecin micelles as combination therapy for effective anticancer activity.

作者信息

Assali Mohyeddin, Kittana Naim, Qasem Sahar Alhaj, Adas Raghad, Saleh Doaa, Arar Asala, Zohud Osayd

机构信息

Department of Pharmacy, Faculty of Medicine and Health Sciences, An Najah National University P. O. Box 7 Nablus Palestine

Department of Biomedical Sciences, Faculty of Medicine & Health Sciences, An Najah National University P. O. Box 7 Nablus Palestine.

出版信息

RSC Adv. 2019 Jan 9;9(2):1055-1061. doi: 10.1039/c8ra08794f. eCollection 2019 Jan 2.

Abstract

Cancer is a major worldwide health problem, for which chemotherapy is a common treatment option. However drug toxicity and the development of resistance to chemotherapy are two main challenges associated with the traditional anticancer drugs. Combined pharmacological therapy based on different mechanisms might be an effective strategy in cancer treatment, and could exhibit a synergistic therapeutic efficacy. Herein, we aim to combine combretastatin A4 (CA4) and camptothecin (Cpt) chemically into a codrug through two hydrophilic linkers utilizing click chemistry to improve their water solubility and anticancer activity. The synthesized amphiphilic structure could self-assemble into a micelle structure as confirmed by atomic force microscopy (AFM) and dynamic light scattering (DLS), which showed a high stability and improved water solubility at pH 7.4, with a low critical micelle concentration (CMC) value of 0.9 mM. Moreover, hydrolysis was observed upon incubation of the hybrid compound with an esterase enzyme, which suggested a complete disassembly into the starting active drugs. Finally, cytotoxicity studies on HeLa cancer cells showed that the codrug demonstrated an enhanced (five fold) cytotoxicity as compared with the free drugs. In addition the combination index (CI) was <1, which suggests a synergistic activity for the codrug. Moreover, the tested concentrations of the codrug were not significantly cytotoxic to a noncancerous fibroblast cell line. The imaging of HeLa cells treated with FITC-loaded micelles showed a rapid internalization. In conclusion, the codrug of CA4 and Cpt might be a potential novel anticancer drug as it demonstrated a synergistic cytotoxic activity that might spare noncancerous cells.

摘要

癌症是全球主要的健康问题,化疗是其常见的治疗选择。然而,药物毒性和化疗耐药性的产生是传统抗癌药物面临的两个主要挑战。基于不同机制的联合药物治疗可能是癌症治疗的有效策略,并且可能展现出协同治疗效果。在此,我们旨在通过点击化学利用两个亲水性连接子将康普瑞汀A4(CA4)和喜树碱(Cpt)化学合成一种共载药,以提高它们的水溶性和抗癌活性。原子力显微镜(AFM)和动态光散射(DLS)证实,合成的两亲性结构可自组装成胶束结构,该结构在pH 7.4时具有高稳定性和改善的水溶性,临界胶束浓度(CMC)值低至0.9 mM。此外,将该杂合化合物与酯酶一起孵育时观察到了水解现象,这表明其完全分解为起始活性药物。最后,对HeLa癌细胞的细胞毒性研究表明,与游离药物相比,该共载药的细胞毒性增强(五倍)。此外,联合指数(CI)<1,这表明该共载药具有协同活性。而且,所测试浓度的共载药对非癌性成纤维细胞系没有明显的细胞毒性。用负载FITC的胶束处理HeLa细胞的成像显示其能快速内化。总之,CA4和Cpt的共载药可能是一种潜在的新型抗癌药物,因为它表现出协同细胞毒性活性,可能对非癌性细胞具有保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83c1/9059504/e5734fd5831a/c8ra08794f-s1.jpg

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