用于黑素瘤治疗的化疗-光动力纳米医学的靶向递送和增强摄取。
Targeted delivery and enhanced uptake of chemo-photodynamic nanomedicine for melanoma treatment.
机构信息
Chongqing Institute of Green and Intelligent Technology, Chinese Academy of Sciences, No. 266 Fangzheng Avenue, Beibei District, Chongqing 400714, China.
Department of Neurosurgery and Key Laboratory of Neurotrauma, Southwest Hospital, The Third Military Medical University (Army Military Medical University), Chongqing 400038, China.
出版信息
Acta Biomater. 2022 Jul 15;147:356-365. doi: 10.1016/j.actbio.2022.05.015. Epub 2022 May 14.
Nanoparticles (NPs) modified with targeting ligands have often shown great potential in targeted drug delivery for tumor therapy. However, the clearance of NPs by the monocyte-phagocyte system (MPS) and the relatively low cellular uptake by tumor cells have significantly limited the antitumor efficacy of a variety of nanomedicines. Tumor microenvironment-mediated multidrug resistance also reduces the antitumor efficacy of internalized nanomedicines. Herein, we developed an innovative nanomedicine for combined chemo-photodynamic therapy of melanoma through targeted drug delivery and significantly improved the cellular uptake of the nanomedicine through the charge-reversal phenomenon. An amphiphilic platinum (IV)-polyethylenimine-chlorin e6 (Pt(IV)-PEI-Ce6) polymer was designed, prepared, and self-assembled into NPs (PPC) in an aqueous solution, and these NPs were subsequently coated with hyaluronic acid (HA) to afford PPC@HA. The surface-coated HA provided PPC with a negatively charged surface potential to reduce the clearance by the MPS during systemic circulation and enhanced the targeted delivery of PPC to CD44-overexpressing melanoma cells. Upon accumulation in the tumor site, hyaluronidase overexpressed in the tumor induced HA degradation to release the positively charged PPC, resulting in an increased internalization of PPC into tumor cells. Bioactive Pt(II) was released in response to high glutathione level in the tumor cells for effective tumor chemotherapy. Under 650 nm laser irradiation, Ce6 produced reactive oxygen species (ROS), thus driving photodynamic therapy. Finally, PPC@HA exhibited combined photodynamic-chemotherapeutic antitumor efficacy against the melanoma cells in mice. STATEMENT OF SIGNIFICANCE: Tumors are one of the greatest threats to human health, and chemotherapy has been one of the most common therapeutic modalities for treating tumors; however, many challenges related to chemotherapy remain, such as low delivery efficiency, side effects, and unsatisfactory therapeutic efficacy. Nanomedicines modified with targeting ligands have often shown great potential in improving targeted drug delivery for tumor therapy; however, the clearance of nanomaterials by the monocyte-phagocyte system and the relatively low cellular uptake by tumor cells have significantly limited the antitumor efficacy of a variety of nanomedicines. Herein, we developed a novel charge-reversal-based, hyaluronic acid-coated, Pt(IV) prodrug and chlorin e6-based nanomedicine to improve systemic circulation and targeted accumulation of the nanomedicine in the tumor tissue and to enhance its intracellular uptake. This nanomedicine may provide a potential new platform to improve the drug content inside tumor cells and to effectively inhibit tumor growth through combined chemotherapy and photodynamic therapy.
纳米粒子(NPs)经靶向配体修饰后,在肿瘤治疗的靶向药物输送中显示出巨大的潜力。然而,单核吞噬细胞系统(MPS)对 NPs 的清除作用以及肿瘤细胞对其的摄取相对较低,极大地限制了各种纳米药物的抗肿瘤疗效。肿瘤微环境介导的多药耐药性也降低了内化纳米药物的抗肿瘤疗效。在此,我们通过靶向药物输送开发了一种用于黑色素瘤联合化疗-光动力治疗的创新纳米药物,并通过电荷反转现象显著提高了纳米药物的细胞摄取。设计、制备了一种两亲性铂(IV)-聚乙烯亚胺-叶绿素 e6(Pt(IV)-PEI-Ce6)聚合物,并在水溶液中自组装成纳米粒子(PPC),然后用透明质酸(HA)对其进行涂层,得到 PPC@HA。表面涂层的 HA 赋予 PPC 负表面电位,以减少在全身循环过程中被 MPS 清除,并增强 PPC 对过表达 CD44 的黑色素瘤细胞的靶向递送。当在肿瘤部位积累时,肿瘤中过表达的透明质酸酶诱导 HA 降解,释放出带正电荷的 PPC,从而增加 PPC 进入肿瘤细胞的内化。生物活性 Pt(II) 响应肿瘤细胞中高谷胱甘肽水平释放,用于有效肿瘤化疗。在 650nm 激光照射下,Ce6 产生活性氧(ROS),从而驱动光动力治疗。最后,PPC@HA 对小鼠黑色素瘤细胞表现出联合光动力-化疗抗肿瘤疗效。
意义声明
肿瘤是人类健康的最大威胁之一,化疗一直是治疗肿瘤最常用的治疗方式之一;然而,化疗仍存在许多挑战,例如递送效率低、副作用和不理想的治疗效果。经靶向配体修饰的纳米药物在改善肿瘤治疗的靶向药物输送方面常常显示出巨大的潜力;然而,纳米材料被单核吞噬细胞系统清除以及肿瘤细胞摄取相对较低,极大地限制了各种纳米药物的抗肿瘤疗效。在此,我们开发了一种新型基于电荷反转的、透明质酸涂层的、Pt(IV)前药和叶绿素 e6 为基础的纳米药物,以改善纳米药物在肿瘤组织中的系统循环和靶向积累,并增强其细胞内摄取。这种纳米药物可能为提高肿瘤细胞内的药物含量并通过联合化疗和光动力治疗有效抑制肿瘤生长提供一个潜在的新平台。