Fujian Provincial Key Laboratory of Innovative Drug Target Research, School of Pharmaceutical Sciences, Xiamen University, Xiamen 361102, PR China.
Department of Biomaterials, College of Materials, Research Center of Biomedical Engineering of Xiamen & Key Laboratory of Biomedical Engineering of Fujian Province & Fujian Provincial Key Laboratory for Soft Functional Materials Research, Xiamen University, Xiamen 361005, PR China.
Acta Biomater. 2022 Jul 15;147:258-269. doi: 10.1016/j.actbio.2022.05.030. Epub 2022 May 21.
Chemodynamic therapy (CDT) has aroused extensive attention as a potent therapeutic modality. However, its practical application is severely restricted by the strong acidity requirement for Fenton reaction and upregulated antioxidant defense within metastatic breast cancer. Herein, a copper-based single-site nanocatalyst functionalized with carbonic anhydrase inhibitor (CAI) was constructed for magnetic resonance/photoacoustic imaging (MRI/PA)-guided synergetic photothermal therapy (PTT) and CDT. Once reaching tumor sites, the nanocatalyst can be recognized by tumor cell membranes-overexpressed carbonic anhydrase IX (CA IX). Subsequently, the single-site Cu can be reduced to Cu by the tumor-overexpressed glutathione (GSH), which simultaneously impaired the tumor antioxidant defense system and triggered CAI release for inducing intracellular H accumulation. Further, the decreased intracellular pH can accelerate the nanocatalyst biodegradation to release more Cu and CAI to participate in next-cycle GSH-depletion and cytoplasm acidification, respectively, thereby continuously supplying Cu and H for self-cyclically amplified CDT. Upon laser irradiation, the nanocatalyst can generate local heat, which not only permits PTT but also enhances the nanocatalyst-mediated CDT. Moreover, the suppression of CA IX can hinder the tumor extracellular matrix degradation to prevent tumor metastasis. Overall, this work highlighted the great application prospect in enhancing CDT via tumor acidic/redox microenvironment remodeling, and provides an insightful paradigm for inhibiting breast cancer metastasis. STATEMENT OF SIGNIFICANCE: The practical application of chemodynamic therapy (CDT) is severely restricted by the strong acidity requirement for Fenton reaction and upregulated antioxidant defense within cancer. Herein, we developed a carbonic anhydrase inhibitor (CAI)-functionalized Cu-based nanocatalyst. Once reaching tumor sites, the Cu can be reduced to Cu by the tumor-overexpressed glutathione (GSH), which simultaneously impaired the tumor antioxidant system and triggered CAI release for inducing intracellular H accumulation. Further, the decreased intracellular pH can accelerate the nanocatalyst biodegradation to release more Cu and CAI to participate in next-cycle GSH-depletion and cytoplasm acidification, respectively, thus continuously supplying Cu and H for self-cyclically amplified CDT. Upon laser irradiation, the nanocatalyst not only permits PTT but also enhances the CDT.
化学动力学治疗(CDT)作为一种有效的治疗方式引起了广泛关注。然而,其实际应用受到强烈的芬顿反应酸性需求和转移性乳腺癌中上调的抗氧化防御的严重限制。在此,构建了一种基于碳酸酐酶抑制剂(CAI)的铜单原子纳米催化剂,用于磁共振/光声成像(MRI/PA)引导的协同光热治疗(PTT)和 CDT。一旦到达肿瘤部位,纳米催化剂可以被肿瘤细胞膜过表达的碳酸酐酶 IX(CAIX)识别。随后,肿瘤过表达的谷胱甘肽(GSH)可将单原子 Cu 还原为 Cu,同时破坏肿瘤抗氧化防御系统并触发 CAI 释放,从而诱导细胞内 H+积累。此外,降低的细胞内 pH 值可以加速纳米催化剂的生物降解,释放更多的 Cu 和 CAI,分别参与下一个循环的 GSH 耗竭和细胞质酸化,从而持续为自循环放大的 CDT 提供 Cu 和 H+。在激光照射下,纳米催化剂可以产生局部热量,不仅允许 PTT,还可以增强纳米催化剂介导的 CDT。此外,抑制 CAIX 可以阻止肿瘤细胞外基质降解,从而防止肿瘤转移。总的来说,本研究通过肿瘤酸性/氧化还原微环境重塑增强 CDT 的应用前景,为抑制乳腺癌转移提供了一个有见地的范例。
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