Kong Lei, Du Jiali, Gu Jichun, Deng Junyuan, Guo Yujie, Tao Baian, Jin Chen, Fu Deliang, Li Ji
Department of Pancreatic Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Front Surg. 2022 May 17;9:890412. doi: 10.3389/fsurg.2022.890412. eCollection 2022.
Gemcitabine (GEM) is the first-line chemotherapeutic drug for pancreatic cancer treatment in clinical practice. However, many reasons can reduce the efficacy of GEM, among which the high expression of ATP-binding cassette (ABC) transporters is a significant factor. In this study, we aimed to investigate the antitumor effect of gemcitabine-loaded human serum albumin nanoparticle (GEM-HSA-NP) on GEM-resistant pancreatic cancer cells induced by the high expression of ABC transporters, namely multidrug resistance protein 1/P-gp/ABCB1 (MDR1) and multidrug resistance-associated protein 1/ ABCC1 (MRP1).
MDR1 and MRP1 were stably overexpressed via lentiviral transduction in the pancreatic cancer cell lines BxPC3 and PANC1. Proliferation inhibition assays, cell cycle arrest and apoptosis analyses were conducted to examine the antitumor effect of GEM-HSA-NP. In addition, intracellular ATP levels were determined to explore the potential mechanisms implicated preliminarily.
When administered to GEM-resistant cancer cells, GEM-HSA-NP displayed its antitumor effect by promoting the inhibition of proliferation, cell cycle arrest, and apoptosis induction. Intracellular ATP depletion, caused by the albumin component of GEM-HSA-NP was proposed to be potentially involved in the modulation of ABC transporter activity.
GEM-HSA-NP can effectively overcome GEM-resistance induced by MDR1 and MRP1 overexpression, which highlights its potential value in a clinical setting.
吉西他滨(GEM)是临床实践中治疗胰腺癌的一线化疗药物。然而,多种原因可降低GEM的疗效,其中ATP结合盒(ABC)转运蛋白的高表达是一个重要因素。在本研究中,我们旨在探讨载有吉西他滨的人血清白蛋白纳米粒(GEM-HSA-NP)对由ABC转运蛋白高表达诱导的吉西他滨耐药胰腺癌细胞的抗肿瘤作用,即多药耐药蛋白1/P-糖蛋白/ABCB1(MDR1)和多药耐药相关蛋白1/ABCC1(MRP1)。
通过慢病毒转导在胰腺癌细胞系BxPC3和PANC1中稳定过表达MDR1和MRP1。进行增殖抑制试验、细胞周期阻滞和凋亡分析以检测GEM-HSA-NP的抗肿瘤作用。此外,测定细胞内ATP水平以初步探索潜在机制。
当应用于吉西他滨耐药癌细胞时,GEM-HSA-NP通过促进增殖抑制、细胞周期阻滞和诱导凋亡发挥其抗肿瘤作用。GEM-HSA-NP的白蛋白成分导致的细胞内ATP耗竭被认为可能参与ABC转运蛋白活性的调节。
GEM-HSA-NP可有效克服由MDR1和MRP1过表达诱导的吉西他滨耐药,这突出了其在临床环境中的潜在价值。