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优化制备的平台引导化疗药物的癌症特异性激活和无毒的癌症治疗。

An Optimally Fabricated Platform Guides Cancer-Specific Activation of Chemotherapeutic Drugs and Toxicity-Free Cancer Treatment.

机构信息

Department of Chemical and Biological Engineering, College of Engineering, Korea University, Anam-Ro 145, Seoul, 136-713, Republic of Korea.

Cellemedy Inc, Dolma-ro 172, Seongnam, 463-755, Republic of Korea.

出版信息

Adv Healthc Mater. 2022 Aug;11(15):e2200765. doi: 10.1002/adhm.202200765. Epub 2022 Jun 19.

DOI:10.1002/adhm.202200765
PMID:35670274
Abstract

Cancer chemotherapeutic drugs such as doxorubicin, mitomycin C, and gemcitabine, which are mostly small synthetic molecules, are still clinically useful for cancer treatment. However, despite considerable therapeutic efficacy, severe toxicity-associated problems, which are mainly caused by the non-specific mode of action such as chromosomal DNA damage and interference in the DNA replication even in normal cells, remain unresolved and a major challenge for safer and thus more widespread adoption of chemotherapy. Herein, an innovative platform is developed through beneficially integrating core peptide units into highly-ordered, stable, and flexibly guest-adaptable structure of apoferritin, which simultaneously fulfills high-capacity loading of chemotherapeutic drugs compared with the case of FDA-approved antibody-drug conjugates, efficient drug targeting to cancer cells, and cancer cell-specific drug release and activation. This approach dramatically reduces drug toxicity to normal cells, significantly enhances efficacy in in vivo cancer treatment without toxicity to normal organs of mice, and thus is expected to open up a novel clinical route to break through the limits of current cancer chemotherapy.

摘要

癌症化疗药物,如阿霉素、丝裂霉素 C 和吉西他滨,这些药物大多是小分子合成物,在癌症治疗中仍然具有临床应用价值。然而,尽管具有相当大的治疗效果,但严重的毒性相关问题仍然没有得到解决,这些问题主要是由非特异性作用模式引起的,如染色体 DNA 损伤和在正常细胞中干扰 DNA 复制。这些问题仍然是一个挑战,需要更安全的化疗方法,以更广泛地应用。在此,通过将核心肽单元整合到脱铁铁蛋白的高度有序、稳定和灵活的客体适应性结构中,开发了一种创新平台,与已批准的抗体药物偶联物相比,该平台同时实现了对化疗药物的高载药量、高效的药物靶向到癌细胞以及癌细胞特异性药物释放和激活。这种方法显著降低了药物对正常细胞的毒性,显著提高了体内癌症治疗的疗效,而对小鼠的正常器官没有毒性,因此有望开辟一条新的临床途径,突破当前癌症化疗的限制。

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