用伪隐身纳米紫杉烷靶向线粒体以损害线粒体生物发生用于有效的癌症治疗。

Targeting the Mitochondria with Pseudo-Stealthy Nanotaxanes to Impair Mitochondrial Biogenesis for Effective Cancer Treatment.

作者信息

Ren Lulu, Xu Peirong, Yao Jie, Wang Zihan, Shi Kewei, Han Weidong, Wang Hangxiang

机构信息

NHC Key Laboratory of Combined Multi-Organ Transplantation, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310003, People's Republic of China.

Jinan Microecological Biomedicine Shandong Laboratory, Jinan, Shandong 250117, People's Republic of China.

出版信息

ACS Nano. 2022 Jul 26;16(7):10242-10259. doi: 10.1021/acsnano.1c08008. Epub 2022 Jul 12.

Abstract

The clinical success of anticancer therapy is usually limited by drug resistance and the metastatic dissemination of cancer cells. Mitochondria are essential generators of cellular energy and play a crucial role in sustaining cell survival and metastatic escape. Selective drug strategies targeting mitochondria are able to rewire mitochondrial metabolism and may provide an alternative paradigm to treat many aggressive cancers with high efficiency and low toxicity. Here, we present a pseudo-stealthy mitochondria-targeted pro-nanotaxane and test it against recurrent and metastatic tumor xenografts. The nanoparticle encapsulates a mitochondria-targetable pro-taxane agent, which can be converted into the chemically unmodified cabazitaxel drug, with further surface cloaking with a low-density lipophilic triphenylphosphonium cation. The resultant nanotaxane could be effectively taken up by cells and consequently specifically localized to the mitochondria. The activated cabazitaxel causes mitochondrial dysfunction and ultimately results in potent cell apoptosis. After intravenous administration to animals, pro-nanotaxane mimics the stealthy behavior of polyethylene glycol-cloaked nanoparticles to provide a long circulation time. The antitumor efficacy of this mitochondria-targeted system was validated in multiple preclinical drug-resistant tumor models. Notably, in a patient-derived metastatic melanoma model that was initially pretreated with cabazitaxel, nanotaxane administration not only produced durable tumor reduction but also substantially suppressed metastatic recurrence. Taken together, these results demonstrate that this combination of a pseudo-stealthy platform with a rationally designed pro-drug is an attractive approach to target mitochondria and enhance drug efficacy.

摘要

抗癌治疗的临床成功通常受到耐药性和癌细胞转移扩散的限制。线粒体是细胞能量的重要产生者,在维持细胞存活和转移逃逸中起着关键作用。针对线粒体的选择性药物策略能够重塑线粒体代谢,并可能提供一种高效低毒治疗多种侵袭性癌症的替代模式。在此,我们展示了一种准隐形的线粒体靶向纳米紫杉醇前体,并在复发性和转移性肿瘤异种移植模型中对其进行测试。该纳米颗粒包裹了一种可靶向线粒体的紫杉醇前体药物,它可转化为化学未修饰的卡巴他赛药物,并进一步用低密度亲脂性三苯基鏻阳离子进行表面包覆。所得的纳米紫杉醇能够被细胞有效摄取,并因此特异性定位于线粒体。活化的卡巴他赛导致线粒体功能障碍,最终引发强效的细胞凋亡。对动物静脉给药后,纳米紫杉醇前体模拟聚乙二醇包覆纳米颗粒的隐形行为,以提供较长的循环时间。这种线粒体靶向系统的抗肿瘤疗效在多个临床前耐药肿瘤模型中得到了验证。值得注意的是,在一个最初用卡巴他赛预处理的患者来源的转移性黑色素瘤模型中,给予纳米紫杉醇不仅使肿瘤持续缩小,而且还显著抑制了转移复发。综上所述,这些结果表明,这种准隐形平台与合理设计的前药相结合是一种靶向线粒体并提高药物疗效的有吸引力的方法。

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