Key Laboratory of Radiopharmacokinetics for Innovative Drugs, Chinese Academy of Medical Sciences, and Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, 300192, P. R. China.
State Key Laboratory of Medicinal Chemical Biology and College of Life Sciences, Nankai University, Tianjin, 300071, P. R. China.
Adv Mater. 2022 Sep;34(37):e2202625. doi: 10.1002/adma.202202625. Epub 2022 Aug 15.
In cancer radiotherapy, the lack of fixed DNA damage by oxygen in hypoxic microenvironment of solid tumors often leads to severe radioresistance. Nitric oxide (NO) is a potent radiosensitizer that acts in two ways. It can directly react with the radical DNA thus fixing the damage. It also normalizes the abnormal tumor vessels, thereby increasing blood perfusion and oxygen supply. To achieve these functions, the dosage and duration of NO treatment need to be carefully controlled, otherwise it will lead to the exact opposite outcomes. However, a delivery method that fulfills both requirements is still lacking. A NO depot is designed for the control of NO releasing both over quantity and duration for hypoxic tumor vessel normalization and radiosensitization. In B16-tumor-bearing mice, the depot can provide low dosage NO continuously and release large amount of NO immediately before irradiation for a short period of time. These two modes of treatment work in synergy to reverse the radioresistance of B16 tumors more efficiently than releasing at single dosage.
在癌症放射治疗中,由于肿瘤缺氧微环境中氧缺乏固定的 DNA 损伤,常常导致严重的放射抵抗。一氧化氮(NO)是一种有效的放射增敏剂,它有两种作用方式。它可以直接与自由基 DNA 反应,从而固定损伤。它还可以使异常的肿瘤血管正常化,从而增加血液灌注和氧气供应。为了实现这些功能,需要仔细控制 NO 处理的剂量和持续时间,否则会导致截然相反的结果。然而,仍然缺乏一种既能满足这两个要求的输送方法。一氧化氮库被设计用于控制缺氧肿瘤血管正常化和放射增敏作用的 NO 释放的数量和持续时间。在 B16 肿瘤荷瘤小鼠中,该库可以持续提供低剂量的 NO,并在照射前短时间内立即释放大量的 NO。这两种治疗方式协同作用,比单次释放更有效地逆转 B16 肿瘤的放射抵抗。
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