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一种肿瘤微环境响应性胶束共递送增敏剂 Dbait 和多柔比星用于胶质母细胞瘤的协同化疗-放疗。

A tumor microenvironment-responsive micelle co-delivered radiosensitizer Dbait and doxorubicin for the collaborative chemo-radiotherapy of glioblastoma.

机构信息

Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Department of Pharmacy, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Drug Deliv. 2022 Aug 8;29(1):2658-2670. doi: 10.1080/10717544.2022.2108937.

Abstract

Glioblastoma is rather recalcitrant to existing therapies and effective interventions are needed. Here we report a novel microenvironment-responsive micellar system (ch-K5(s-s)R8-An) for the co-delivery of the radiosensitizer Dbait and the chemotherapeutic doxorubicin (DOX) to glioblastoma. Accordingly, the ch-K5(s-s)R8-An/(Dbait-DOX) micelles plus radiotherapy (RT) treatment resulted in a high degree of apoptosis and DNA damage, which significantly reduced cell viability and proliferation capacity of U251 cells to 64.0% and 16.3%, respectively. The angiopep-2-modified micelles exhibited substantial accumulation in brain-localized U251 glioblastoma xenografts in mice compared to angiopep-2-lacking micelles. The ch-K5(s-s)R8-An/(Dbait-DOX) + RT treatment group exhibited the smallest tumor size and most profound tumor tissue injury in orthotopic U251 tumors, leading to an increase in median survival time of U251 tumor-bearing mice from 26 days to 56 days. The ch-K5(s-s)R8-An/(Dbait-DOX) micelles can be targeted to brain-localized U251 tumor xenografts and sensitize the tumor to chemotherapy and radiotherapy, thereby overcoming the inherent therapeutic challenges associated with malignant glioblastoma.

摘要

胶质母细胞瘤对现有疗法具有较强的抗性,因此需要有效的干预措施。在这里,我们报告了一种新型的微环境响应胶束系统(ch-K5(s-s)R8-An),用于共递送放射增敏剂 Dbait 和化疗药物阿霉素(DOX)至胶质母细胞瘤。相应地,ch-K5(s-s)R8-An/(Dbait-DOX)胶束联合放射治疗(RT)处理导致高水平的细胞凋亡和 DNA 损伤,从而将 U251 细胞的活力和增殖能力分别显著降低至 64.0%和 16.3%。与缺乏血管肽-2(angiopep-2)的胶束相比,载有血管肽-2的胶束在荷有 U251 胶质母细胞瘤的小鼠脑内具有明显的聚集。在原位 U251 肿瘤中,ch-K5(s-s)R8-An/(Dbait-DOX)+RT 治疗组的肿瘤体积最小,肿瘤组织损伤最严重,导致荷瘤小鼠的中位生存时间从 26 天延长至 56 天。ch-K5(s-s)R8-An/(Dbait-DOX)胶束可以靶向脑内的 U251 肿瘤异种移植物,并使肿瘤对化疗和放疗敏感,从而克服了恶性胶质母细胞瘤固有的治疗挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c529/9387324/ec8b04beb134/IDRD_A_2108937_UF0001_C.jpg

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