MOE Key Laboratory of Macromolecule Synthesis and Functionalization of Ministry of Education, Department of Polymer Science and Engineering, Zhejiang University, Hangzhou, 310027, China.
Department of Surgery, The Fourth Affiliated Hospital, International Institutes of Medicine,Zhejiang University School of Medicine, Yiwu, 322000, China; Department of Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Biomaterials. 2022 Nov;290:121854. doi: 10.1016/j.biomaterials.2022.121854. Epub 2022 Oct 12.
Oxidative therapy, which generates reactive oxygen species (ROS) via intracellular enzymatic reactions to achieve tumor ablation, is considered as an emerging approach to cancer treatment. Herein, nitric oxide (NO)-combined oxidative therapy is reported by integrating glutathione (GSH)-sensitive NO donor and pH-sensitive cinnamaldehyde (CA) prodrug into a mitochondria-targeted drug nanocarrier, which is prepared by the host-guest interaction between α-cyclodextrin (α-CD) and polyethylene glycol (PEG). After internalized by cancer cells, CA can be released in acidic endo/lysosome and finally induce ROS generation in mitochondria for oxidative therapy. At the same time, NO can be targeted delivered to mitochondria by a mitochondria-targeting strategy and then realize selective release of NO in mitochondria. NO can deplete intracellular predominant antioxidant GSH, which will enhance oxidative therapy of CA. Furthermore, peroxynitrite (ONOO) with strong peroxidation and nitration capability can be produced in mitochondria by the reaction between NO and ROS for reactive nitrogen species (RNS)-mediated oxidative therapy. The generation of ONOO in mitochondria is very effective in facilitating mitochondrial membrane permeabilization, which can cause mitochondrial dysfunction and finally induce mitochondrial apoptosis. The antitumor ability of mitochondria-targeted ONOO-potentiated oxidative therapy is fully investigated on subcutaneous and orthotopic hepatoma model on nude mice. This innovative strategy for the selective generation of ONOO in mitochondria may serve as an afflatus for future applications in cancer treatment.
氧化疗法通过细胞内酶反应产生活性氧物种 (ROS) 来实现肿瘤消融,被认为是一种新兴的癌症治疗方法。本文通过将谷胱甘肽 (GSH) 敏感的一氧化氮 (NO) 供体和 pH 敏感的肉桂醛 (CA) 前药整合到一个线粒体靶向药物纳米载体中,报道了一种 NO 联合氧化疗法。该纳米载体是通过 α-环糊精 (α-CD) 和聚乙二醇 (PEG) 之间的主客体相互作用制备的。进入癌细胞后,CA 可以在酸性内体/溶酶体中释放,并最终在线粒体中诱导 ROS 生成以进行氧化治疗。同时,NO 可以通过线粒体靶向策略靶向递送到线粒体中,然后在线粒体中实现选择性释放 NO。NO 可以耗尽细胞内主要的抗氧化剂 GSH,从而增强 CA 的氧化治疗效果。此外,NO 和 ROS 之间的反应可以在线粒体中产生具有强过氧化和硝化能力的过氧亚硝酸盐 (ONOO),用于活性氮物种 (RNS) 介导的氧化治疗。线粒体中 ONOO 的产生非常有效地促进线粒体膜通透性,导致线粒体功能障碍,最终诱导线粒体凋亡。在裸鼠皮下和原位肝癌模型上对靶向线粒体的 ONOO 增强氧化治疗的抗肿瘤能力进行了全面研究。这种在线粒体中选择性生成 ONOO 的创新策略可能为未来癌症治疗提供启示。