Institute of Bioengineering and Bioimaging, 31 Biopolis Way, The Nanos, Singapore, 138669, Singapore.
Institute of Molecular and Cell Biology, 61 Biopolis Drive, The Proteos, Singapore, 138673, Singapore.
J Nanobiotechnology. 2022 Nov 16;20(1):481. doi: 10.1186/s12951-022-01683-4.
Currently available anti-leukemia drugs have shown limited success in the treatment of acute myeloid leukemia (AML) due to their poor access to bone marrow niche supporting leukemic cell proliferation.
Herein, we report a bone marrow-targetable green tea catechin-based micellar nanocomplex for synergistic AML therapy. The nanocomplex was found to synergistically amplify the anti-leukemic potency of sorafenib via selective disruption of pro-survival mTOR signaling. In vivo biodistribution study demonstrated about 11-fold greater bone marrow accumulation of the nanocomplex compared to free sorafenib. In AML patient-derived xenograft (AML-PDX) mouse model, administration of the nanocomplex effectively eradicated bone marrow-residing leukemic blasts and improved survival rates without noticeable off-target toxicity.
This study may provide insights into the rational design of nanomedicine platforms enabling bone marrow-targeted delivery of therapeutic agents for the treatment of AML and other bone marrow diseases.
由于现有抗白血病药物进入骨髓龛支持白血病细胞增殖的能力有限,因此在治疗急性髓系白血病 (AML) 方面的疗效有限。
本文报道了一种基于绿茶儿茶素的骨髓靶向胶束纳米复合物,用于协同治疗 AML。研究发现,该纳米复合物通过选择性破坏生存 mTOR 信号,协同增强索拉非尼的抗白血病活性。体内生物分布研究表明,与游离索拉非尼相比,纳米复合物在骨髓中的积累增加了约 11 倍。在 AML 患者来源异种移植 (AML-PDX) 小鼠模型中,纳米复合物的给药有效地消除了骨髓中残留的白血病母细胞,并提高了存活率,而没有明显的脱靶毒性。
这项研究可能为合理设计纳米医学平台提供思路,使治疗 AML 和其他骨髓疾病的治疗药物能够靶向骨髓递药。