College of Biomedical Engineering and National Engineering Research Center for Biomaterials, Sichuan University, 29 Wangjiang Road, Chengdu 610064, China.
College of Biomedical Engineering and National Engineering Research Center for Biomaterials, Sichuan University, 29 Wangjiang Road, Chengdu 610064, China.
Acta Biomater. 2023 Mar 15;159:289-299. doi: 10.1016/j.actbio.2023.01.029. Epub 2023 Jan 25.
Recently, Fenton reaction-mediated ferroptosis has attracted great attention in cancer treatment while the metabolism loss of iron and the limited endogenous HO level imped its clinical application. Here, a new ferroptosis inducer (Fe@cLANAs) constructed only by Fe(II) and (R)-(+)-lipoic acid (LA) was developed for tumor ablation. After entering the tumor cells, the Fe@cLANAs dissociated into disdihydrolipoic acid (DHLA) and released iron, which would regenerate each other to continuously provide iron and HO to enhance ferroptosis. The Fe@cLANAs demonstrated the IC below 10 μM against various tumor cells, an anti-tumor effect comparable to many chemotherapy drugs. In vivo antitumor evaluation based on the tumor cell-derived xenograft model showed a tumor inhibitory rate (TIR) of 97.4% at the iron usage of 1.53 mg/kg, the lowest iron usage reported so far in ferrotherapy using iron as the main agent to treat tumors. Notably, the good anti-tumor effect of Fe@cLANAs was further achieved in the glioma patient-derived xenograft (PDX) model. This strategy utilizing the reciprocal circulation of metal iron and LA to delay the metabolism loss of iron and increase the HO level in the tumor cells holds a great potential for ferroptosis-mediated cancer treatment. STATEMENT OF SIGNIFICANCE: The metabolism loss of iron and the limited endogenous HO level are key factors to impede the clinical application of ferroptosis-mediated cancer treatment. Herein, a new ferroptosis inducer constructed only by lipoic acid and iron is developed to delay the metabolism loss of iron and increase the level of endogenous HO by causing a cyclic regeneration of Fe(II)/Fe(III) and LA/DHLA in the tumor cells. According to the previous reports, at least 75 mg/kg of iron dosage was needed to achieve effective antitumor efficacy, here, the use of only 1.53 mg/kg iron in Fe@cLANAs achieved the TIR of 97.4% and 62.8% in the U251 CDX and glioma PDX models, showing the good prospect of Fe@cLANAs in clinic.
最近,芬顿反应介导的铁死亡在癌症治疗中引起了极大的关注,然而,铁的代谢丧失和有限的内源性 HO 水平阻碍了其临床应用。在这里,我们开发了一种由 Fe(II)和(R)-(+)-硫辛酸(LA)构建的新型铁死亡诱导剂(Fe@cLANAs)用于肿瘤消融。进入肿瘤细胞后,Fe@cLANAs 解离为二氢硫辛酸(DHLA)并释放铁,铁和 HO 可以相互再生,从而持续提供铁和 HO 以增强铁死亡。Fe@cLANAs 对各种肿瘤细胞的 IC 低于 10 μM,其抗肿瘤效果可与许多化疗药物相媲美。基于肿瘤细胞衍生的异种移植模型的体内抗肿瘤评价表明,在 1.53mg/kg 铁的用量下,肿瘤抑制率(TIR)达到 97.4%,这是迄今为止使用铁作为主要药物治疗肿瘤的铁疗法中报告的最低铁用量。值得注意的是,Fe@cLANAs 在胶质瘤患者来源的异种移植(PDX)模型中也取得了良好的抗肿瘤效果。这种利用金属铁和 LA 的循环再生来延迟铁代谢丧失并增加肿瘤细胞内 HO 水平的策略,为铁死亡介导的癌症治疗提供了巨大的潜力。
意义声明:铁代谢丧失和内源性 HO 水平有限是阻碍铁死亡介导的癌症治疗临床应用的关键因素。在这里,我们开发了一种由硫辛酸和铁构建的新型铁死亡诱导剂,通过在肿瘤细胞中引起 Fe(II)/Fe(III)和 LA/DHLA 的循环再生,来延迟铁代谢丧失并增加内源性 HO 水平。根据之前的报道,至少需要 75mg/kg 的铁剂量才能达到有效的抗肿瘤疗效,而在 Fe@cLANAs 中,仅使用 1.53mg/kg 的铁就实现了 U251 CDX 和胶质瘤 PDX 模型中 97.4%和 62.8%的 TIR,显示了 Fe@cLANAs 在临床应用中的良好前景。
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