State Key Laboratory for Mechanical Behavior of Materials, Xi'an Jiaotong University, Xi'an, 710049, China.
Department of Oncology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, China.
Adv Healthc Mater. 2023 May;12(13):e2202949. doi: 10.1002/adhm.202202949. Epub 2023 Feb 16.
Cuproptosis is a recently discovered form of programmed cell death and shows great potential in cancer treatment. Herein, a copper-dithiocarbamate chelate-doped and artemisinin-loaded hollow nanoplatform (HNP) is developed via a chelation competition-induced hollowing strategy for cuproptosis-based combination therapy. The HNP exhibits tumor microenvironment-triggered catalytic activity, wherein liberated Cu catalyzes artemisinin and endogenous H O to produce C-centered radicals and hydroxyl radicals, respectively. Meanwhile, the disulfide bonds-rich HNP can deplete intracellular glutathione, thus triply amplifying tumor oxidative stress. The augmented oxidative stress sensitizes cancer cells to the cuproptosis, causing prominent dihydrolipoamide S-acetyltransferase oligomerization and mitochondrial dysfunction. Moreover, the HNP can activate ferroptosis via inhibiting GPX4 activity and trigger apoptosis via dithiocarbamate-copper chelate-mediated ubiquitinated proteins accumulation, resulting in potent antitumor efficacy. Such a cuproptosis/ferroptosis/apoptosis synergetic strategy opens a new avenue for cancer therapy.
铜死亡是一种新近发现的程序性细胞死亡形式,在癌症治疗中显示出巨大的潜力。在此,通过配位竞争诱导的中空策略,开发了一种铜-二硫代氨基甲酸盐螯合物掺杂和青蒿素负载的中空纳米平台(HNP),用于基于铜死亡的联合治疗。该 HNP 表现出肿瘤微环境触发的催化活性,其中释放的 Cu 催化青蒿素和内源性 H 2 O 2 分别产生 C 中心自由基和羟基自由基。同时,富含二硫键的 HNP 可以耗尽细胞内的谷胱甘肽,从而三重放大肿瘤氧化应激。增加的氧化应激使癌细胞对铜死亡敏感,导致二氢乳清酸 S-乙酰转移酶寡聚化和线粒体功能障碍。此外,HNP 通过抑制 GPX4 活性激活铁死亡,并通过二硫代氨基甲酸盐-铜螯合物介导的泛素化蛋白积累触发细胞凋亡,从而产生强大的抗肿瘤疗效。这种铜死亡/铁死亡/细胞凋亡协同策略为癌症治疗开辟了新途径。
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