Institute of Nervous System Diseases, Xuzhou Medical University, Xuzhou 221002, China.
Department of Neurosurgery, The First People's Hospital of Changzhou, Changzhou 213003, Jiangsu China.
ACS Appl Mater Interfaces. 2023 Mar 1;15(8):10356-10370. doi: 10.1021/acsami.2c19285. Epub 2023 Feb 14.
Aerobic glycolysis is the primary energy supply mode for glioblastoma (GBM) cells to maintain growth and proliferation. However, due to the metabolic reprogramming of tumor cells, GBM can still produce energy through fatty acid oxidation (FAO) and amino acid metabolism after blocking this metabolic pathway. In addition, GBM can provide a steady stream of nutrients through high-density neovascularization, which puts the block energy metabolism therapy for glioma in the situation of "internal and external problems". Herein, based on the abundant reactive oxygen species (ROS) and glutathione (GSH) in the tumor microenvironment and cytoplasm, we successfully designed and developed a cascade-responsive 2-DG nanocapsule delivery system. This nanocapsule contains a conjugate of anti-VEGFR2 monoclonal antibody (aV) and CPT1C siRNA (siCPT1C) linked by a disulfide cross-linker (aV-siCPT1C). The surface of this nanocapsule (2-DG/aV-siCPT1C NC) is loaded with the glycolysis inhibitor 2-DG, and it utilizes GLUT1, which is highly expressed on the blood-brain barrier (BBB) and GBM cells, to effectively penetrate the BBB and target GBM. The nanocapsule realizes multidrug codelivery, jointly blocks glycolysis and FAO of GBM, and reduces angiogenesis. Meanwhile, it also solves the problems of low delivery efficiency of mAb in the central nervous system (CNS) and easy degradation of siRNA. In general, this drug joint delivery strategy could open up a new avenue for the treatment of GBM.
有氧糖酵解是脑胶质瘤(GBM)细胞维持生长和增殖的主要能量供应方式。然而,由于肿瘤细胞的代谢重编程,在阻断这条代谢途径后,GBM 仍可以通过脂肪酸氧化(FAO)和氨基酸代谢来产生能量。此外,GBM 可以通过高密度新生血管化提供源源不断的营养物质,这使得针对神经胶质瘤的阻断能量代谢治疗陷入“内忧外患”的境地。在此基础上,基于肿瘤微环境和细胞质中丰富的活性氧(ROS)和谷胱甘肽(GSH),我们成功设计并开发了一种级联响应的 2-DG 纳米胶囊递药系统。该纳米胶囊包含通过二硫键连接的抗 VEGFR2 单克隆抗体(aV)和 CPT1C siRNA(siCPT1C)的共轭物。该纳米胶囊的表面(2-DG/aV-siCPT1C NC)负载有糖酵解抑制剂 2-DG,并利用高度表达于血脑屏障(BBB)和 GBM 细胞上的 GLUT1,有效地穿透 BBB 并靶向 GBM。该纳米胶囊实现了多药共递,联合阻断 GBM 的糖酵解和 FAO,并减少血管生成。同时,它还解决了 mAb 在中枢神经系统(CNS)中递送效率低和 siRNA 易降解的问题。总的来说,这种药物联合递药策略为 GBM 的治疗开辟了新途径。
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