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西妥昔单抗偶联 PLGA 纳米粒作为一种有前景的非小细胞肺癌靶向治疗药物。

Cetuximab-conjugated PLGA nanoparticles as a prospective targeting therapeutics for non-small cell lung cancer.

机构信息

Department of Pharmaceutical Technology, Jadavpur University, Kolkata, India.

Department of Life Science and Biotechnology, Jadavpur University, Kolkata, India.

出版信息

J Drug Target. 2023 Jun;31(5):521-536. doi: 10.1080/1061186X.2023.2199350. Epub 2023 Apr 14.

DOI:10.1080/1061186X.2023.2199350
PMID:37010248
Abstract

Non-small cell lung cancer (NSCLC) is one of the most prevalent cancers diagnosed worldwide, yet managing it is still challenging. The epidermal growth factor receptor (EGFR) exhibits aberrant signalling in a wide range of human cancers, and it is reported to overexpress in most NSCLC cases. The monoclonal antibody [Cetuximab (Cet)] was conjugated onto the surface of the poly (lactide-co-glycolide) (PLGA) nanoparticles which were loaded with docetaxel (DTX) for the development of targeted therapy against lung cancer. This site-specific delivery system exhibited an enhanced cellular uptake in lung cancer cells which overexpress EGFR (A549 and NCI-H23). The nanoparticles also showed better therapeutic effectiveness against NSCLC cells, as evidenced by reduced IC values, cell cycle arrest at the G2/M phase, and increased apoptosis. The improved efficacy and tolerance of Cet-DTX NPs were demonstrated in benzo(a)pyrene (BaP)-induced lung cancer mice model. Histopathological analysis showed that intravenous injection of Cet-DTX NP to mice carrying lung cancer greatly reduced tumour development and proliferation. Comparing Cet-DTX NP to free drug and unconjugated nanoparticles, it also had negligible side effects and improved survival rates. Therefore, Cet-DTX NPs present a promising active targeting carrier for lung tumour-NSCLC-selective treatment.

摘要

非小细胞肺癌(NSCLC)是全球最常见的癌症之一,但对其的治疗仍然具有挑战性。表皮生长因子受体(EGFR)在多种人类癌症中表现出异常信号,据报道,大多数 NSCLC 病例中都过度表达。将单克隆抗体 [西妥昔单抗(Cet)] 偶联到载有多西紫杉醇(DTX)的聚(乳酸-共-乙醇酸)(PLGA)纳米颗粒表面,开发针对肺癌的靶向治疗。该靶向递药系统在过度表达 EGFR(A549 和 NCI-H23)的肺癌细胞中表现出增强的细胞摄取。纳米颗粒还显示出对 NSCLC 细胞更好的治疗效果,表现为 IC 值降低、细胞周期停滞在 G2/M 期和凋亡增加。在苯并(a)芘(BaP)诱导的肺癌小鼠模型中证明了 Cet-DTX NPs 的改善疗效和耐受性。组织病理学分析表明,静脉注射携带肺癌的小鼠的 Cet-DTX NP 可大大减少肿瘤的发展和增殖。与游离药物和未偶联纳米颗粒相比,Cet-DTX NP 也具有可忽略的副作用和更高的存活率。因此,Cet-DTX NPs 为肺肿瘤-NSCLC 选择性治疗提供了一种有前途的主动靶向载体。

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