Shah Anuj S, Surnar Bapurao, Kolishetti Nagesh, Dhar Shanta
Department of Biochemistry and Molecular Biology, University of Miami Miller School of Medicine, Miami, Florida 33136, United States.
Department of Biochemistry and Molecular Biology and Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, Florida 33136, United States.
Acc Mater Res. 2022 Mar 25;3(3):283-296. doi: 10.1021/accountsmr.1c00178. Epub 2022 Mar 4.
Since its discovery in 1965, the inorganic drug cisplatin has become a mainstay of cancer therapies and has inspired many platinum (Pt)-based compounds to solve various issues of toxicity and limitations associated with the original cisplatin. However, many of these drugs/prodrugs continue to be plagued by an array of side effects, limited circulation, and half-life and off-target effects. To solve this issue, we have constructed an array of platinum-based prodrugs on a Pt(IV) skeleton, which provides more favorable geometry and hydrophobicity, easier functionalization, and ultimately better targeting abilities. Each of these Pt(IV) prodrugs aims to either combine cisplatin with other agents for a combination therapeutic effect or improve the targeting of cisplatin itself, all for the more effective treatment of specific cancers. Our developed prodrugs include Platin-, which combines cisplatin with the anti-inflammatory agent aspirin, Platin-M, which is functionalized with a mitochondria-targeting moiety, and Platin-B and Platin-Cbl, which combine cisplatin with components to combat cellular resistance to chemotherapy. At the same time, however, we recognize the crucial role of nanotechnology in improving the efficacy of cisplatin prodrugs and other inorganic compounds for the treatment of cancers. We describe several key benefits provided by nanomedicine that vastly improve the reach and utility of cisplatin prodrugs, including the ability of biodegradable polymeric nanoparticles (NPs) to deliver these agents with precision to the mitochondria, transport drugs across the blood-brain barrier, and target cisplatin prodrugs to specific cancers using various ligands. In addition, we highlight our progress in the engineering of innovative new polymers to improve the release patterns, pharmacokinetics, and dosages of cancer therapies. In this Account, we aim to describe the growing need for collaboration between the fields of inorganic chemistry and nanotechnology and how new advancements can not only improve on traditional chemotherapeutic agents but also expand their reach to entirely new subsets of cancers. In addition to detailing the design and principles behind our modifications of cisplatin and the efficacy of these new prodrugs against aggressive, cisplatin-resistant, or metastatic cancers, we also shed light on nanotechnology's essential role in protecting inorganic drugs and the human body from one another for more effective disease treatment without the off-target effects with which it is normally associated. We hope that this perspective into the important intersection between inorganic medicinal chemistry and nanotechnology will inspire future research on cisplatin prodrugs and other inorganic agents, innovative polymer and NP design, and the ways in which these two fields can greatly advance cancer treatment.
自1965年被发现以来,无机药物顺铂已成为癌症治疗的中流砥柱,并激发了许多基于铂(Pt)的化合物的研发,以解决与原始顺铂相关的各种毒性、局限性问题。然而,这些药物/前药中的许多仍受到一系列副作用、循环受限、半衰期以及脱靶效应的困扰。为了解决这个问题,我们在Pt(IV)骨架上构建了一系列铂基前药,该骨架具有更有利的几何形状和疏水性、更易于功能化,最终具有更好的靶向能力。这些Pt(IV)前药中的每一种都旨在将顺铂与其他药物结合以产生联合治疗效果,或者改善顺铂本身的靶向性,所有这些都是为了更有效地治疗特定癌症。我们研发的前药包括将顺铂与抗炎药阿司匹林结合的Platin-,用线粒体靶向部分功能化的Platin-M,以及将顺铂与对抗细胞化疗耐药性的成分结合的Platin-B和Platin-Cbl。然而,与此同时,我们认识到纳米技术在提高顺铂前药和其他无机化合物治疗癌症疗效方面的关键作用。我们描述了纳米医学提供的几个关键益处,这些益处极大地提高了顺铂前药的作用范围和效用,包括可生物降解的聚合物纳米颗粒(NPs)能够将这些药物精确递送至线粒体、使药物穿过血脑屏障,以及使用各种配体将顺铂前药靶向特定癌症。此外,我们强调了我们在创新新型聚合物工程方面的进展,以改善癌症治疗的释放模式、药代动力学和剂量。在本综述中,我们旨在描述无机化学和纳米技术领域之间日益增长的合作需求,以及新进展如何不仅能改进传统化疗药物,还能将其作用范围扩展到全新的癌症亚型。除了详细介绍我们对顺铂进行修饰背后的设计和原理,以及这些新前药对侵袭性、顺铂耐药或转移性癌症的疗效外,我们还阐明了纳米技术在保护无机药物和人体免受彼此影响以实现更有效的疾病治疗且无通常与之相关的脱靶效应方面的重要作用。我们希望这种对无机药物化学和纳米技术重要交叉点的展望将激发未来对顺铂前药和其他无机药物、创新聚合物和纳米颗粒设计的研究,以及这两个领域能够极大推进癌症治疗的方式。