Li Yunhao, Gao Yujuan, Pan Zian, Jia Fan, Xu Chenlu, Cui Xinyue, Wang Xuan, Wu Yan
Department of Medicine, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong, China.
Department of General Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.
Nanomaterials (Basel). 2023 Apr 24;13(9):1447. doi: 10.3390/nano13091447.
Breast cancer is a common malignant tumor among women and has a higher risk of early recurrence, distant metastasis, and poor prognosis. Systemic chemotherapy is still the most widely used treatment for patients with breast cancer. However, unavoidable side effects and acquired resistance severely limit the efficacy of treatment. The multi-drug combination strategy has been identified as an effective tumor therapy pattern. In this investigation, we demonstrated a triple collaboration strategy of incorporating the chemotherapeutic drug doxorubicin (DOX) and anti-angiogenesis agent combretastatin A4 (CA4) into poly(lactic-co-glycolic acid) (PLGA)-based co-delivery nanohybrids (PLGA/DC NPs) via an improved double emulsion technology, and then a polydopamine (PDA) was modified on the PLGA/DC NPs' surface through the self-assembly method for photothermal therapy. In the drug-loaded PDA co-delivery nanohybrids (PDA@PLGA/DC NPs), DOX and CA4 synergistically induced tumor cell apoptosis by interfering with DNA replication and inhibiting tumor angiogenesis, respectively. The controlled release of DOX and CA4-loaded PDA@PLGA NPs in the tumor region was pH dependent and triggered by the hyperthermia generated via laser irradiation. Both in vitro and in vivo studies demonstrated that PDA@PLGA/DC NPs enhanced cytotoxicity under laser irradiation, and combined therapeutic effects were obtained when DOX, CA4, and PDA were integrated into a single nanoplatform. Taken together, the present study demonstrates a nanoplatform for combined DOX, CA4, and photothermal therapy, providing a potentially promising strategy for the synergistic treatment of breast cancer.
乳腺癌是女性中常见的恶性肿瘤,具有早期复发、远处转移风险较高及预后较差的特点。全身化疗仍是乳腺癌患者最广泛使用的治疗方法。然而,不可避免的副作用和获得性耐药严重限制了治疗效果。多药联合策略已被确定为一种有效的肿瘤治疗模式。在本研究中,我们展示了一种三联协同策略,即将化疗药物阿霉素(DOX)和抗血管生成剂康普瑞汀A4(CA4)通过改进的双乳液技术纳入基于聚乳酸-乙醇酸共聚物(PLGA)的共递送纳米杂化物(PLGA/DC NPs)中,然后通过自组装方法在PLGA/DC NPs表面修饰聚多巴胺(PDA)用于光热治疗。在载药的PDA共递送纳米杂化物(PDA@PLGA/DC NPs)中,DOX和CA4分别通过干扰DNA复制和抑制肿瘤血管生成协同诱导肿瘤细胞凋亡。载有DOX和CA4的PDA@PLGA NPs在肿瘤区域的控释是pH依赖性的,并由激光照射产生的热疗触发。体外和体内研究均表明,PDA@PLGA/DC NPs在激光照射下增强了细胞毒性,当DOX、CA4和PDA整合到单个纳米平台中时可获得联合治疗效果。综上所述,本研究展示了一种用于DOX、CA4联合及光热治疗的纳米平台,为乳腺癌的协同治疗提供了一种潜在的有前景的策略。