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超小胶束与 UTMD 联合增强多西紫杉醇对胶质母细胞瘤的治疗效果。

Ultra-small micelles together with UTMD enhanced the therapeutic effect of docetaxel on Glioblastoma.

机构信息

Department of Pharmacy, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, No.100 Minjiang Road, Kecheng District, Quzhou, Zhejiang 324000, China.

Department of Pharmacy, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, No.100 Minjiang Road, Kecheng District, Quzhou, Zhejiang 324000, China.

出版信息

Eur J Pharm Sci. 2023 Aug 1;187:106468. doi: 10.1016/j.ejps.2023.106468. Epub 2023 May 21.

Abstract

Owing to the difficult-to-penetrate blood-brain barrier (BBB), glioblastoma (GBM) doesn't respond well to the current chemical therapeutics. In this study, ultra-small micelles (NMs) self-assembled by RRR-a-tocopheryl succinate-grafted-ε-polylysine conjugate (VES-g-ε-PLL) as the delivery vehicle of chemical therapeutics in conjunction with ultrasound-targeted microbubble destruction (UTMD) to surmount BBB and treat GBM. Docetaxel (DTX) as a hydrophobic model drug was incorporated into NMs. DTX-loaded micelles (DTX-NMs) with 3.08% of drug loading exhibited a hydrodynamic diameter (33.2 nm) and positive Zeta potential (16.9 mV), having a remarkable tumor-permeating capacity. Furthermore, DTX-NMs presented good stability in physiologic condition. The sustained- release profile of DTX-NMs was also displayed by dynamic dialysis. Treatment of DTX-NMs together with UTMD led to more pronounced apoptosis of C6 tumor cells than DTX-NMs alone. Moreover, compared with the DTX solution or DTX-NMs alone, the combination of DTX-NMs with UTMD had a stronger inhibitory effect on tumor growth for GBM-bearing rats. The median survival period of GBM-bearing rats was extended to 75 days in the DTX-NMs+UTMD group from under 25 days in the control group. The invasive growth of glioblastoma was largely inhibited by the combination of DTX-NMs with UTMD, which was demonstrated by staining of Ki67, caspase-3, and CD31, together with TUNEL assay. In conclusion, the combination of ultra-small micelles (NMs) with UTMD may be a promising strategy to overcome the limitations of the first-line chemotherapeutics against GBM.

摘要

由于血脑屏障(BBB)难以穿透,胶质母细胞瘤(GBM)对当前的化学疗法反应不佳。在这项研究中,超小胶束(NMs)由 RRR-a-生育酚琥珀酸接枝-ε-聚赖氨酸缀合物(VES-g-ε-PLL)自组装而成,作为化学治疗药物的递送载体,结合超声靶向微泡破坏(UTMD)以克服 BBB 并治疗 GBM。多西他赛(DTX)作为一种疏水性模型药物被包载于 NMs 中。载药胶束(DTX-NMs)的载药量为 3.08%,具有 33.2nm 的水动力学直径和 16.9mV 的正 Zeta 电位,具有显著的肿瘤渗透能力。此外,DTX-NMs 在生理条件下表现出良好的稳定性。动态透析也显示了 DTX-NMs 的持续释放特征。与 DTX-NMs 联合 UTMD 治疗导致 C6 肿瘤细胞凋亡比 DTX-NMs 单独治疗更为明显。此外,与 DTX 溶液或 DTX-NMs 单独治疗相比,DTX-NMs 联合 UTMD 对荷瘤大鼠的肿瘤生长具有更强的抑制作用。荷瘤大鼠的中位生存期从对照组的不足 25 天延长至 DTX-NMs+UTMD 组的 75 天。DTX-NMs 联合 UTMD 联合治疗显著抑制了胶质母细胞瘤的侵袭性生长,Ki67、caspase-3 和 CD31 的染色以及 TUNEL 检测均证实了这一点。总之,超小胶束(NMs)与 UTMD 的联合应用可能是克服一线化学疗法治疗 GBM 局限性的一种有前途的策略。

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