Key Laboratory of Radiopharmacokinetics for Innovative Drugs, Chinese Academy of Medical Sciences, Tianjin Key Laboratory of Radiation Medicine and Molecular Nuclear Medicine, Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, 300192, China.
Adv Mater. 2023 Sep;35(38):e2302916. doi: 10.1002/adma.202302916. Epub 2023 Jul 26.
Cancer stem-like cells (CSCs), capable of indefinite self-renewal and differentiation, are considered to be the root cause of tumor radiotherapy (RT) resistance. However, the CSCs-targeted therapy still remains to be a great challenge because they are commonly located in the deep tumor making drugs hard to approach, and their hypoxic and acidic niche can further aggravate radioresistance. Herein, based on the finding that hypoxic CSCs highly express carbonic anhydrase IX (CAIX) on the cell membrane, a CAIX-targeted induced in situ self-assembly system on the surface of CSC is reported to overcome hypoxic CSC-mediated radioresistance. Via the sequential processes of "monomer release-target accumulation-surface self-assembly", the constructed peptide-based drug delivery system (CA-Pt) exhibits the advantages of deep penetration, amplified CAIX inhibition, and enhanced cellular uptake, which greatly relieves the hypoxic and acidic microenvironment to promote the hypoxic CSC differentiation and combines with platinum to boost the RT-inducing DNA damage. In both lung cancer tumor mouse and zebrafish embryo models, CA-Pt treatment can effectively assist RT in suppressing tumor growth and preventing tumor invasion and metastasis. This study uses a surface-induced self-assembly strategy to differentiate hypoxic CSCs, which may provide a universal treatment strategy for overcoming tumor radioresistance.
癌症干细胞样细胞(CSCs)具有无限自我更新和分化的能力,被认为是肿瘤放射治疗(RT)抵抗的根本原因。然而,针对 CSCs 的治疗仍然是一个巨大的挑战,因为它们通常位于肿瘤深部,使得药物难以接近,并且它们的缺氧和酸性生态位会进一步加剧放射抵抗。在此,基于缺氧 CSCs 高度表达细胞膜上碳酸酐酶 IX(CAIX)的发现,报道了一种针对 CAIX 的诱导原位自组装系统,以克服缺氧 CSCs 介导的放射抵抗。通过“单体释放-靶向积累-表面自组装”的顺序过程,构建的基于肽的药物递送系统(CA-Pt)具有深层穿透、放大 CAIX 抑制和增强细胞摄取的优点,极大地缓解了缺氧和酸性微环境,促进了缺氧 CSCs 的分化,并与铂结合,增强 RT 诱导的 DNA 损伤。在肺癌肿瘤小鼠和斑马鱼胚胎模型中,CA-Pt 治疗可有效辅助 RT 抑制肿瘤生长和防止肿瘤侵袭和转移。本研究使用表面诱导的自组装策略来分化缺氧 CSCs,这可能为克服肿瘤放射抵抗提供一种通用的治疗策略。
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