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用碘-125标记的铂纳米颗粒用于肝细胞癌的“化疗-俄歇电子”联合治疗。

Platinum nanoparticles labelled with iodine-125 for combined "chemo-Auger electron" therapy of hepatocellular carcinoma.

作者信息

Wawrowicz Kamil, Żelechowska-Matysiak Kinga, Majkowska-Pilip Agnieszka, Wierzbicki Mateusz, Bilewicz Aleksander

机构信息

Centre of Radiochemistry and Nuclear Chemistry, Institute of Nuclear Chemistry and Technology Dorodna 16 St. 03-195 Warsaw Poland

Department of Nuclear Medicine, Central Clinical Hospital of the Ministry of the Interior and Administration Wołoska 137 St. 02-507 Warsaw Poland.

出版信息

Nanoscale Adv. 2023 May 12;5(12):3293-3303. doi: 10.1039/d3na00165b. eCollection 2023 Jun 13.

Abstract

Convenient therapeutic protocols against hepatocellular carcinoma (HCC) exhibit low treatment effectiveness, especially in the context of long-term effects, which is primarily related to late diagnosis and high tumor heterogeneity. Current trends in medicine concern combined therapy to achieve new powerful tools against the most aggressive diseases. When designing modern, multimodal therapeutics, it is necessary to look for alternative routes of specific drug delivery to the cell, its selective (with respect to the tumor) activity and multidirectional action, enhancing the therapeutic effect. Targeting the physiology of the tumor makes it possible to take advantage of certain characteristic properties of the tumor that differentiate it from other cells. In the present paper we designed for the first time iodine-125 labeled platinum nanoparticles for combined "chemo-Auger electron" therapy of hepatocellular carcinoma. High selectivity achieved by targeting the tumor microenvironment of these cells was associated with effective radionuclide desorption in the presence of HO. The therapeutic effect was found to be correlated with cell damage at various molecular levels including DNA DSBs and was observed in a dose-dependent manner. A three-dimensional tumor spheroid revealed successful radioconjugate anticancer activity with a significant treatment response. A possible concept for clinical application after prior trials may be achieved transarterial injection of micrometer range lipiodol emulsions with encapsulated I-NP. Ethiodized oil gives several advantages especially for HCC treatment; thus bearing in mind a suitable particle size for embolization, the obtained results highlight the exciting prospects for the development of PtNP-based combined therapy.

摘要

针对肝细胞癌(HCC)的便捷治疗方案显示出较低的治疗效果,尤其是在长期疗效方面,这主要与晚期诊断和高肿瘤异质性有关。当前医学趋势关注联合治疗,以实现针对最具侵袭性疾病的新的有效工具。在设计现代多模式治疗方法时,有必要寻找将特定药物输送到细胞的替代途径、其(相对于肿瘤的)选择性活性和多向作用,以增强治疗效果。针对肿瘤生理学进行靶向治疗能够利用肿瘤与其他细胞不同的某些特性。在本文中,我们首次设计了用于肝细胞癌联合“化疗-俄歇电子”治疗的碘-125标记铂纳米颗粒。通过靶向这些细胞的肿瘤微环境实现的高选择性与在HO存在下有效的放射性核素解吸有关。发现治疗效果与包括DNA双链断裂在内的各种分子水平的细胞损伤相关,并且呈剂量依赖性。三维肿瘤球体显示出成功的放射性缀合物抗癌活性以及显著的治疗反应。在先前试验后进行临床应用的一个可能概念是经动脉注射包封有I-NP的微米级碘油乳剂。碘化油具有多种优势,特别是对于肝癌治疗;因此,考虑到适合栓塞的粒径,所获得的结果突出了基于铂纳米颗粒的联合治疗发展的令人兴奋的前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a094/10262957/83fe74685b03/d3na00165b-f1.jpg

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