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利用鞘氨醇激酶 1 抑制剂负载的脂质体靶向治疗急性髓系白血病。

Targeting Acute Myeloid Leukemia Using Sphingosine Kinase 1 Inhibitor-Loaded Liposomes.

机构信息

Centre for Pharmaceutical Innovation, UniSA Clinical and Health Sciences, University of South Australia, Adelaide, South Australia5001, Australia.

Adelaide Medical School, University of Adelaide, Adelaide, South Australia 5001, Australia.

出版信息

Mol Pharm. 2023 Aug 7;20(8):3937-3946. doi: 10.1021/acs.molpharmaceut.3c00078. Epub 2023 Jul 18.

Abstract

Acute myeloid leukemia (AML) kills 75% of patients and represents a major clinical challenge with a need to improve on current treatment approaches. Targeting sphingosine kinase 1 with a novel ATP-competitive-inhibitor, MP-A08, induces cell death in AML. However, limitations in MP-A08's "drug-like properties" (solubility, biodistribution, and potency) hinder its pathway to the clinic. This study demonstrates a liposome-based delivery system of MP-A08 that exhibits enhanced MP-A08 potency against AML cells. MP-A08-liposomes increased MP-A08 efficacy against patient AML cells (>140-fold) and significantly prolonged overall survival of mice with human AML disease ( = 0.03). The significant antileukemic property of MP-A08-liposomes could be attributed to its enhanced specificity, bioaccessibility, and delivery to the bone marrow, as demonstrated in the pharmacokinetic and biodistribution studies. Our findings indicate that MP-A08-liposomes have potential as a novel treatment for AML.

摘要

急性髓细胞白血病(AML)导致 75%的患者死亡,是一个重大的临床挑战,需要改进当前的治疗方法。新型 ATP 竞争性抑制剂 MP-A08 靶向鞘氨醇激酶 1,可诱导 AML 细胞死亡。然而,MP-A08 的“药物样特性”(溶解度、生物分布和效力)限制了其进入临床的途径。本研究展示了一种基于脂质体的 MP-A08 递药系统,该系统可增强 MP-A08 对 AML 细胞的效力。MP-A08-脂质体增加了 MP-A08 对患者 AML 细胞的疗效(>140 倍),并显著延长了患有人类 AML 疾病的小鼠的总生存期(=0.03)。MP-A08-脂质体的显著抗白血病特性可归因于其增强的特异性、生物利用度和向骨髓的递药能力,这在药代动力学和生物分布研究中得到了证实。我们的研究结果表明,MP-A08-脂质体具有作为 AML 新型治疗方法的潜力。

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