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单重态氧可激活纳米载体在增强X射线诱导的光动力疗法及级联铁死亡用于乳腺癌治疗中的应用。

Application of singlet oxygen-activatable nanocarriers to boost X-ray-induced photodynamic therapy and cascaded ferroptosis for breast cancer treatment.

作者信息

Zhang Beibei, Liu Hao, Wang Yifei, Zhang Yong, Cheng Jingliang

机构信息

Department of Magnetic Resonance Imaging, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450002, P. R. China.

Key Laboratory for Functional Magnetic resonance Imaging and Molecular Imaging of Henan Province, Zhengzhou 450002, P. R. China.

出版信息

J Mater Chem B. 2023 Oct 18;11(40):9685-9696. doi: 10.1039/d3tb01887c.

Abstract

Ferroptosis has appealing antitumor potential that is mainly based on the accumulation of lipid peroxide to a lethal level. The cytotoxic singlet oxygen (O) generated from nanoscale X-ray-induced photodynamic therapy (X-PDT) may facilitate glutathione (GSH) depletion and further activate ferroptosis. To realize combined X-PDT and ferroptosis, a nanocarrier (D-NP) was engineered with a hyperbranched copolymer with O-sensitive linkers, where both the photosensitizer (verteporfin) and ferroptosis inducer RAS-selective lethal small molecule 3 (RSL3) were encapsulated. Upon X-ray radiation, D-NP could produce a large amount of O for apoptosis. Subsequently, O triggered D-NP dissociation by cleavage of 1,2-bis(2-hydroxyethylthio)ethylene bonds to boost payload release and decrease levels of intracellular GSH thiol oxidation. Liberated RSL3 is a covalent inhibitor for glutathione peroxide 4 (GPX4), which is responsible for detoxifying lipid peroxides to lipid alcohols with GSH assistance, and both O-induced GSH depletion and GPX4 inactivation thereby produced ferroptotic cell death. Tumor growth inhibition in murine 4T1 tumor-bearing mice demonstrated that D-NP produced pronounced therapeutic efficiency where ferroptosis induction was supported by the GPX4 content and expression. This study highlights the contribution of O-sensitive nanocarriers for promoting the potency of combined X-PDT and ferroptosis.

摘要

铁死亡具有诱人的抗肿瘤潜力,这主要基于脂质过氧化物积累到致死水平。纳米级X射线诱导的光动力疗法(X-PDT)产生的细胞毒性单线态氧(O)可能会促进谷胱甘肽(GSH)消耗,并进一步激活铁死亡。为了实现X-PDT与铁死亡的联合,设计了一种纳米载体(D-NP),其由具有O敏感连接子的超支化共聚物构成,其中同时包载了光敏剂(维替泊芬)和铁死亡诱导剂RAS选择性致死小分子3(RSL3)。在X射线辐射下,D-NP可产生大量O以诱导细胞凋亡。随后,O通过裂解1,2-双(2-羟乙基硫代)乙烯键触发D-NP解离,以促进有效载荷释放并降低细胞内GSH硫醇氧化水平。释放的RSL3是谷胱甘肽过氧化物酶4(GPX4)的共价抑制剂,GPX4负责在GSH协助下将脂质过氧化物解毒为脂质醇,因此O诱导的GSH消耗和GPX4失活共同导致了铁死亡性细胞死亡。对携带小鼠4T1肿瘤的小鼠的肿瘤生长抑制实验表明,D-NP产生了显著的治疗效果,其中铁死亡诱导受到GPX4含量和表达的支持。本研究突出了O敏感纳米载体对提高X-PDT与铁死亡联合疗效的作用。

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