Department of General Surgery, Gastric Cancer Center, Department of Radiology, Huaxi MR Research Center (HMRRC), Frontiers Science Center for Disease-Related Molecular Network, Laboratory of Gastric Cancer, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, 610041, China.
Department of Thoracic Surgery and Institute of Thoracic Oncology, Frontiers Science Center for Disease-related Molecular Network, West China Hospital of Sichuan University, Chengdu, 610097, China.
Adv Sci (Weinh). 2024 Jan;11(2):e2306230. doi: 10.1002/advs.202306230. Epub 2023 Nov 12.
Combined chemotherapy and targeted therapy holds immense potential in the management of advanced gastric cancer (GC). GC tissues exhibit an elevated expression level of protein kinase B (AKT), which contributes to disease progression and poor chemotherapeutic responsiveness. Inhibition of AKT expression through an AKT inhibitor, capivasertib (CAP), to enhance cytotoxicity of paclitaxel (PTX) toward GC cells is demonstrated in this study. A cathepsin B-responsive polymeric nanoparticle prodrug system is employed for co-delivery of PTX and CAP, resulting in a polymeric nano-drug BPGP@CAP. The release of PTX and CAP is triggered in an environment with overexpressed cathepsin B upon lysosomal uptake of BPGP@CAP. A synergistic therapeutic effect of PTX and CAP on killing GC cells is confirmed by in vitro and in vivo experiments. Mechanistic investigations suggested that CAP may inhibit AKT expression, leading to suppression of the phosphoinositide 3-kinase (PI3K)/AKT signaling pathway. Encouragingly, CAP can synergize with PTX to exert potent antitumor effects against GC after they are co-delivered via a polymeric drug delivery system, and this delivery system helped reduce their toxic side effects, which provides an effective therapeutic strategy for treating GC.
联合化疗和靶向治疗在晚期胃癌(GC)的治疗中具有巨大的潜力。GC 组织中蛋白激酶 B(AKT)的表达水平升高,这有助于疾病的进展和化疗反应不良。本研究通过 AKT 抑制剂 capivasertib(CAP)抑制 AKT 的表达,增强紫杉醇(PTX)对 GC 细胞的细胞毒性。采用组织蛋白酶 B 响应性聚合物纳米粒前药系统共递送 PTX 和 CAP,得到聚合物纳米药物 BPGP@CAP。BPGP@CAP 被溶酶体摄取后,在组织蛋白酶 B 过表达的环境中触发 PTX 和 CAP 的释放。通过体外和体内实验证实了 PTX 和 CAP 对杀伤 GC 细胞的协同治疗作用。机制研究表明,CAP 可能抑制 AKT 的表达,从而抑制磷脂酰肌醇 3-激酶(PI3K)/AKT 信号通路。令人鼓舞的是,CAP 可以与 PTX 协同作用,通过聚合物药物递送系统共同递送后对 GC 发挥强大的抗肿瘤作用,该递送系统有助于减少它们的毒副作用,为治疗 GC 提供了有效的治疗策略。
Int J Clin Exp Pathol. 2014-3-15
Front Immunol. 2025-8-14
Front Med (Lausanne). 2025-7-14
Front Bioeng Biotechnol. 2025-3-21
Front Pharmacol. 2025-1-6
Int J Nanomedicine. 2024
Theranostics. 2023
Acta Pharm Sin B. 2023-8
J Hematol Oncol. 2023-5-27
J Control Release. 2022-8