Zhong Min, Liang Peiqin, Feng Zhenzhen, Yang Xin, Li Guang, Sun Rui, He Lijuan, Tan Jinxiu, Xiao Yangpengcheng, Yu Zhiqiang, Yi Muhua, Wang Xuefeng
Department of Obstetrics and Gynecology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510632, China.
School of Pharmaceutical Sciences, Guangdong Provincial Key Laboratory of New Drug Screening, Southern Medical University, Guangzhou 510515, China.
Asian J Pharm Sci. 2023 Nov;18(6):100872. doi: 10.1016/j.ajps.2023.100872. Epub 2023 Nov 30.
Ovarian cancer (OC) is one of the most common and recurring malignancies in gynecology. Patients with relapsed OC always develop "cascade drug resistance" (CDR) under repeated chemotherapy, leading to subsequent failure of chemotherapy. To overcome this challenge, amphiphiles (P1) carrying a nitric oxide (NO) donor (Isosorbide 5-mononitrate, ISMN) and high-density disulfide are synthesized for encapsulating mitochondria-targeted tetravalent platinum prodrug (TPt) to construct a nanocomposite (INP@TPt). Mechanism studies indicated that INP@TPt significantly inhibited drug-resistant cells by increasing cellular uptake and mitochondrial accumulation of platinum, depleting glutathione, and preventing apoptosis escape through generating highly toxic peroxynitrite anion (ONOO). To better replicate the microenvironmental and histological characteristics of the drug resistant primary tumor, an OC patient-derived tumor xenograft (PDX) model in BALB/c nude mice was established. INP@TPt showed the best therapeutic effects in the PDX model. The corresponding tumor tissues contained high ONOO levels, which were attributed to the simultaneous release of O and NO in tumor tissues. Taken together, INP@TPt-based systematic strategy showed considerable potential and satisfactory biocompatibility in overcoming platinum CDR, providing practical applications for ovarian therapy.
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