Center for Pharmacogenetics, Department of Pharmaceutical Science, University of Pittsburgh School of Pharmacy, Pittsburgh, PA, 15213, USA.
Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, PA, 15213, USA.
Adv Sci (Weinh). 2024 May;11(19):e2307940. doi: 10.1002/advs.202307940. Epub 2024 Mar 14.
PARP inhibitors (PARPi)-based synthetic lethal therapy demonstrates limited efficacy for most cancer types that are homologous recombination (HR) proficient. To potentiate the PARPi application, a nanocarrier based on 5-azacytidine (AZA)-conjugated polymer (PAZA) for the codelivery of AZA and a PARP inhibitor, BMN673 (BMN) is developed. AZA conjugation significantly decreased the nanoparticle (NP) size and increased BMN loading. Molecular dynamics simulation and experimental validations shed mechanistic insights into the self-assembly of effective NPs. The small PAZA NPs demonstrated higher efficiency of tumor targeting and penetration than larger NPs, which is mediated by a new mechanism of active targeting that involves the recruitment of fibronectin from serum proteins following systemic administration of PAZA NPs. Furthermore, it is found that PAZA carrier sensitize the HR-proficient nonsmall cell lung cancer (NSCLC) to BMN, a combination therapy that is more effective at a lower AZA/BMN dosage. To investigate the underlying mechanism, the tumor immune microenvironment and various gene expressions by RNAseq are explored. Moreover, the BMN/PAZA combination increased the immunogenicity and synergized with PD-1 antibody in improving the overall therapeutic effect in an orthotopic model of lung cancer (LLC).
聚腺苷二磷酸核糖聚合酶(PARP)抑制剂(PARPi)基于合成致死疗法对大多数同源重组(HR)有效的癌症类型的疗效有限。为了增强 PARPi 的应用,开发了一种基于 5-氮杂胞苷(AZA)偶联聚合物(PAZA)的纳米载体,用于共递送 AZA 和 PARP 抑制剂 BMN673(BMN)。AZA 偶联显著降低了纳米颗粒(NP)的尺寸并增加了 BMN 的载量。分子动力学模拟和实验验证为有效 NPs 的自组装提供了机制见解。与较大的 NPs 相比,小的 PAZA NPs 显示出更高的肿瘤靶向和穿透效率,这是一种新的主动靶向机制介导的,该机制涉及在系统给予 PAZA NPs 后从血清蛋白中募集纤连蛋白。此外,研究发现 PAZA 载体使 HR 有效的非小细胞肺癌(NSCLC)对 BMN 敏感,联合治疗在较低的 AZA/BMN 剂量下更有效。为了研究潜在的机制,通过 RNAseq 探索了肿瘤免疫微环境和各种基因表达。此外,BMN/PAZA 联合治疗提高了免疫原性,并与 PD-1 抗体协同作用,改善了肺癌(LLC)的原位模型中的整体治疗效果。
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