纳米颗粒靶向突变型 p53 克服非小细胞肺癌的化疗耐药和肿瘤复发。
Nanoparticles targeting mutant p53 overcome chemoresistance and tumor recurrence in non-small cell lung cancer.
机构信息
State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, 210009, China.
Jiangsu Key Laboratory of Druggability of Biopharmaceuticals, China Pharmaceutical University, Nanjing, 210009, China.
出版信息
Nat Commun. 2024 Mar 29;15(1):2759. doi: 10.1038/s41467-024-47080-3.
Non-small cell lung cancer (NSCLC) shows high drug resistance and leads to low survival due to the high level of mutated Tumor Protein p53 (TP53). Cisplatin is a first-line treatment option for NSCLC, and the p53 mutation is a major factor in chemoresistance. We demonstrate that cisplatin chemotherapy increases the risk of TP53 mutations, further contributing to cisplatin resistance. Encouragingly, we find that the combination of cisplatin and fluvastatin can alleviate this problem. Therefore, we synthesize Fluplatin, a prodrug consisting of cisplatin and fluvastatin. Then, Fluplatin self-assembles and is further encapsulated with poly-(ethylene glycol)-phosphoethanolamine (PEG-PE), we obtain Fluplatin@PEG-PE nanoparticles (FP NPs). FP NPs can degrade mutant p53 (mutp53) and efficiently trigger endoplasmic reticulum stress (ERS). In this study, we show that FP NPs relieve the inhibition of cisplatin chemotherapy caused by mutp53, exhibiting highly effective tumor suppression and improving the poor NSCLC prognosis.
非小细胞肺癌 (NSCLC) 由于突变型肿瘤蛋白 p53 (TP53) 水平较高,表现出高药物耐药性,导致生存率较低。顺铂是 NSCLC 的一线治疗选择,而 p53 突变是化疗耐药的主要因素。我们证明顺铂化疗会增加 TP53 突变的风险,进一步导致顺铂耐药。令人鼓舞的是,我们发现顺铂和氟伐他汀的联合使用可以缓解这一问题。因此,我们合成了 Fluplatin,一种由顺铂和氟伐他汀组成的前药。然后,Fluplatin 自组装并进一步用聚(乙二醇)-磷酸乙醇胺 (PEG-PE) 包封,我们得到 Fluplatin@PEG-PE 纳米颗粒 (FP NPs)。FP NPs 可以降解突变型 p53 (mutp53),并有效地引发内质网应激 (ERS)。在本研究中,我们表明 FP NPs 缓解了 mutp53 引起的顺铂化疗抑制作用,表现出高效的肿瘤抑制作用,并改善了 NSCLC 的不良预后。