Wang Yaoben, Chen Xiaobin, Chen Zhiyong, Wang Xin, Wang Hancheng, Zhai Huajuan, Ding Jiandong, Yu Lin
State Key Laboratory of Molecular Engineering of Polymers, Department of Macromolecular Science, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, 200438, China.
Bioact Mater. 2024 May 25;39:336-353. doi: 10.1016/j.bioactmat.2024.05.032. eCollection 2024 Sep.
While mild hyperthermia holds great potential in the treatment of solid tumors, the thermal stress-triggered self-repairing autophagy significantly compromises its efficacy. To circumvent this obstacle, an injectable hydrogel (NO-Gel) composed of thermosensitive poly(ethylene glycol)-polypeptide copolymers modified with abundant NO donors on their side chains is developed. Meanwhile, ferrimagnetic ZnFeO magnetic nanoparticles (MNPs) with high magnetic-heat conversion efficiency are synthesized and loaded into NO-Gel to obtain MNPs@NO-Gel. The MNPs@NO-Gel system exhibits a sol-gel transition upon heating, and has the ability to perform multiple magnetic hyperthermia therapy (MHT) after only one administration due to the even distribution and strong immobilization of MNPs in NO-Gel. NO can be continuously liberated from NO-Gel and this process is markedly accelerated by MHT. Additionally, MNPs@NO-Gel maintains its integrity for over one month and the released MNPs are metabolized by the spleen. After a single administration of MNPs@NO-Gel at the tumor site, three mild MHT treatments with similar effects are fulfilled, and the sufficient supply of NO effectively inhibits MHT-induced autophagic flux blocking the formation of autophagosomes and synchronously destroying lysosomes, thereby substantially boosting the efficacy of mild MHT. As a consequence, CT-26 colon tumors are completely eliminated without causing severe side-effects.
虽然轻度热疗在实体瘤治疗中具有巨大潜力,但热应激引发的自我修复自噬显著损害了其疗效。为了克服这一障碍,开发了一种可注射水凝胶(NO-凝胶),它由侧链修饰有大量NO供体的热敏聚(乙二醇)-多肽共聚物组成。同时,合成了具有高磁热转换效率的亚铁磁性ZnFeO磁性纳米颗粒(MNPs)并将其负载到NO-凝胶中以获得MNPs@NO-凝胶。MNPs@NO-凝胶系统在加热时表现出溶胶-凝胶转变,并且由于MNPs在NO-凝胶中的均匀分布和强固定作用,仅一次给药后就具有进行多次磁热疗(MHT)的能力。NO可以从NO-凝胶中持续释放,并且该过程通过MHT明显加速。此外,MNPs@NO-凝胶在一个多月内保持其完整性,释放的MNPs由脾脏代谢。在肿瘤部位单次注射MNPs@NO-凝胶后,完成了三次效果相似的轻度MHT治疗,并且NO的充足供应有效抑制了MHT诱导的自噬流,阻断了自噬体的形成并同步破坏溶酶体,从而显著提高了轻度MHT的疗效。结果,CT-26结肠肿瘤被完全消除,且未引起严重的副作用。