Research Center of Nano Technology and Application Engineering, The First Dongguan Affiliated Hospital, School of Pharmacy, Guangdong Medical University, Dongguan, 523808, Guangdong, P. R. China.
Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200240, P. R. China.
Biomater Sci. 2024 Jul 9;12(14):3622-3632. doi: 10.1039/d4bm00386a.
Chemodynamic therapy (CDT) has outstanding potential as a combination therapy to treat cancer. However, the effectiveness of CDT in the treatment of solid tumors is limited by the overexpression of glutathione (GSH) in the tumor microenvironment (TME). GSH overexpression diminishes oxidative stress and attenuates chemotherapeutic drug-induced apoptosis in cancer cells. To counter these effects, a synergistic CDT/chemotherapy cancer treatment, involving the use of a multifunctional bioreactor of hollow manganese dioxide (HMnO) loaded with cisplatin (CDDP), was developed. Metal nanoenzymes that can auto-degrade to produce Mn exhibit Fenton-like, GSH-peroxidase-like activity, which effectively depletes GSH in the TME to attenuate the tumor antioxidant capacity. In an acidic environment, Mn catalyzed the decomposition of intra-tumor HO into highly toxic ·OH as a CDT. HMnO with large pores, pore volume, and surface area exhibited a high CDDP loading capacity (>0.6 g). Treatment with CDDP-loaded HMnO increased the intratumor Pt-DNA content, leading to the up-regulation of γ-H2Aχ and an increase in tumor tissue damage. The decreased GSH triggered by HMnO auto-degradation protected Mn-generated ·OH from scavenging to amplify oxidative stress and enhance the efficacy of CDT. The nanoenzymes with encapsulated chemotherapeutic agents deplete GSH and remodel the TME. Thus, tumor CDT/chemotherapy combination therapy is an effective therapeutic strategy.
化学动力学疗法 (CDT) 作为一种联合疗法治疗癌症具有巨大的潜力。然而,CDT 在治疗实体瘤方面的效果受到肿瘤微环境 (TME) 中谷胱甘肽 (GSH) 过表达的限制。GSH 过表达减弱了氧化应激,并减弱了化疗药物诱导癌细胞凋亡的作用。为了克服这些影响,开发了一种协同的 CDT/化疗癌症治疗方法,涉及使用负载顺铂 (CDDP) 的多功能中空二氧化锰 (HMnO) 多功能生物反应器。能够自动降解产生 Mn 的金属纳米酶表现出类 Fenton 和 GSH 过氧化物酶样活性,可有效耗尽 TME 中的 GSH,从而减弱肿瘤的抗氧化能力。在酸性环境中,Mn 催化肿瘤内 HO 分解为具有细胞毒性的·OH,作为 CDT。具有大孔、孔体积和表面积的 HMnO 表现出高 CDDP 负载能力 (>0.6 g)。负载 CDDP 的 HMnO 的治疗增加了肿瘤内 Pt-DNA 含量,导致 γ-H2Aχ 的上调和肿瘤组织损伤的增加。HMnO 自动降解引发的 GSH 减少保护 Mn 生成的·OH 免受清除,从而放大氧化应激并增强 CDT 的疗效。封装化疗药物的纳米酶可耗尽 GSH 并重塑 TME。因此,肿瘤 CDT/化疗联合治疗是一种有效的治疗策略。
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