School of Basic Medical Sciences, Shanxi Medical University, Taiyuan, 030001, People's Republic of China.
Shanxi Province Brain Degenerative Diseases Precision Diagnosis and Treatment Engineering Research Center, Shanxi Medical University, Jinzhong, 030606, People's Republic of China.
Int J Nanomedicine. 2024 Jul 18;19:7307-7321. doi: 10.2147/IJN.S464981. eCollection 2024.
Challenges such as poor drug selectivity, non-target reactivity, and the development of drug resistance continue to pose significant obstacles in the clinical application of cancer therapeutic drugs. To overcome the limitations of drug resistance in chemotherapy, a viable treatment strategy involves designing multifunctional nano-platforms that exploit the unique physicochemical properties of tumor microenvironment (TME).
Herein, layer-by-layer nanoparticles with polyporous CuS as delivery vehicles, loaded with a sonosensitizer (tetra-(4-aminophenyl) porphyrin, TAPP) and sequentially functionalized with pH-responsive CaCO, targeting group hyaluronic acid (HA) were designed and synthesized for synergistic treatment involving chemodynamic therapy (CDT), sonodynamic therapy (SDT), photothermal therapy (PTT), and calcium overload. Upon cleavage in an acidic environment, CaCO nanoparticles released TAPP and Ca, with TAPP generating O under ultrasound trigger. Exposed CuS produced highly cytotoxic ·OH in response to HO and also exhibited a strong PTT effect.
CuS@TAPP-CaCO/HA (CTCH) delivered an enhanced ability to release more Ca under acidic conditions with a pH value of 6.5, which in situ causes damage to HeLa mitochondria. In vitro and in vivo experiments both demonstrated that mitochondrial dysfunction greatly amplified the damage caused by reactive oxygen species (ROS) to tumor, which strongly confirms the synergistic effect between calcium overload and reactive oxygen therapy.
Collectively, the development of CTCH presents a novel therapeutic strategy for tumor treatment by effectively responding to the acidic TME, thus holding significant clinical implications.
在癌症治疗药物的临床应用中,药物选择性差、非靶向反应和耐药性的发展等挑战仍然构成重大障碍。为了克服化疗耐药性的限制,一种可行的治疗策略是设计利用肿瘤微环境(TME)独特物理化学性质的多功能纳米平台。
本文设计并合成了具有层状多孔 CuS 作为载体的纳米粒子,负载声敏剂(四-(4-氨基苯基)卟啉,TAPP),并依次功能化具有 pH 响应性的 CaCO3、靶向基团透明质酸(HA),用于协同治疗,包括化学动力学治疗(CDT)、声动力治疗(SDT)、光热治疗(PTT)和钙超载。在酸性环境中裂解时,CaCO3 纳米颗粒释放 TAPP 和 Ca,TAPP 在超声触发下产生 O。暴露的 CuS 产生高细胞毒性的·OH 以响应 HO,并表现出强烈的 PTT 效应。
CuS@TAPP-CaCO/HA(CTCH)在 pH 值为 6.5 的酸性条件下具有增强的释放更多 Ca 的能力,从而原位破坏 HeLa 线粒体。体外和体内实验均表明,线粒体功能障碍极大地增强了活性氧(ROS)对肿瘤的损伤作用,这充分证实了钙超载和活性氧治疗的协同效应。
总之,CTCH 的开发为有效应对酸性 TME 的肿瘤治疗提供了一种新的治疗策略,具有重要的临床意义。