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线粒体靶向多功能纳米递药系统通过抑制代谢重编程治疗顺铂耐药肺癌

Mitochondria-Targeted Multifunctional Nanoprodrugs by Inhibiting Metabolic Reprogramming for Combating Cisplatin-Resistant Lung Cancer.

机构信息

Jilin University School of Pharmaceutical Sciences, Changchun 130021, China.

Department of Otolaryngology Head and Neck Surgery, The Second Hospital of Jilin University, Changchun 130041, China.

出版信息

ACS Nano. 2024 Aug 13;18(32):21156-21170. doi: 10.1021/acsnano.4c04024. Epub 2024 Aug 1.

Abstract

How to address the resistance of cisplatin (CDDP) has always been a clinical challenge. The resistance mechanism of platinum-based drugs is very complex, including nuclear DNA damage repair, apoptosis escape, and tumor metabolism reprogramming. Tumor cells can switch between mitochondrial oxidative phosphorylation (OXPHOS) and glycolysis and develop resistance to chemotherapy drugs through metabolic variability. In addition, due to the lack of histone protection and a relatively weak damage repair ability, mitochondrial DNA (mtDNA) is more susceptible to damage, which in turn affects mitochondrial OXPHOS and can become a potential target for platinum-based drugs. Therefore, mitochondria, as targets of anticancer drugs, have become a hot topic in tumor resistance research. This study constructed a self-assembled nanotargeted drug delivery system LND-SS-Pt-TPP/HA-CD. β-Cyclodextrin-grafted hydronic acid (HA-CD)-encapsulated prodrug nanoparticles can target CD44 on the tumor surface and further deliver the prodrug to intracellular mitochondria through a triphenylphosphine group (TPP). Disulfide bonds can be selectively degraded by glutathione (GSH) in mitochondria, releasing lonidamine (LND) and the cisplatin prodrug (Pt(IV)). Under the action of GSH and ascorbic acid, Pt(IV) is further reduced to cisplatin (Pt(II)). Cisplatin can cause mtDNA damage, induce mitochondrial dysfunction and mitophagy, and then affect mitochondrial OXPHOS. Meanwhile, LND can reduce the hexokinase II (HK II) level, induce destruction of mitochondria, and block energy supply by glycolysis inhibition. Ultimately, this self-assembled nano targeted delivery system can synergistically kill cisplatin-resistant lung cancer cells, which supplies an overcome cisplatin resistance choice via the disrupt mitochondria therapy.

摘要

如何解决顺铂(CDDP)的耐药性一直是临床面临的挑战。铂类药物的耐药机制非常复杂,包括核 DNA 损伤修复、细胞凋亡逃逸和肿瘤代谢重编程。肿瘤细胞可以通过代谢变异性在线粒体氧化磷酸化(OXPHOS)和糖酵解之间切换,并对化疗药物产生耐药性。此外,由于缺乏组蛋白保护和相对较弱的损伤修复能力,线粒体 DNA(mtDNA)更容易受到损伤,进而影响线粒体 OXPHOS,并可能成为铂类药物的潜在靶点。因此,作为抗癌药物的靶点,线粒体已成为肿瘤耐药研究的热点。本研究构建了一种自组装的纳米靶向药物传递系统 LND-SS-Pt-TPP/HA-CD。β-环糊精接枝水凝胶(HA-CD)包裹的前药纳米粒可以靶向肿瘤表面的 CD44,进一步通过三苯基膦基团(TPP)将前药递送到细胞内的线粒体。二硫键可以被线粒体中的谷胱甘肽(GSH)选择性降解,释放 lonidamine(LND)和顺铂前药(Pt(IV))。在 GSH 和抗坏血酸的作用下,Pt(IV)进一步还原为顺铂(Pt(II))。顺铂可以引起 mtDNA 损伤,诱导线粒体功能障碍和自噬,进而影响线粒体 OXPHOS。同时,LND 可以降低己糖激酶 II(HK II)水平,诱导线粒体破坏,并通过抑制糖酵解阻断能量供应。最终,这种自组装的纳米靶向递药系统可以协同杀死顺铂耐药的肺癌细胞,通过破坏线粒体治疗为克服顺铂耐药提供了一种选择。

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