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用于双模态成像引导的癌症靶向联合治疗的 ROS 响应型纳米探针。

ROS-Responsive Nanoprobes for Bimodal Imaging-Guided Cancer Targeted Combinatorial Therapy.

机构信息

Department of Radiology, Chongqing University Cancer Hospital, Chongqing Key Laboratory for Intelligent Oncology in Breast Cancer (iCQBC), Chongqing, 400030, People's Republic of China.

School of Medicine, Chongqing University, Chongqing, 400030, People's Republic of China.

出版信息

Int J Nanomedicine. 2024 Aug 7;19:8071-8090. doi: 10.2147/IJN.S467512. eCollection 2024.

Abstract

PURPOSE

Chemotherapy mediated by Reactive oxygen species (ROS)-responsive drug delivery systems can potentially mitigate the toxic side effects of chemotherapeutic drugs and significantly enhance their therapeutic efficacy. However, achieving precise targeted drug delivery and real-time control of ROS-responsive drug release at tumor sites remains a formidable challenge. Therefore, this study aimed to describe a ROS-responsive drug delivery system with specific tumor targeting capabilities for mitigating chemotherapy-induced toxicity while enhancing therapeutic efficacy under guidance of Fluorescence (FL) and Magnetic resonance (MR) bimodal imaging.

METHODS

Indocyanine green (ICG), Doxorubicin (DOX) prodrug pB-DOX and Superparamagnetic iron oxide (SPIO, FeO) were encapsulated in poly(lactic-co-glycolic acid) (PLGA) by double emulsification method to prepare ICG/ pB-DOX/ FeO/ PLGA nanoparticles (IBFP NPs). The surface of IBFP NPs was functionalized with mammaglobin antibodies (mAbs) by carbodiimide method to construct the breast cancer-targeting mAbs/ IBFP NPs (MIBFP NPs). Thereafter, FL and MR bimodal imaging ability of MIBFP NPs was evaluated in vitro and in vivo. Finally, the combined photodynamic therapy (PDT) and chemotherapy efficacy evaluation based on MIBFP NPs was studied.

RESULTS

The multifunctional MIBFP NPs exhibited significant targeting efficacy for breast cancer. FL and MR bimodal imaging clearly displayed the distribution of the targeting MIBFP NPs in vivo. Upon near-infrared laser irradiation, the MIBFP NPs loaded with ICG effectively generated ROS for PDT, enabling precise tumor ablation. Simultaneously, it triggered activation of the pB-DOX by cleaving its sensitive moiety, thereby restoring DOX activity and achieving ROS-responsive targeted chemotherapy. Furthermore, the MIBFP NPs combined PDT and chemotherapy to enhance the efficiency of tumor ablation under guidance of bimodal imaging.

CONCLUSION

MIBFP NPs constitute a novel dual-modality imaging-guided drug delivery system for targeted breast cancer therapy and offer precise and controlled combined treatment options.

摘要

目的

通过活性氧(ROS)响应型药物传递系统介导的化疗,可以潜在减轻化疗药物的毒副作用,并显著提高其治疗效果。然而,实现在肿瘤部位的精确靶向药物传递和实时控制 ROS 响应型药物释放仍然是一个巨大的挑战。因此,本研究旨在描述一种具有特定肿瘤靶向能力的 ROS 响应型药物传递系统,以减轻化疗引起的毒性,同时在荧光(FL)和磁共振(MR)双模式成像的指导下增强治疗效果。

方法

采用双乳化法将吲哚菁绿(ICG)、阿霉素(DOX)前药 pB-DOX 和超顺磁性氧化铁(SPIO,FeO)包封在聚乳酸-羟基乙酸共聚物(PLGA)中,制备 ICG/pB-DOX/FeO/PLGA 纳米粒(IBFP NPs)。通过碳二亚胺法将乳腺癌靶向抗体(mAbs)功能化到 IBFP NPs 表面,构建乳腺癌靶向 mAbs/IBFP NPs(MIBFP NPs)。然后,在体外和体内评估 MIBFP NPs 的 FL 和 MR 双模式成像能力。最后,研究了基于 MIBFP NPs 的光动力治疗(PDT)和化疗联合治疗的效果。

结果

多功能 MIBFP NPs 对乳腺癌具有显著的靶向疗效。FL 和 MR 双模式成像清晰显示了靶向 MIBFP NPs 在体内的分布。近红外激光照射下,载有 ICG 的 MIBFP NPs 有效产生 ROS 进行 PDT,实现了精确的肿瘤消融。同时,它通过切割敏感部分激活 pB-DOX,恢复 DOX 活性,并实现 ROS 响应型靶向化疗。此外,MIBFP NPs 联合 PDT 和化疗,在双模式成像引导下增强了肿瘤消融的效率。

结论

MIBFP NPs 构成了一种新型的双模式成像引导的靶向乳腺癌治疗药物传递系统,为精确控制联合治疗提供了新的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b1/11317049/cb6038b87551/IJN-19-8071-g0001.jpg

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