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谷胱甘肽耗竭纳米疗法增强铁死亡治疗腔面雄激素受体阳性三阴性乳腺癌。

Glutathione-Disrupting Nanotherapeutics Potentiate Ferroptosis for Treating Luminal Androgen Receptor-Positive Triple-Negative Breast Cancer.

机构信息

State Key Laboratory of Drug Research & Center of Pharmaceutics, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China.

School of Pharmacy & Key Laboratory of Smart Drug Delivery (Ministry of Education), Fudan University, Shanghai 201203, China.

出版信息

ACS Nano. 2024 Oct 1;18(39):26585-26599. doi: 10.1021/acsnano.4c04322. Epub 2024 Sep 17.

Abstract

The refractory luminal androgen receptor (LAR) subtype of triple-negative breast cancer (TNBC) patients is challenged by significant resistance to neoadjuvant chemotherapy and increased immunosuppression. Regarding the distinct upregulation of glutathione (GSH) and glutathione peroxidase 4 (GPX4) in LAR TNBC tumors, we herein designed a GSH-depleting phospholipid derivative (BPP) and propose a BPP-based nanotherapeutics of RSL-3 (GDNS), aiming to deplete intracellular GSH and repress GPX4 activity, thereby potentiating ferroptosis for treating LAR-subtype TNBC. GDNS treatment drastically downregulated the expression of GSH and GPX4, resulting in a 33.88-fold enhancement of lipid peroxidation and significant relief of immunosuppression in the 4T1 TNBC model. Moreover, GDNS and its combination with antibody against programed cell death protein 1 (antiPD-1) retarded tumor growth and produced 2.83-fold prolongation of survival in the LAR-positive TNBC model. Therefore, the GSH-disrupting GDNS represents an encouraging strategy to potentiate ferroptosis for treating refractory LAR-subtype TNBC.

摘要

具有难治性管腔雄激素受体 (LAR) 亚型的三阴性乳腺癌 (TNBC) 患者对新辅助化疗具有显著的耐药性,并伴有免疫抑制增加。鉴于 LAR TNBC 肿瘤中谷胱甘肽 (GSH) 和谷胱甘肽过氧化物酶 4 (GPX4) 的明显上调,我们在此设计了一种消耗 GSH 的磷脂衍生物 (BPP),并提出了基于 BPP 的 RSL-3 (GDNS) 纳米治疗药物,旨在消耗细胞内 GSH 并抑制 GPX4 活性,从而增强铁死亡以治疗 LAR 亚型 TNBC。GDNS 治疗可显著下调 GSH 和 GPX4 的表达,使 4T1 TNBC 模型中的脂质过氧化增强 33.88 倍,并显著缓解免疫抑制。此外,GDNS 及其与抗程序性细胞死亡蛋白 1(antiPD-1)抗体的联合治疗可抑制肿瘤生长,并使 LAR 阳性 TNBC 模型的生存延长 2.83 倍。因此,破坏 GSH 的 GDNS 代表了一种有希望的策略,可以增强铁死亡以治疗难治性 LAR 亚型 TNBC。

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