多价DR5受体聚集激动剂与组蛋白去乙酰化酶抑制剂联合用于治疗结肠癌。

Combination of multivalent DR5 receptor clustering agonists and histone deacetylase inhibitors for treatment of colon cancer.

作者信息

Li Jiahui, Arnold Jaden, Sima Monika, Al Faruque Hasan, Galang Jacob, Hu-Lieskovan Sophia, Kopeček Jindřich, Yang Jiyuan

机构信息

Center for Controlled Chemical Delivery, University of Utah, Salt Lake City, UT 84112, USA; Department of Molecular Pharmaceutics, University of Utah, Salt Lake City, UT 84112, USA.

Department of Biomedical Engineering, University of Utah, Salt Lake City, UT 84112, USA.

出版信息

J Control Release. 2024 Dec;376:1014-1024. doi: 10.1016/j.jconrel.2024.10.062. Epub 2024 Nov 8.

Abstract

Death Receptor 5 (DR5) targeted therapies offer significant promise due to their pivotal role in mediating the extrinsic pathway of apoptosis. Despite DR5 overexpression in various malignancies and the potential of tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL), clinical applications of anti-DR5 monoclonal antibodies (mAbs) have been hampered by suboptimal outcomes potentially due to lack of receptor clustering. To address the limitation, we developed N-(2-hydroxypropyl)methacrylamide (HPMA) copolymer-based conjugates integrating multiple copies of DR5-targeting peptide (cyclic WDCLDNRIGRRQCVKL; cDR5) to enhance receptor clustering and apoptosis. Three conjugates with variable number of cDR5 were prepared and denoted as P-cDR5 (high valence), P-cDR5 (medium valence) and P-cDR5 (low valence). Our studies in TRAIL-sensitive and resistant cancer cell lines demonstrated that the HPMA copolymer-peptide conjugates (P-cDR5) significantly improved DR5 receptor clustering and induced apoptosis effectively. In TRAIL-sensitive colon cancer cells (COLO205, HCT-116), P-cDR5 showed efficacy comparable to anti-DR5 mAb Drozitumab (DRO), but P-cDR5 outperformed DRO in TRAIL-resistant cells (HT-29), highlighting the importance of efficient receptor clustering. In COLO205 cells P-cDR5 exhibited an IC50 of 94 pM, while P-cDR5 had an even lower IC50 of 15 pM (based on cDR5 equivalent concentration), indicating enhanced potency of the multivalent HPMA copolymer-based system with a flexible polymer backbone in comparison with the IC for TRAIL at 0.12 nM. Combining P-cDR5 with valproic acid, a histone deacetylase inhibitor, resulted in further enhancement of apoptosis inducing efficacy, along with destabilizing mitochondrial membranes and increased sensitivity of TRAIL-resistant cells. These findings suggest that attaching multiple cDR5 peptides to a flexible water-soluble polymer carrier not only overcomes the limitations of previous designs but also offers a promising avenue for treating resistant cancers, pointing toward the need for further preclinical exploration and validation of this innovative strategy.

摘要

死亡受体5(DR5)靶向疗法因其在介导细胞凋亡外源性途径中的关键作用而具有巨大潜力。尽管DR5在多种恶性肿瘤中过表达,且肿瘤坏死因子(TNF)相关凋亡诱导配体(TRAIL)具有潜在作用,但抗DR5单克隆抗体(mAb)的临床应用因可能缺乏受体聚集导致效果欠佳而受到阻碍。为解决这一局限性,我们开发了基于N-(2-羟丙基)甲基丙烯酰胺(HPMA)共聚物的偶联物,其整合了多个靶向DR5的肽段(环化WDCLDNRIGRRQCVKL;cDR5)以增强受体聚集和细胞凋亡。制备了三种具有不同数量cDR5的偶联物,分别标记为P-cDR5(高价)、P-cDR5(中价)和P-cDR5(低价)。我们在对TRAIL敏感和耐药的癌细胞系中的研究表明,HPMA共聚物-肽偶联物(P-cDR5)显著改善了DR5受体聚集并有效诱导了细胞凋亡。在对TRAIL敏感的结肠癌细胞(COLO205、HCT-116)中,P-cDR5显示出与抗DR5单克隆抗体Drozitumab(DRO)相当的疗效,但在对TRAIL耐药的细胞(HT-29)中,P-cDR5的表现优于DRO,突出了有效受体聚集的重要性。在COLO205细胞中,P-cDR5的半数抑制浓度(IC50)为94 pM,而P-cDR5(基于cDR5等效浓度)的IC50甚至更低,为15 pM,这表明与TRAIL的0.12 nM IC相比,具有柔性聚合物主链的多价基于HPMA共聚物的系统效力增强。将P-cDR5与组蛋白去乙酰化酶抑制剂丙戊酸联合使用,可进一步增强细胞凋亡诱导效力,同时使线粒体膜不稳定并增加对TRAIL耐药细胞的敏感性。这些发现表明,将多个cDR5肽段连接到柔性水溶性聚合物载体上不仅克服了先前设计的局限性,还为治疗耐药癌症提供了一条有前景的途径,表明需要对这一创新策略进行进一步的临床前探索和验证。

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