Luo Tianqi, Fan Zhijin, Zeng Anyu, Wang Anqi, Pan Yuanwei, Xu Yanyang, Chen Hongmin, Chen Weiqing, Nie Dingmeng, Lin Jiaming, Huang Anfei, Gong Ming, Huang Yufeng, Ding Yun, Zhu Xiaojun, Rao Lang, Wang Jin
Department of Musculoskeletal Oncology, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China.
Institute for Engineering Medicine, Kunming Medical University, Kunming, 650500, China.
Adv Sci (Weinh). 2025 Jan;12(2):e2410427. doi: 10.1002/advs.202410427. Epub 2024 Nov 18.
The high heterogeneity and severe side effects of chemotherapy are major factors contributing to the failure of osteosarcoma treatment. Herein, a comprehensive genomic analysis is conducted, and identified two prominent characteristics of osteosarcoma: significant cyclin-dependent kinases 4 (CDK4) amplification and homologous recombination repair deficiency. Based on these findings, a co-delivery system loaded with CDK4/6 inhibitors and poly ADP-ribose polymerase (PARP) inhibitors is designed. By employing metal-organic frameworks (MOFs) as carriers, issue of drug insolubility is effectively addressed, while also enabling controlled release in response to the tumor microenvironment. To enhance targeting capability and biocompatibility, the MOFs are further coated with a bio-membrane targeting B7H3. This targeted biomimetic co-delivery system possesses several key features: 1) it can precisely target osteosarcoma with high B7H3 expression; 2) the combination of CDK4/6 inhibitors and PARP inhibitors exhibits synergistic effects, significantly impairing tumor's DNA repair capacity; and 3) the system has the potential for combination with photodynamic therapy, amplifying DNA repair defects to maximize tumor cell eradication. Furthermore, it is observed that this co-delivery system can activate immune microenvironment, increasing CD8 T cell infiltration and converting osteosarcoma from an immune-cold to an immune-hot tumor. In summary, the co-delivery system is an effective therapeutic strategy and holds promise as a novel approach for osteosarcoma treatment.
化疗的高度异质性和严重副作用是导致骨肉瘤治疗失败的主要因素。在此,我们进行了全面的基因组分析,确定了骨肉瘤的两个突出特征:细胞周期蛋白依赖性激酶4(CDK4)显著扩增和同源重组修复缺陷。基于这些发现,设计了一种负载CDK4/6抑制剂和聚ADP核糖聚合酶(PARP)抑制剂的共递送系统。通过使用金属有机框架(MOF)作为载体,有效解决了药物不溶性问题,同时还能响应肿瘤微环境实现控释。为了增强靶向能力和生物相容性,MOF进一步用靶向生物膜B7H3进行包被。这种靶向仿生共递送系统具有几个关键特性:1)它可以精确靶向高表达B7H3的骨肉瘤;2)CDK4/6抑制剂和PARP抑制剂的联合显示出协同作用,显著损害肿瘤的DNA修复能力;3)该系统具有与光动力疗法联合的潜力,放大DNA修复缺陷以最大限度地根除肿瘤细胞。此外,观察到这种共递送系统可以激活免疫微环境,增加CD8 T细胞浸润,并将骨肉瘤从免疫冷肿瘤转变为免疫热肿瘤。总之,该共递送系统是一种有效的治疗策略,有望成为骨肉瘤治疗的新方法。
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