Yılmaz Emine, Kacaroglu Demet, Ozden Ayse Kevser, Aydogan Nihal
Department of Bioengineering, Graduate School of Science and Engineering, Hacettepe University, 06800 Beytepe, Ankara, Turkey.
Department of Medical Biology, Faculty of Medicine, Lokman Hekim University, Ankara, Turkey.
Int J Pharm. 2025 Jan 25;669:125067. doi: 10.1016/j.ijpharm.2024.125067. Epub 2024 Dec 11.
Pancreatic cancer is predicted to be the second highest cause of cancer deaths by 2030, with a mortality rate of 98 % and a 5-year survival rate of only 4-8 %. FOLFIRINOX which consists of four main ingredients has shown superior efficacy in treating patients with pancreatic cancer compared to other agents and combinations. However, toxicities have prevented full-dose use of FOLFIRINOX. In this study, we present the design of a liposome nanosystem that enables the sequential release of a drug combination that is called FOLFIRINOX using lipid-based nanosystem synergistic chemo/photothermal therapy approaches. The co-eccentric liposome allowed us to locate the drug molecules in different locations giving us the flexibility to release them in a selected order. Core liposome (L2) has a melting temperature of 53.63 °C, it was decorated by gold nanoparticle (L2@AuNP) to bring photothermal responsiveness. The outer liposome structure had a lower melting temperature, which facilitated the sequential release process. The efficacy of photothermal therapy for nanosystem was calculated. The results indicate that coating L2@AuNP nanostructure with L1 liposomes improves efficacy by stabilizing gold nanoparticles. FOLFIRINOX components are encapsulated in a concentric liposome structure according to the order of administration into the body. The concentric liposome structure enables the sequential release of multiple drugs due to the varying phase transition temperatures of the liposomes. The cytotoxic effect of these formulations was evaluated on Panc-1 pancreatic cancer cells; the lowest cell viability was obtained in 4 Liposome(L) under 5 min NIR irradiation. Combination therapy has a higher therapeutic efficacy (70.45 %) when compared to chemotherapy and photothermal therapy used separately. The study's results show the potential of combination therapies to improve therapeutic outcomes, providing a promising path for future research and clinical application.
预计到2030年,胰腺癌将成为癌症死亡的第二大主要原因,死亡率为98%,5年生存率仅为4-8%。由四种主要成分组成的FOLFIRINOX在治疗胰腺癌患者方面已显示出优于其他药物和联合用药的疗效。然而,毒性问题阻碍了FOLFIRINOX的全剂量使用。在本研究中,我们展示了一种脂质体纳米系统的设计,该系统能够使用基于脂质的纳米系统协同化学/光热疗法,实现名为FOLFIRINOX的药物组合的顺序释放。同心脂质体使我们能够将药物分子定位在不同位置,从而灵活地按选定顺序释放它们。核心脂质体(L2)的熔化温度为53.63°C,通过金纳米颗粒(L2@AuNP)进行修饰以赋予光热响应性。外层脂质体结构的熔化温度较低,这有利于顺序释放过程。计算了纳米系统的光热疗法疗效。结果表明,用L1脂质体包被L2@AuNP纳米结构可通过稳定金纳米颗粒提高疗效。FOLFIRINOX成分根据其进入体内的给药顺序封装在同心脂质体结构中。由于脂质体的相变温度不同,同心脂质体结构能够实现多种药物的顺序释放。评估了这些制剂对Panc-1胰腺癌细胞的细胞毒性作用;在5分钟近红外照射下,4脂质体(L)组的细胞活力最低。与单独使用化疗和光热疗法相比,联合疗法具有更高的治疗效果(70.45%)。该研究结果显示了联合疗法改善治疗效果的潜力,为未来的研究和临床应用提供了一条有前景的途径。
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