Tian Mingzhen, Keshavarz Meysam, Demircali Ali Anil, Han Bing, Yang Guang-Zhong
Institute of Medical Robotics, School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, 200240, China.
The Hamlyn Centre, Institute of Global Health Innovation, Imperial College London, London, South Kensington, SW7 2AZ, UK.
Small. 2025 May;21(18):e2408813. doi: 10.1002/smll.202408813. Epub 2024 Dec 18.
Triple-negative breast cancer (TNBC), characterized by its aggressive metastatic propensity and lack of effective targeted therapeutic options, poses a major challenge in oncological management. A proof-of-concept neoadjuvant strategy aimed at inhibiting TNBC tumor growth and mitigating metastasis through a localized delivery of chemotherapeutics is reported in this paper. This approach addresses the limitations in payload capacity and stimuli responsiveness commonly associated with microrobotics in oncology. A hydrogel-based system is developed for the immobilization of chemotherapeutic agents, subsequently encapsulated within magnetically responsive microrobots. This design leverages external magnetic fields to facilitate the precise navigation and localization of the therapeutic agents directly to the tumor site. The efficacy of this approach is demonstrated in an animal model, in which a significant 14-fold reduction in tumor size and suppression of metastasis to critical organs such as the liver and lungs are observed. Crucially, the drug release mechanism is engineered to be responsive to the tumor microenvironment and is regulated by the overexpression of the enzymatic activity of matrix metalloproteinases (MMP2 and MMP9) in TNBC tumors, triggering the degradation of the hydrogel matrix, leading to controlled release of the immobilized therapeutic drug. This ensures that the therapeutic action is localized, reducing systemic toxicity and enhancing treatment efficacy. These findings suggest that this neoadjuvant approach holds promise for broader applications in other cancer types.
三阴性乳腺癌(TNBC)以其侵袭性转移倾向和缺乏有效的靶向治疗选择为特征,在肿瘤治疗管理中构成了重大挑战。本文报道了一种概念验证性新辅助策略,旨在通过局部递送化疗药物来抑制TNBC肿瘤生长并减轻转移。这种方法解决了肿瘤学中微型机器人通常存在的有效载荷能力和刺激响应性方面的局限性。开发了一种基于水凝胶的系统,用于固定化疗药物,随后将其封装在磁响应微型机器人中。这种设计利用外部磁场促进治疗药物直接精确导航并定位到肿瘤部位。在动物模型中证明了这种方法的有效性,观察到肿瘤大小显著减少了14倍,并抑制了向肝脏和肺等关键器官的转移。至关重要的是,药物释放机制被设计为对肿瘤微环境有响应,并受TNBC肿瘤中基质金属蛋白酶(MMP2和MMP9)酶活性过表达的调节,触发水凝胶基质的降解,从而实现固定治疗药物的控释。这确保了治疗作用的局部性,降低了全身毒性并提高了治疗效果。这些发现表明,这种新辅助方法有望在其他癌症类型中得到更广泛的应用。