Shashni Babita, Tran Hao Thi, Vong Long Binh, Chung Ren-Jei, Nagasaki Yukio
Department of Materials Science, Graduate School of Pure and Applied Sciences, University of Tsukuba, Tennoudai 1-1-1, Tsukuba 305-8573, Ibaraki, Japan.
School of Biomedical Engineering, International University, Ho Chi Minh City 700000, Vietnam.
Pharmaceutics. 2025 Jan 2;17(1):50. doi: 10.3390/pharmaceutics17010050.
Orally administered sorafenib has shown limited improvement in overall survival for non-small-cell lung cancer patients, likely due to poor pharmacokinetics and adverse effects, including gastrointestinal toxicity. To address these issues, we developed silica-containing antioxidant nanoparticles (siRNP) as a carrier to enhance the therapeutic efficacy of lipophilic sorafenib. Sorafenib was loaded into siRNP via dialysis (sora@siRNP). The therapeutic efficacy and safety of sora@siRNP (20 and 40 mg-sora/kg) were evaluated in a xenograft mouse model of Lewis lung carcinoma (subcutaneous tumors and experimental metastasis) following oral administration. Crosslinking nanosilica in siRNP improved drug stability, enabling 8.9% sorafenib loading and pH resilience. Oral sora@siRNP exhibited dose-dependent tumor growth suppression by downregulating pMEK, outperforming free sorafenib, which showed inconsistent efficacy likely due to formulation variability. Intestinal damage, a major adverse effect of free sorafenib, was significantly reduced with sora@siRNP, attributed to siRNP's antioxidant property of mitigating oxidative damage. Survival rates in the experimental metastasis model were 66-74% for sorafenib but reached 100% for sora@siRNP, highlighting its superior efficacy and safety. These findings demonstrate that nanosilica-crosslinked antioxidant nanoparticles (siRNP) enhance the stability, delivery efficiency, and safety of lipophilic drugs like sorafenib for oral administration. This platform holds promise for improving therapeutic outcomes in lung cancer while minimizing adverse effects.
口服索拉非尼对非小细胞肺癌患者的总生存期改善有限,这可能是由于其药代动力学不佳以及包括胃肠道毒性在内的不良反应所致。为了解决这些问题,我们开发了含二氧化硅的抗氧化纳米颗粒(siRNP)作为载体,以提高亲脂性索拉非尼的治疗效果。通过透析将索拉非尼载入siRNP(sora@siRNP)。在口服给药后,对Lewis肺癌异种移植小鼠模型(皮下肿瘤和实验性转移)评估了sora@siRNP(20和40mg-索拉非尼/千克)的治疗效果和安全性。siRNP中的交联纳米二氧化硅提高了药物稳定性,使索拉非尼的载药量达到8.9%,并具有pH耐受性。口服sora@siRNP通过下调pMEK表现出剂量依赖性的肿瘤生长抑制作用,优于游离索拉非尼,游离索拉非尼由于制剂变异性,疗效不一致。游离索拉非尼的主要不良反应肠道损伤,在sora@siRNP作用下显著减轻,这归因于siRNP减轻氧化损伤的抗氧化特性。在实验性转移模型中,索拉非尼的生存率为66%-74%,但sora@siRNP的生存率达到100%,突出了其卓越的疗效和安全性。这些发现表明,纳米二氧化硅交联的抗氧化纳米颗粒(siRNP)提高了索拉非尼等亲脂性药物口服给药的稳定性、递送效率和安全性。该平台有望改善肺癌的治疗效果,同时将不良反应降至最低。