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一种针对结直肠癌原发性肿瘤和淋巴结转移的多阶段药物递送方法。

A multistage drug delivery approach for colorectal primary tumors and lymph node metastases.

作者信息

Yuan Yihang, Lin Quanjun, Feng Hai-Yi, Zhang Yunpeng, Lai Xing, Zhu Mao-Hua, Wang Jue, Shi Jiangpei, Huang Yanhu, Zhang Lele, Lu Qin, Yuan Zeli, Lovell Jonathan F, Chen Hong-Zhuan, Sun Peng, Fang Chao

机构信息

Hongqiao International Institute of Medicine, Tongren Hospital and State Key Laboratory of Systems Medicine for Cancer, Department of Pharmacology and Chemical Biology, Shanghai Jiao Tong University School of Medicine (SJTU-SM), Shanghai, 200025, China.

Department of General Surgery, Tongren Hospital, SJTU-SM, Shanghai, 200336, China.

出版信息

Nat Commun. 2025 Feb 7;16(1):1439. doi: 10.1038/s41467-025-56768-z.

Abstract

The presence of lymph node (LN) metastases guides cancer staging and worsens prognoses. Incomplete lymphadenectomy of metastatic LNs may end up with disease recurrence, while excessive resection can result in increased postoperative complications with even no survival benefit. Thus, effective non-invasive methods to treat metastatic LNs would be highly desirable. Here, we develop an enzyme-responsive formulation of small-sized doxorubicin-loaded mesoporous silica nanoparticles (DMSN, 40 nm) encapsulated in nanoliposomes (DMSN@Pla-Lipo, 160 nm). The liposomal membrane contains 1,2-dipalmitoyl-sn-glycero-3-phospho-rac-(1-glycerol) (DPPG) and 1,2-dipalmitoyl-sn-glycero-3-phosphocholine (DPPC), two phospholipids sensitive to secreted phospholipase A in human colorectal tumors. In an orthotopic colorectal murine tumor model, phospholipase-induced membrane permeabilization triggers the liberation of DMSN from liposomes for enhanced tumor penetration, conferring an enhanced suppression for the primary tumor. Furthermore, through translocation into metastatic LNs via tumor lymphatics, metastatic tumor cells in LNs are eradicated. Metastases to other major organs are also suppressed, which can be ascribed to the inhibition of colorectal cancer metastasis-associated TGF-β, Wnt, and Hippo signaling pathways in metastatic LNs. The treatment confers an 80% 90-day survival rate in this aggressive tumor model. Taken together, this study demonstrates a deliberate treatment approach for management of both primary tumors and metastatic LNs through multistage drug delivery.

摘要

淋巴结(LN)转移的存在会影响癌症分期并恶化预后。转移性淋巴结的不完全淋巴结清扫术可能导致疾病复发,而过度切除则可能导致术后并发症增加,甚至没有生存益处。因此,非常需要有效的非侵入性方法来治疗转移性淋巴结。在此,我们开发了一种酶响应制剂,即负载阿霉素的小尺寸介孔二氧化硅纳米颗粒(DMSN,40纳米)包裹在纳米脂质体中(DMSN@Pla-Lipo,160纳米)。脂质体膜含有1,2-二棕榈酰-sn-甘油-3-磷酸-rac-(1-甘油)(DPPG)和1,2-二棕榈酰-sn-甘油-3-磷酸胆碱(DPPC),这两种磷脂对人结肠直肠癌肿瘤中分泌的磷脂酶A敏感。在原位结肠直肠癌小鼠肿瘤模型中,磷脂酶诱导的膜通透性改变触发了DMSN从脂质体中的释放,以增强肿瘤穿透性,从而增强对原发性肿瘤的抑制作用。此外,通过肿瘤淋巴管转移至转移性淋巴结,淋巴结中的转移性肿瘤细胞被根除。对其他主要器官的转移也有抑制作用,这可归因于转移性淋巴结中与结直肠癌转移相关的TGF-β、Wnt和Hippo信号通路的抑制。在这种侵袭性肿瘤模型中,该治疗方法的90天生存率为80%。综上所述,本研究展示了一种通过多阶段药物递送管理原发性肿瘤和转移性淋巴结的精心设计的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a40a/11806101/3c2fe72a24ac/41467_2025_56768_Fig1_HTML.jpg

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