用白蛋白包裹的铂(IV)阻断铜转运蛋白依赖性药物外排以协同增强化学免疫疗法。

Blocking copper transporter protein-dependent drug efflux with albumin-encapsulated Pt(IV) for synergistically enhanced chemo-immunotherapy.

作者信息

Fang Man, Cao Lei, Zhang Zhao, Yu Zhen, Shen Yue, Chen Jieqi, Chen Juan, Li Yue-Qin, Liu Zhaoqian, Meng Yingcai, Xiao Haihua, Qu Qiang, Yin Ji-Ye, Li Xiang-Ping

机构信息

Department of Pharmacy, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, P. R. China.

National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, 410008, P. R. China.

出版信息

J Nanobiotechnology. 2025 Mar 18;23(1):217. doi: 10.1186/s12951-025-03310-4.

Abstract

Non-small cell lung cancer (NSCLC) represents the most prevalent form of lung cancer, exerting a substantial impact on global health. Cisplatin-based chemotherapy is the standard treatment for NSCLC, but resistance and severe side effects present significant clinical challenges. Recently, novel tetravalent platinum compounds have attracted significant interest. While numerous studies concentrate on their functional modifications and targeted delivery, tumor-induced platinum resistance is frequently overlooked. Previous tetravalent platinum compound demonstrated antitumor activity, yet proved ineffective against cells exhibiting resistance to cisplatin. In order to enhance the efficacy and potential applications of tetravalent platinum in NSCLC, a glutathione (GSH)-responsive albumin nanoquadrivalent platinum (HSA@Pt) have been constructed. In light of previous research into drug conjugation, this study was to develop a combined chemo-immunotherapy approach. The HSA@Pt demonstrated high efficacy and low toxicity, with targeted tumor accumulation. Furthermore, Ammonium Tetrathiomolybdate (TM) has been demonstrated to exert a synergistic inhibitory effect on ATPase Copper Transporting Beta (ATP7B) and Programmed Death Ligand 1 (PD-L1), impede platinum efflux, induce cellular stress, and activate antitumor immunity. The findings suggest HSA@Pt's potential for clinical use and a novel chemo-immunotherapy strategy for NSCLC, enhancing the utility of established drugs through synergistic sensitization.

摘要

非小细胞肺癌(NSCLC)是最常见的肺癌形式,对全球健康产生重大影响。基于顺铂的化疗是NSCLC的标准治疗方法,但耐药性和严重的副作用带来了重大的临床挑战。最近,新型四价铂化合物引起了广泛关注。虽然许多研究集中在它们的功能修饰和靶向递送,但肿瘤诱导的铂耐药性常常被忽视。先前的四价铂化合物显示出抗肿瘤活性,但对表现出对顺铂耐药的细胞无效。为了提高四价铂在NSCLC中的疗效和潜在应用,构建了一种谷胱甘肽(GSH)响应性白蛋白纳米四价铂(HSA@Pt)。鉴于先前对药物偶联的研究,本研究旨在开发一种联合化学免疫治疗方法。HSA@Pt显示出高效低毒,并具有靶向肿瘤蓄积作用。此外,四硫代钼酸铵(TM)已被证明对ATP酶铜转运β(ATP7B)和程序性死亡配体1(PD-L1)具有协同抑制作用,阻碍铂流出,诱导细胞应激,并激活抗肿瘤免疫。研究结果表明HSA@Pt具有临床应用潜力,为NSCLC提供了一种新的化学免疫治疗策略,通过协同致敏增强了现有药物的效用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/585d/11917112/6dbd12c7f049/12951_2025_3310_Sch1_HTML.jpg

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