Feng Yuao, Wu Zeliang, Liu Hui, Xu Rong
Department of Pharmacology, School of Basic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Department of Pathophysiology, School of Basic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Int J Biol Macromol. 2025 May;307(Pt 4):142140. doi: 10.1016/j.ijbiomac.2025.142140. Epub 2025 Mar 18.
Triple-negative breast cancer (TNBC) presents a formidable challenge due to its poorest prognosis and limited array of treatment options available. Photodynamic therapy (PDT) has emerged as a potent therapeutic modality to generate intratumoral toxic reactive oxygen species (ROS) in combating refractory triple-negative breast cancer (TNBC). However, its therapeutic efficacy is compromised due to insufficient tumor accumulation and therapeutic resistance. Herein, an "all-in-one" tumor-therapeutic nanomedicine named HA@IR780@KU55933@BSA (HIKB) which integrated photosensitizer IR780 with ATM kinase inhibitor KU55933 was designed to facilitate drug delivery and target specific pathways involved in tumor PDT treatment resistance. Co-delivery of IR780 and KU55933 exacerbated intracellular ROS production, mitochondrial dysfunction and DNA damage to form a potent anti-TNBC therapeutic cyclical feedback loop and then induced pyroptosis and apoptosis of TNBC cells by activating the Caspase3/GSDME signaling pathway and regulating apoptosis-related protein expression, respectively. In vivo evaluations in the TNBC orthotopic xenograft mouse model demonstrated that the designed HIKB NPs could accumulate in tumor tissues and exert synergistic therapeutic effects. Altogether, this study described a self-assembling strategy for constructing an all-in-one nanomedicine that effectively integrates multiple therapeutic modalities to provide a comprehensive and systemic approach to tumor suppression.
三阴性乳腺癌(TNBC)因其预后最差且可用的治疗选择有限而带来了巨大挑战。光动力疗法(PDT)已成为一种有效的治疗方式,可在对抗难治性三阴性乳腺癌(TNBC)时在肿瘤内产生有毒的活性氧(ROS)。然而,由于肿瘤内积聚不足和治疗抗性,其治疗效果受到影响。在此,设计了一种名为HA@IR780@KU55933@BSA(HIKB)的“一体化”肿瘤治疗纳米药物,它将光敏剂IR780与ATM激酶抑制剂KU55933整合在一起,以促进药物递送并靶向参与肿瘤PDT治疗抗性的特定途径。IR780和KU55933的共同递送加剧了细胞内ROS的产生、线粒体功能障碍和DNA损伤,形成了一个强大的抗TNBC治疗循环反馈回路,然后分别通过激活Caspase3/GSDME信号通路和调节凋亡相关蛋白表达来诱导TNBC细胞的焦亡和凋亡。在TNBC原位异种移植小鼠模型中的体内评估表明,所设计的HIKB纳米颗粒可在肿瘤组织中积聚并发挥协同治疗作用。总之,本研究描述了一种自组装策略,用于构建一种一体化纳米药物,该药物有效地整合了多种治疗方式,为肿瘤抑制提供了一种全面且系统的方法。