Shokri Varniab Zahra, Chang Edwin, Wang Jie, Duwa Ramesh, Suryadevara Vidyani, Wu Wei, Kumar Manoj, Liang Tie, Khatoon Zubeda, Morais Goreti Ribeiro, Falconer Robert, Shi Yifeng, Tikhomirov Grigory, Nernekli Kerem, Pisani Laura Jean, Daldrup-Link Heike Elisabeth
Department of Radiology, Molecular Imaging Program at Stanford (MIPS), Stanford University, 725 Welch Rd, Stanford, CA, 94305-5614, USA.
Stanford Center for Innovation in In Vivo Imaging (SCi3) at Porter, Canary Center for Cancer Early Detection, Stanford University, Stanford, CA, USA.
Sci Rep. 2025 Apr 19;15(1):13540. doi: 10.1038/s41598-025-97775-w.
Matrix metalloproteinase-14 (MMP-14) and Cathepsin-B (Cat-B) are overexpressed in glioblastoma (GBM) and not normal brain, making them promising targets for prodrug activation. We investigated a novel combination therapy using two tumor-enzyme activatable theranostic nanoprobes (TNP): TNP-MMP-14, which disrupts the blood tumor barrier via MMP-14 activation, and TNP-Cat-B, which selectively targets GBM cells through Cat-B activation. We hypothesized that combining TNP-MMP-14 and TNP-Cat-B would enhance TNP tumor accumulation and therapeutic efficacy compared to TNP-Cat-B monotherapy. Thirty NSG mice with luciferase-expressing GBM39 tumors received either TNP-MMP-14 plus TNP-Cat-B, TNP-Cat-B only, or saline. Magnetic resonance imaging (MRI) was conducted pre- and post-treatment, with T2* relaxation times analyzed using a generalized linear model. Histopathological differences were assessed using Kruskal-Wallis and Mann-Whitney tests. A Bonferroni correction was applied to account for multiple comparisons. Combination therapy significantly reduced tumor T2* relaxation times (12.98 ± 4.20 ms) compared to TNP-Cat-B monotherapy (22.49 ± 3.95 ms, p < 0.001). The apoptotic marker caspase-3 was also significantly higher in the combination group (64.46 ± 23.43 vs. 15.93 ± 5.81, p < 0.001). These findings demonstrate the potential of dual-enzyme activatable nanoparticles to enhance GBM treatment by overcoming drug delivery barriers and improving therapeutic efficacy over monotherapy.
基质金属蛋白酶 -14(MMP -14)和组织蛋白酶 B(Cat -B)在胶质母细胞瘤(GBM)中过度表达,而在正常脑组织中不表达,这使得它们成为前药激活的有前景的靶点。我们研究了一种使用两种肿瘤酶激活的诊疗纳米探针(TNP)的新型联合疗法:TNP -MMP -14,其通过激活 MMP -14破坏血脑肿瘤屏障;TNP -Cat -B,其通过激活 Cat -B选择性靶向GBM细胞。我们假设与TNP -Cat -B单药治疗相比,联合使用TNP -MMP -14和TNP -Cat -B会增强TNP在肿瘤中的蓄积和治疗效果。30只患有表达荧光素酶的GBM39肿瘤的NSG小鼠分别接受TNP -MMP -14加TNP -Cat -B、仅TNP -Cat -B或生理盐水治疗。在治疗前后进行磁共振成像(MRI),使用广义线性模型分析T2弛豫时间。使用Kruskal -Wallis和Mann -Whitney检验评估组织病理学差异。应用Bonferroni校正来考虑多重比较。与TNP -Cat -B单药治疗(22.49±3.95毫秒,p<0.001)相比,联合疗法显著降低了肿瘤T2弛豫时间(12.98±4.20毫秒)。联合组中的凋亡标志物半胱天冬酶 -3也显著更高(64.46±23.43对15.93±5.81,p<0.001)。这些发现证明了双酶激活纳米颗粒通过克服药物递送障碍和提高相对于单药治疗的治疗效果来增强GBM治疗的潜力。