Arenas-Moreira María, Noblejas-López María Del Mar, Ripoll Consuelo, Moya-López Carmen, Díaz-Tejeiro Cristina, Ocaña Alberto, Martin-Ezama Luis, Bravo Iván, Alonso-Moreno Carlos
Universidad de Castilla-La Mancha, Departamento de Química Inorgánica, orgánica y bioquímica. Facultad de Farmacia-Centro de Innovación en Química Avanzada (ORFEO-CINQA), Unidad nanoDrug, Albacete 02008, Spain.
Experimental Therapeutics in Cancer Unit, Instituto de Investigación Sanitaria San Carlos (IdISSC), Madrid, Spain.
Biomed Pharmacother. 2025 Aug;189:118352. doi: 10.1016/j.biopha.2025.118352. Epub 2025 Jul 12.
PROTAC technology presents promising options for treating various diseases, including cancer. Several PROTAC molecules are currently being tested in clinical trials for metastatic breast cancer and metastatic castration-resistant prostate cancer. Despite this progress, challenges such as poor bioavailability, off-tumor and/or off-target toxicity, and instability in biological environments hinder their therapeutic potential. Enhancing the therapeutic index of PROTACs is crucial, and one promising approach is converting PROTACs into nanomedicines. Cyclin-dependent kinase 9 (CDK9) is a key cell cycle regulator implicated in various cancers. THAL-SNS-032 (THAL), a CDK9 degrader PROTAC, has shown effectiveness in preclinical models, but its clinical translation is limited by on-target off-tumor toxicity. This study aimed to convert THAL into nanomedicines to improve its preclinical profile for breast cancer treatment. To do so, loaded lipid-based nanoparticle formulations (LBNPs) were designed, liposomal formulation (cLIP-THAL), free-cholesterol liposomal formulation (LIP-THAL), and solid-lipid nanoparticles (SLN-THAL). These formulations demonstrated high stability and controlled drug release of THAL, with cLIP-THAL showing the most promising results. Biological assessments on breast cancer cell lines indicated that the nanomedicines were as effective as the free PROTAC in reducing cell viability, with lower toxicity in non-transformed cells. Overall, incorporating THAL-SNS-032 into nanomedicines offers a comprehensive approach with potential benefits in dose optimization, safety, and targeted delivery. These findings support the further development of nanomedicine-based PROTAC therapies for cancer treatment.
蛋白水解靶向嵌合体(PROTAC)技术为治疗包括癌症在内的各种疾病提供了有前景的选择。目前有几种PROTAC分子正在转移性乳腺癌和转移性去势抵抗性前列腺癌的临床试验中进行测试。尽管取得了这一进展,但诸如生物利用度差、肿瘤外和/或脱靶毒性以及在生物环境中的不稳定性等挑战阻碍了它们的治疗潜力。提高PROTAC的治疗指数至关重要,一种有前景的方法是将PROTAC转化为纳米药物。细胞周期蛋白依赖性激酶9(CDK9)是一种与多种癌症相关的关键细胞周期调节因子。THAL-SNS-032(THAL)是一种CDK9降解剂PROTAC,已在临床前模型中显示出有效性,但其临床转化受到靶上肿瘤外毒性的限制。本研究旨在将THAL转化为纳米药物,以改善其用于乳腺癌治疗的临床前特征。为此,设计了负载脂质的纳米颗粒制剂(LBNP)、脂质体制剂(cLIP-THAL)、游离胆固醇脂质体制剂(LIP-THAL)和固体脂质纳米颗粒(SLN-THAL)。这些制剂显示出THAL的高稳定性和可控药物释放,其中cLIP-THAL显示出最有前景的结果。对乳腺癌细胞系的生物学评估表明,纳米药物在降低细胞活力方面与游离PROTAC一样有效,在未转化细胞中的毒性较低。总体而言,将THAL-SNS-032纳入纳米药物提供了一种全面的方法,在剂量优化、安全性和靶向递送方面具有潜在益处。这些发现支持基于纳米药物的PROTAC疗法在癌症治疗中的进一步开发。