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1.
Colloids Surf B Biointerfaces ; 244: 114179, 2024 Dec.
Article in English | MEDLINE | ID: mdl-39217727

ABSTRACT

Oral squamous cell carcinoma (OSCC) is highly heterogeneous and aggressive, but therapies based on single-targeted nanoparticles frequently address these tumors as a single illness. To achieve more efficient drug transport, it is crucial to develop nanodrug-carrying systems that simultaneously target two or more cancer biomarkers. In addition, combining chemotherapy with near-infrared (NIR) light-mediated thermotherapy allows the thermal ablation of local malignancies via photothermal therapy (PTT), and triggers drug release to improve chemosensitivity. Thus, a novel dual-targeted nano-loading system, DOX@GO-HA-HN-1 (GHHD), was created for synergistic chemotherapy and PTT by the co-modification of carboxylated graphene oxide (GO) with hyaluronic acid (HA) and HN-1 peptide and loading with the anticancer drug doxorubicin (DOX). Targeted delivery using GHHD was shown to be superior to single-targeted nanoparticle delivery. NIR radiation will encourage the absorption of GHHD by tumor cells and cause the site-specific release of DOX in conjunction with the acidic microenvironment of the tumor. In addition, chemo-photothermal combination therapy for cancer treatment was realized by causing cell apoptosis under the irradiation of 808-nm laser. In summary, the application of GHHD to chemotherapy combined with photothermal therapy for OSCC is shown to have important potential as a means of combatting the low accumulation of single chemotherapeutic agents in tumors and drug resistance generated by single therapeutic means, enhancing therapeutic efficacy.


Subject(s)
Carcinoma, Squamous Cell , Doxorubicin , Drug Delivery Systems , Graphite , Infrared Rays , Mouth Neoplasms , Doxorubicin/pharmacology , Doxorubicin/chemistry , Humans , Mouth Neoplasms/drug therapy , Mouth Neoplasms/pathology , Mouth Neoplasms/therapy , Graphite/chemistry , Carcinoma, Squamous Cell/drug therapy , Carcinoma, Squamous Cell/pathology , Carcinoma, Squamous Cell/therapy , Hydrogen-Ion Concentration , Drug Carriers/chemistry , Nanoparticles/chemistry , Drug Liberation , Animals , Apoptosis/drug effects , Antibiotics, Antineoplastic/pharmacology , Antibiotics, Antineoplastic/chemistry , Antibiotics, Antineoplastic/administration & dosage , Cell Proliferation/drug effects , Photothermal Therapy , Cell Line, Tumor , Drug Screening Assays, Antitumor , Hyaluronic Acid/chemistry , Cell Survival/drug effects , Mice , Particle Size , Surface Properties
2.
Sci Rep ; 14(1): 20929, 2024 09 09.
Article in English | MEDLINE | ID: mdl-39251665

ABSTRACT

Transarterial chemoembolization (TACE) is an image-guided minimally invasive treatment for liver cancer which involves delivery of chemotherapy and embolic material into tumor-supplying arteries to block blood flow to a liver tumor and to deliver chemotherapy directly to the tumor. However, the released drug diffuses only less than a millimeter away from the beads. To enhance the efficacy of TACE, the development of microbubbles electrostatically bound to the surface of drug-eluting beads loaded with different amounts of doxorubicin (0-37.5 mg of Dox/mL of beads) is reported. Up to 400 microbubbles were bound to Dox-loaded beads (70-150 microns). This facilitated ultrasound imaging of the beads and increased the release rate of Dox upon exposure to high intensity focused ultrasound (HIFU). Furthermore, ultrasound exposure (1 MPa peak negative pressure) increased the distance at which Dox could be detected from beads embedded in a tissue-mimicking phantom, compared with a no ultrasound control.


Subject(s)
Chemoembolization, Therapeutic , Doxorubicin , Drug Delivery Systems , Microbubbles , Ultrasonography , Doxorubicin/administration & dosage , Doxorubicin/chemistry , Drug Delivery Systems/methods , Chemoembolization, Therapeutic/methods , Ultrasonography/methods , Humans , Liver Neoplasms/diagnostic imaging , Liver Neoplasms/drug therapy , Liver Neoplasms/therapy , Phantoms, Imaging , Antibiotics, Antineoplastic/administration & dosage , Antibiotics, Antineoplastic/chemistry , Microspheres
3.
Int J Nanomedicine ; 19: 8949-8970, 2024.
Article in English | MEDLINE | ID: mdl-39246424

ABSTRACT

Introduction: RNA interference (RNAi) stands as a widely employed gene interference technology, with small interfering RNA (siRNA) emerging as a promising tool for cancer treatment. However, the inherent limitations of siRNA, such as easy degradation and low bioavailability, hamper its efficacy in cancer therapy. To address these challenges, this study focused on the development of a nanocarrier system (HLM-N@DOX/R) capable of delivering both siRNA and doxorubicin for the treatment of breast cancer. Methods: The study involved a comprehensive investigation into various characteristics of the nanocarrier, including shape, diameter, Fourier transform infrared (FT-IR) spectroscopy, X-ray photoelectron spectroscopy (XPS), encapsulation efficiency, and drug loading. Subsequently, in vitro and in vivo studies were conducted on cytotoxicity, cellular uptake, cellular immunofluorescence, lysosome escape, and mouse tumor models to evaluate the efficacy of the nanocarrier in reversing tumor multidrug resistance and anti-tumor effects. Results: The results showed that HLM-N@DOX/R had a high encapsulation efficiency and drug loading capacity, and exhibited pH/redox dual responsive drug release characteristics. In vitro and in vivo studies showed that HLM-N@DOX/R inhibited the expression of P-gp by 80%, inhibited MDR tumor growth by 71% and eliminated P protein mediated multidrug resistance. Conclusion: In summary, HLM-N holds tremendous potential as an effective and targeted co-delivery system for DOX and P-gp siRNA, offering a promising strategy for overcoming MDR in breast cancer.


Subject(s)
Breast Neoplasms , Doxorubicin , Drug Resistance, Multiple , Drug Resistance, Neoplasm , Liposomes , RNA, Small Interfering , Animals , Doxorubicin/pharmacology , Doxorubicin/chemistry , Doxorubicin/pharmacokinetics , Doxorubicin/administration & dosage , Female , Liposomes/chemistry , Mice , Drug Resistance, Neoplasm/drug effects , Humans , RNA, Small Interfering/administration & dosage , RNA, Small Interfering/chemistry , RNA, Small Interfering/pharmacokinetics , Drug Resistance, Multiple/drug effects , Breast Neoplasms/drug therapy , Cell Line, Tumor , MCF-7 Cells , Mice, Inbred BALB C , Drug Carriers/chemistry , Drug Carriers/pharmacokinetics , Nanoparticles/chemistry , Drug Liberation , Antibiotics, Antineoplastic/pharmacology , Antibiotics, Antineoplastic/chemistry , Antibiotics, Antineoplastic/administration & dosage , Antibiotics, Antineoplastic/pharmacokinetics , Xenograft Model Antitumor Assays
4.
Int J Nanomedicine ; 19: 7799-7816, 2024.
Article in English | MEDLINE | ID: mdl-39099794

ABSTRACT

Background: At present, the few photothermal/chemotherapy studies about retinoblastoma that have been reported are mainly restricted to ectopic models involving subcutaneous implantation. However, eyeball is unique physiological structure, the blood-retina barrier (BRB) hinders the absorption of drug molecules through the systemic route. Moreover, the abundant blood circulation in the fundus accelerates drug metabolism. To uphold the required drug concentration, patients must undergo frequent chemotherapy sessions. Purpose: To address these challenges above, we need to develop a secure and effective drug delivery system (FA-PEG-PDA-DOX) for the fundus. Methods: We offered superior therapeutic efficacy with minimal or no side effects and successfully established orthotopic mouse models. We evaluated cellular uptake performance and targeting efficiency of FA-PEG-PDA-DOX nanosystem and assessed its synergistic antitumor effects in vitro and vivo. Biodistribution assessments were performed to determine the retention time and targeting efficiency of the NPs in vivo. Additionally, safety assessments were conducted. Results: Cell endocytosis rates of the FA-PEG-PDA-DOX+Laser group became 5.23 times that of the DOX group and 2.28 times that of FA-PEG-PDA-DOX group without irradiation. The fluorescence signal of FA-PEG-PDA-DOX persisted for more than 120 hours at the tumor site. The number of tumor cells (17.2%) in the proliferative cycle decreased by 61.6% in the photothermal-chemotherapy group, in contrast to that of the saline control group (78.8%). FA-PEG-PDA-DOX nanoparticles(NPs) exhibited favorable biosafety and high biocompatibility. Conclusion: The dual functional targeted nanosystem, with the effects of DOX and mild-temperature elevation by irradiation, resulted in precise chemo/photothermal therapy in nude mice model.


Subject(s)
Doxorubicin , Indoles , Photothermal Therapy , Polymers , Retinoblastoma , Animals , Retinoblastoma/therapy , Doxorubicin/chemistry , Doxorubicin/pharmacokinetics , Doxorubicin/pharmacology , Doxorubicin/administration & dosage , Mice , Photothermal Therapy/methods , Humans , Indoles/chemistry , Indoles/pharmacokinetics , Indoles/pharmacology , Cell Line, Tumor , Polymers/chemistry , Tissue Distribution , Polyethylene Glycols/chemistry , Polyethylene Glycols/pharmacokinetics , Mice, Nude , Nanoparticles/chemistry , Drug Delivery Systems/methods , Retinal Neoplasms/therapy , Retinal Neoplasms/drug therapy , Mice, Inbred BALB C , Antibiotics, Antineoplastic/pharmacology , Antibiotics, Antineoplastic/chemistry , Antibiotics, Antineoplastic/pharmacokinetics , Antibiotics, Antineoplastic/administration & dosage , Disease Models, Animal , Xenograft Model Antitumor Assays , Nanoparticle Drug Delivery System/chemistry , Nanoparticle Drug Delivery System/pharmacokinetics
5.
Biomacromolecules ; 25(8): 4991-5007, 2024 Aug 12.
Article in English | MEDLINE | ID: mdl-39087761

ABSTRACT

The GPS-Nanoconveyor (MA-NV@DOX-Cas13a) is a targeted nanoplatform designed for the imaging and gene/chemotherapy synergistic treatment of melanoma. It utilizes rolling circle amplification (RCA) products as a scaffold to construct a DNA "Nanoconveyor" (NV), which incorporates a multivalent aptamer (MA) as a "GPS", encapsulates doxorubicin (DOX) in the transporter, and equips it with CRISPR/Cas13a ribonucleoproteins (Cas13a RNP). Carrying MA enhances the ability to recognize the overexpressed receptor nucleolin on B16 cells, enabling targeted imaging and precise delivery of MA-NV@DOX-Cas13a through receptor-mediated endocytosis. The activation of signal transducer and activator of transcription 3 (STAT3) in cancer cells triggers cis-cleavage of CRISPR/Cas13a, initiating its trans-cleavage function. Additionally, deoxyribonuclease I (DNase I) degrades MA-NV, releasing DOX for intracellular imaging and as a chemotherapeutic agent. Experiments demonstrate the superior capabilities of this versatile nanoplatform for cellular imaging and co-treatment while highlighting the advantages of these nanodrug delivery systems in mitigating DOX side effects.


Subject(s)
CRISPR-Cas Systems , Doxorubicin , Doxorubicin/pharmacology , Doxorubicin/chemistry , Doxorubicin/administration & dosage , Animals , Mice , Humans , Aptamers, Nucleotide/chemistry , Nucleic Acid Amplification Techniques/methods , Cell Line, Tumor , Antibiotics, Antineoplastic/pharmacology , Antibiotics, Antineoplastic/administration & dosage , Antibiotics, Antineoplastic/chemistry
6.
Int J Pharm ; 663: 124569, 2024 Sep 30.
Article in English | MEDLINE | ID: mdl-39127172

ABSTRACT

Doxorubicin (Dox) is a broad-spectrum antineoplastic chemotherapeutic agent used in clinical settings, yet it exhibits significant cardiotoxicity, which in severe cases can lead to heart failure. Research indicates that oxidative stress plays a pivotal role in Dox -induced cardiomyocyte injury. Therefore, the application of antioxidants represents an effective strategy to mitigate the cardiotoxic effects of doxorubicin. In preliminary studies, we isolated an antioxidative peptide, PHWWEYRR (8P). This study utilizes a PCM cardiomyocyte-targeting peptide-modified liposome as a carrier to deliver 8P into cardiomyocytes, aiming to prevent Dox-induced cardiac injury through its antioxidative mechanism. The results demonstrated that we prepared the 8P-loaded and PCM-targeting peptide-modified liposome (P-P-8P), which exhibited good dispersibility, encapsulation efficiency, drug loading capacity, and in vitro release, along with myocardial targeting capability. In vitro experiments showed that P-P-8P could prevent oxidative stress injury in H9C2 cells, protect mitochondrial functions, and inhibit cell apoptosis through a mitochondria-dependent pathway. In vivo experiments indicated that P-P-8P could prevent abnormalities in serum biochemical indicators, cardiac dysfunction, and myocardial pathological changes in mice. In conclusion, P-P-8P effectively delivers 8P to cardiomyocytes, offering protection against the cardiotoxic effects of Dox, and holds potential as a future preventative or therapeutic agent for drug-induced cardiomyopathy.


Subject(s)
Antioxidants , Doxorubicin , Liposomes , Myocytes, Cardiac , Oxidative Stress , Doxorubicin/administration & dosage , Animals , Antioxidants/pharmacology , Antioxidants/administration & dosage , Antioxidants/chemistry , Myocytes, Cardiac/drug effects , Myocytes, Cardiac/metabolism , Myocytes, Cardiac/pathology , Oxidative Stress/drug effects , Male , Mice , Cell Line , Apoptosis/drug effects , Cardiotoxicity/prevention & control , Cardiotoxicity/etiology , Rats , Antibiotics, Antineoplastic/administration & dosage , Antibiotics, Antineoplastic/toxicity , Myocardium/pathology , Myocardium/metabolism , Drug Liberation , Drug Delivery Systems , Peptides/administration & dosage , Peptides/pharmacology , Peptides/chemistry
7.
ACS Appl Bio Mater ; 7(9): 6313-6324, 2024 Sep 16.
Article in English | MEDLINE | ID: mdl-39172138

ABSTRACT

Subcutaneous (SC) administration of chemotherapeutics combined with near-infrared (NIR) light activation can effectively target skin tumors by triggering localized drug release and enhancing cytotoxic effects. In this study, we developed NIR-responsive indocyanine green (ICG) and the chemotherapeutic agent doxorubicin (Dox) loaded into gelatin nanoparticles (NPs) for SC delivery in a skin tumor-bearing mouse model. Histological examination (hematoxylin and eosin staining) confirmed the successful delivery and swelling behavior of the Dox/ICG-loaded gelatin NPs at the SC site. In vitro and in vivo experiments demonstrated that NIR activation of the Dox/ICG-loaded gelatin NPs generated significant photothermal heat (48 and 46 °C), leading to targeted drug release and a substantial reduction in skin tumor size (from 15 to 3 mm3). Our findings suggest that this dual-modality approach of SC chemotherapeutic administration and NIR-triggered photothermal therapy can concentrate cytotoxic drugs at the tumor site, offering a promising strategy for improving skin cancer treatment.


Subject(s)
Doxorubicin , Gelatin , Indocyanine Green , Infrared Rays , Materials Testing , Nanoparticles , Skin Neoplasms , Gelatin/chemistry , Doxorubicin/chemistry , Doxorubicin/pharmacology , Doxorubicin/administration & dosage , Animals , Nanoparticles/chemistry , Skin Neoplasms/drug therapy , Skin Neoplasms/pathology , Mice , Indocyanine Green/chemistry , Indocyanine Green/administration & dosage , Indocyanine Green/pharmacology , Particle Size , Biocompatible Materials/chemistry , Biocompatible Materials/pharmacology , Drug Screening Assays, Antitumor , Cell Survival/drug effects , Antineoplastic Agents/chemistry , Antineoplastic Agents/pharmacology , Antineoplastic Agents/administration & dosage , Humans , Antibiotics, Antineoplastic/chemistry , Antibiotics, Antineoplastic/pharmacology , Antibiotics, Antineoplastic/administration & dosage , Cell Proliferation/drug effects , Drug Delivery Systems , Mice, Inbred BALB C , Cell Line, Tumor , Photothermal Therapy , Drug Liberation , Drug Carriers/chemistry , Injections, Subcutaneous
8.
Int J Pharm ; 664: 124638, 2024 Oct 25.
Article in English | MEDLINE | ID: mdl-39187033

ABSTRACT

The fabrications of hollow microcapsules (MCs) with new architecture and ability to incorporate different nanomaterials have received great interest for targeted cancer therapy. Recently, CuS based nanomaterials have been demonstrated to possess the ability to mimic Fenton-like activity in tumor environment and inducing cancer cell apoptosis by generating highly reactive oxygen species (ROS). In this study, we have developed poly(allylamine) hydrochloride (PAH)/dextran sulfate (DS) polyelectrolyte MCs capable of carrying doxorubicin (DOX) for targeted cancer therapy and ultrasound imaging. The electron microscopy investigations showed the formation of polymeric MCs of 3 µm in size with incorporated CuS NRs in their interior structure. The surface modification of MCs with folic acid (FA), and encapsulation of model hydrophilic molecules in MCs was studied by UV-Visible (UV-Vis) spectroscopy, Fourier transform infra-red (FTIR) spectroscopy and confocal laser scanning microscopy. The encapsulation efficiency of DOX was found to be 56 % and the release was found to be linear at pH 5.5 and 7.4 in the absence of ultrasound exposure. The ultrasound exposure resulted in sudden rupture of MCs at 1 MHz and 1 W/cm2 and caused burst release of DOX at both pH conditions. The FA decorated PAH/DS/CuS NR MCs exhibited improved anti-cancer activity against MDA-MB-231 cancer cells due to the synergistic effects of ultrasound mediated burst release of chemotherapeutic drug (DOX), glutathione-stimulated ROS and targeted cancer therapy. Further, the capsules showed better echogenicity than that of control PAH/DS MCs when imaged under medical ultrasound-scanning system. Hence, the MCs demonstrated in this study have huge potential for targeted cancer theranostics by offering an option to image the cancer cells during the treatment period.


Subject(s)
Capsules , Copper , Doxorubicin , Drug Liberation , Nanotubes , Humans , Doxorubicin/administration & dosage , Doxorubicin/pharmacology , Doxorubicin/chemistry , Nanotubes/chemistry , Cell Line, Tumor , Copper/chemistry , Polyelectrolytes/chemistry , Cell Survival/drug effects , Ultrasonography/methods , Dextran Sulfate , Polyamines/chemistry , Antibiotics, Antineoplastic/administration & dosage , Antibiotics, Antineoplastic/pharmacology , Antibiotics, Antineoplastic/chemistry , Reactive Oxygen Species/metabolism , Folic Acid/chemistry , Drug Carriers/chemistry
9.
Int J Pharm ; 664: 124622, 2024 Oct 25.
Article in English | MEDLINE | ID: mdl-39197799

ABSTRACT

Colorectal cancer (CRC) is one of the most common and challenging malignancy that needs some effective and safer chemotherapeutic agents for the treatment. In this study, anticancer agent epirubicin (Epi) was loaded in polymeric polyethylene glycol-polylactic acid-nanoparticles (mPEG-PLA-NPs) coated with a marine anti-cancer non-toxic polysaccharide fucoidan (FC), to achieve a synergistic activity against CRC. The characterization of the NPs revealed that they were spherical, monodispersed, stable, with a negative zeta potential, and exhibited good biocompatibility and controlled release. In vitro anti-cancer activity of the NPs on HCT116 cell line was found to be promising, and corroborated well with in vivo studies involving BALB/C mice injected with C26 murine cancer cells. The outcome of MTT assay demonstrated that IC50 value of free Epi was 3.72 µM, and that of non-coated and coated Epi nano-formulations was 33.67 and 10.19 µM, respectively. Higher tumor regression, better survival and reduced off-side cardiotoxicity were observed when this novel NPs formulation was used to treat tumor-bearing mice. Free FC and Epi treated mice showed 37.73 % and 61.49 % regression in tumor size, whereas there was 79.76 % and 90.34 % tumor regression in mice treated with non-coated Epi NPs and coated Epi NPs, respectively. Therefore, mPEG-PLA-FC-Epi-NPs hold a potential to be used as an effective chemotherapeutic formulation against CRC, since it exhibited better efficacy and lower toxicity.


Subject(s)
Colorectal Neoplasms , Epirubicin , Mice, Inbred BALB C , Nanoparticles , Polyesters , Polyethylene Glycols , Polysaccharides , Animals , Epirubicin/administration & dosage , Epirubicin/chemistry , Epirubicin/pharmacology , Polysaccharides/chemistry , Polysaccharides/administration & dosage , Polysaccharides/pharmacology , Colorectal Neoplasms/drug therapy , Colorectal Neoplasms/pathology , Humans , Nanoparticles/chemistry , Polyethylene Glycols/chemistry , Polyethylene Glycols/administration & dosage , HCT116 Cells , Polyesters/chemistry , Mice , Drug Liberation , Drug Carriers/chemistry , Antibiotics, Antineoplastic/administration & dosage , Antibiotics, Antineoplastic/pharmacology , Antibiotics, Antineoplastic/chemistry , Cell Line, Tumor , Cell Survival/drug effects , Male
10.
Colloids Surf B Biointerfaces ; 244: 114141, 2024 Dec.
Article in English | MEDLINE | ID: mdl-39216444

ABSTRACT

Lung cancer is among most prevalent cancers in the world, in which non-small cell lung cancer (NSCLC) accounts for more than 85 % of all subtypes of lung cancers. NSCLC is often diagnosed at an advanced stage with a high mortality rate. Despite the demonstrated efficacy of chemotherapy in the treatment of NSCLC, the main drawback of current therapy is the lack of an effective drug-targeted delivery system, which may result in undesirable side effects during the clinical treatment. In this study, we construct a "dual-targeting" anti-cancer drug delivery platform by combining superparamagnetic iron oxide nanoparticles (SPIONs) with exosomes derived from NSCLC cells. We successfully promoted the targeted delivery of anti-drug doxorubicin (DOX) at the cellular levels by combining the homing targeted ability of exosomes with the magnetic targeted ability of SPIONs. Moreover, non-small cell lung cancer cell (NCI-h1299) tumor models were established. It was found that exosome-SPIONs (Exo-SPIONs) loaded with DOX exhibited optimal tumor tissue delivery and tumor suppression in the presence of an external magnetic field, and reduced the toxicity of the DOX to normal tissues. The constructed "dual-targeting" anti-cancer drug delivery platform holds promise for targeted chemotherapy for NSCLC.


Subject(s)
Carcinoma, Non-Small-Cell Lung , Doxorubicin , Drug Delivery Systems , Exosomes , Lung Neoplasms , Carcinoma, Non-Small-Cell Lung/drug therapy , Carcinoma, Non-Small-Cell Lung/pathology , Carcinoma, Non-Small-Cell Lung/metabolism , Exosomes/chemistry , Exosomes/metabolism , Humans , Lung Neoplasms/drug therapy , Lung Neoplasms/pathology , Lung Neoplasms/metabolism , Doxorubicin/pharmacology , Doxorubicin/chemistry , Doxorubicin/administration & dosage , Animals , Cell Line, Tumor , Mice , Antibiotics, Antineoplastic/pharmacology , Antibiotics, Antineoplastic/chemistry , Antibiotics, Antineoplastic/administration & dosage , Cell Proliferation/drug effects , Magnetic Iron Oxide Nanoparticles/chemistry , Cell Survival/drug effects , Mice, Nude , Magnetite Nanoparticles/chemistry , Antineoplastic Agents/pharmacology , Antineoplastic Agents/chemistry , Mice, Inbred BALB C , Drug Screening Assays, Antitumor
11.
Korean J Radiol ; 25(8): 715-725, 2024 Aug.
Article in English | MEDLINE | ID: mdl-39109500

ABSTRACT

OBJECTIVE: To evaluate the outcomes of drug-eluting bead transarterial chemoembolization (DEB-TACE) according to the size of the beads for the treatment of small hepatocellular carcinoma (HCC). MATERIALS AND METHODS: This retrospective study included 212 patients with a single HCC ≤5 cm from five tertiary institutions. One hundred and nine patients were treated with 70-150-µm doxorubicin DEBs (group A), and 103 patients received 100-300-µm doxorubicin DEBs (group B). The initial tumor response (assessed between 3 weeks and 2 months after DEB-TACE), time to local tumor progression (TTLTP), restricted mean duration of complete response (RMDCR), rate of complications, incidence of post-embolization syndrome, and length of hospital stay were compared between the two groups. Logistic regression was used to analyze prognostic factors for initial tumor response. RESULTS: The initial objective response rates were 91.7% (100/109) and 84.5% (87/103) for groups A and B, respectively (P = 0.101). In the subgroup analysis of tumors ≤3 cm, the initial objective response rates were 94.6% (53/56) and 78.0% (39/50) for groups A and B, respectively (P = 0.012). There was no significant difference in the TTLTP (median, 23.7 months for group A vs. 19.0 months for group B; P = 0.278 [log-rank], 0.190 [multivariable Cox regression]) or RMDCR at 24 months (11.4 months vs. 8.5 months, respectively; P = 0.088). In the subgroup analysis of tumors >3-cm, the RMDCR at 24 months was significantly longer in group A than in group B (11.8 months vs. 5.7 months, P = 0.024). The incidence of mild bile duct dilatation after DEB-TACE was significantly higher in group B than in group A (5.5% [6/109] vs. 18.4% [19/103], P = 0.003). CONCLUSION: DEB-TACE using 70-150-µm microspheres demonstrated a higher initial objective response rate in ≤3-cm HCCs and a longer RMDCR at 24 months in 3.1-5-cm HCCs compared to larger DEBs (100-300-µm).


Subject(s)
Antibiotics, Antineoplastic , Carcinoma, Hepatocellular , Chemoembolization, Therapeutic , Doxorubicin , Liver Neoplasms , Humans , Carcinoma, Hepatocellular/therapy , Carcinoma, Hepatocellular/diagnostic imaging , Liver Neoplasms/therapy , Liver Neoplasms/diagnostic imaging , Chemoembolization, Therapeutic/methods , Male , Female , Middle Aged , Retrospective Studies , Doxorubicin/administration & dosage , Treatment Outcome , Republic of Korea , Aged , Antibiotics, Antineoplastic/administration & dosage , Microspheres , Adult
12.
Scand J Gastroenterol ; 59(9): 1087-1092, 2024 Sep.
Article in English | MEDLINE | ID: mdl-39154241

ABSTRACT

OBJECTIVE: This study compared the efficacy and safety of the transarterial chemoembolization with CalliSpheres® drug-eluting beads loading with doxorubicin (DEB-TACE) versus conventional lipiodol (cTACE) in patients with unresectable hepatocellular carcinoma (HCC). METHODS: A randomized controlled trial (RCT) was conducted with 144 patients, who were randomly assigned to receive either DEB-TACE with doxorubicin-loaded CalliSpheres® microspheres or cTACE with doxorubicin-lipiodol emulsion. Patients were followed up for 12 months, with assessments at 3 and 12 months posttreatment. The primary endpoint was the clinical response rate (CR), and the secondary endpoints were the overall survival (OS), the progression-free survival (PFS), and the safety profile of the two treatments. RESULTS: The results showed that DEB-TACE was superior to cTACE in terms of CR (50.0% vs 30.6% at 3 months, p = 0.03; 43.1% vs 25.0% at 12 months, p = 0.04), OS (18.2 months vs 14.6 months, p < 0.05), and PFS (7.4 months vs 4.8 months, p < 0.05), and that the safety profile of the two treatments was similar (p > 0.05 for all comparisons). However, the efficacy of DEB-TACE and cTACE varied according to the tumor morphology. DEB-TACE showed better CR rates in patients with nodular tumors, while no significant difference in CR between the two groups in patients with infiltrative tumors. CONCLUSION: DEB-TACE showed superior efficacy to cTACE in terms of CR, OS, and PFS, particularly in patients with nodular tumors, while maintaining a similar safety profile. These findings suggest that tumor morphology could inform treatment decisions for TACE in HCC patients.


Subject(s)
Antibiotics, Antineoplastic , Carcinoma, Hepatocellular , Chemoembolization, Therapeutic , Doxorubicin , Ethiodized Oil , Liver Neoplasms , Microspheres , Humans , Carcinoma, Hepatocellular/drug therapy , Carcinoma, Hepatocellular/pathology , Carcinoma, Hepatocellular/mortality , Liver Neoplasms/drug therapy , Liver Neoplasms/pathology , Liver Neoplasms/mortality , Doxorubicin/administration & dosage , Male , Chemoembolization, Therapeutic/methods , Female , Middle Aged , Aged , Ethiodized Oil/administration & dosage , Antibiotics, Antineoplastic/administration & dosage , Antibiotics, Antineoplastic/therapeutic use , Adult , Treatment Outcome , Progression-Free Survival
13.
Drug Dev Res ; 85(6): e22253, 2024 Sep.
Article in English | MEDLINE | ID: mdl-39207174

ABSTRACT

Vesicular nanosystems are a cornerstone to the contemporary drug delivery paradigm owing to their ability to encapsulate a variety of drug molecules, which improves the overall pharmacokinetics and bioavailability of the cargo drug. These systems have proven potential in the delivery of hydrophobic chemotherapeutic "Doxorubicin" (DOX), which faces frequent challenge relating to its nonspecific interactions, dose-limiting toxicity (myelosuppression being the most common manifestation), and short half-life (distribution half-life of 5 min, terminal half-life of 20-48 h), which limit its overall clinical effectiveness. "Smart" nanomicelles with stimuli-responsive linkages take advantage of tumor microenvironment for deploying the cargo drug at the target site, which prevents nonspecific distribution and, hence, low toxicity. Similarly, those with stealth properties evade protein response, which triggers the immunogenic response. The nanomicelles co-loaded with magnetic nanoparticles provide additional utility such as contrast enhancement agents in theranostics. Overall, the starch-based nanomicelles prove to be an excellent delivery system for overcoming the limitations associated with the conventional DOX delivery regime.


Subject(s)
Doxorubicin , Drug Delivery Systems , Micelles , Starch , Doxorubicin/administration & dosage , Doxorubicin/chemistry , Doxorubicin/pharmacokinetics , Humans , Animals , Starch/chemistry , Starch/administration & dosage , Nanoparticles/chemistry , Antibiotics, Antineoplastic/administration & dosage , Antibiotics, Antineoplastic/pharmacokinetics , Antibiotics, Antineoplastic/chemistry , Drug Carriers/chemistry
14.
Int J Pharm ; 662: 124487, 2024 Sep 05.
Article in English | MEDLINE | ID: mdl-39029634

ABSTRACT

In the current study, a tumor microenvironment responsive (TME-responsive) copper peroxide-mesoporous silica core-shell structure with H2O2 self-supplying ability was fabricated for targeted ferroptosis/chemotherapy against metastatic breast cancer. At the first stage, copper peroxide nanodot was synthesized and subsequently coated with mesoporous organosilica shell. After (3-Aminopropyl) triethoxysilane (APTMS) functionalization of the organosilica shell, doxorubicin (DOX) was loaded in the mesoporous structure of the nanoparticles and then, heterofunctional COOH-PEG-Maleimide was decorated on the surface through EDC/NHS chemistry. Afterward, thiol-functionalized AS1411 aptamer was conjugated to the maleimide groups of the PEGylated nanoparticles. In vitro study illustrated ROS generation of the system in the treated 4 T1 cell. Cellular uptake and cytotoxicity experiments showed enhanced internalization and cytotoxicity of the targeted system comparing to non-targeted one. The in vivo study on ectopic 4 T1 tumor induced in Female BALB/c mice showed ideal therapeutic effect of Apt-PEG-Silica-DOT@DOX with approximately 90 % tumor suppression in comparison with 50 % and 25 % tumor suppression for PEG-Silica-DOT@DOX and PEG-Silica-DOT. Moreover, Apt-PEG-Silica-DOT@DOX provide favorable characteristics for biosafety issues concerning the rate of survival and loss of body weight. The prepared platform could serve as a multifunctional system with smart behavior in drug release, tumor accumulation and capable for ferroptosis/chemotherapy against breast cancer.


Subject(s)
Breast Neoplasms , Doxorubicin , Ferroptosis , Mice, Inbred BALB C , Nanoparticles , Silicon Dioxide , Animals , Female , Doxorubicin/administration & dosage , Doxorubicin/pharmacology , Ferroptosis/drug effects , Silicon Dioxide/chemistry , Silicon Dioxide/administration & dosage , Breast Neoplasms/drug therapy , Breast Neoplasms/pathology , Nanoparticles/administration & dosage , Nanoparticles/chemistry , Cell Line, Tumor , Mice , Polyethylene Glycols/chemistry , Polyethylene Glycols/administration & dosage , Antibiotics, Antineoplastic/administration & dosage , Antibiotics, Antineoplastic/pharmacokinetics , Humans , Porosity , Peroxides/chemistry , Peroxides/administration & dosage , Silanes/chemistry , Silanes/administration & dosage , Drug Carriers/chemistry , Tumor Microenvironment/drug effects , Copper/chemistry , Copper/administration & dosage , Propylamines/chemistry , Propylamines/administration & dosage
15.
Biomed Pharmacother ; 178: 117185, 2024 Sep.
Article in English | MEDLINE | ID: mdl-39053429

ABSTRACT

Chemotherapy is the main treatment for bladder cancer, but drug resistance and side effects limit its application and therapeutic effect. Herein, we constructed doxorubicin (DOX)/COOH-mesoporous silica nanoparticle/polyethylenimine (PEI)/nucleic acid chimeras (DOX/MSN/Chimeras) to reduce the toxicity of chemotherapy drugs and the resistance of bladder cancer cells. Transmission electron microscopy showed that PEI was coated on the DOX/MSN/BSA nanoparticles with a diameter of about 150 nm. DOX/MSN/PEI could control DOX release for over 48 h, and the sudden release rate was significantly lower than DOX/MSN. Immunohistochemical results showed that DOX/MSN/Chimera specifically bound to bladder cancer cells, and markedly inhibited PI3K expression and proliferation of DOX-resistant bladder cancer cells. DOX/MSN/Chimera promoted the apoptosis of drug-resistant bladder cancer cells, which was superior to DOX/MSN/Aptamer or DOX/MSN. We further carried out animal experiments and found that DOX/MSN/Chimera could reduce the volume of transplanted tumors in vivo. Compared with DOX/MSN/Aptamer group, the proliferation rate was significantly decreased and the proportion of apoptotic cells was highly increased. Through the histological observation of kidneys and lungs, we believed that DOX/MSN/Chimera can effectively reduce the damage of chemotherapy drugs to normal tissues. In conclusion, we constructed a COOH-MSN/nucleic acid chimera conjugate for the targeted delivery of siRNA and anti-cancer drugs. Our study provides a new method for personalized and targeted treatment of drug-resistant bladder cancer.


Subject(s)
Doxorubicin , Drug Resistance, Neoplasm , Mice, Nude , Nanoparticles , RNA, Small Interfering , Silicon Dioxide , Urinary Bladder Neoplasms , Urinary Bladder Neoplasms/drug therapy , Urinary Bladder Neoplasms/pathology , Urinary Bladder Neoplasms/genetics , Doxorubicin/pharmacology , Doxorubicin/administration & dosage , Silicon Dioxide/chemistry , Animals , Drug Resistance, Neoplasm/drug effects , Humans , Nanoparticles/chemistry , Cell Line, Tumor , RNA, Small Interfering/administration & dosage , RNA, Small Interfering/pharmacology , Porosity , Mice , Apoptosis/drug effects , Mice, Inbred BALB C , Nucleic Acids/administration & dosage , Polyethyleneimine/chemistry , Xenograft Model Antitumor Assays , Drug Carriers/chemistry , Cell Proliferation/drug effects , Drug Delivery Systems/methods , Antibiotics, Antineoplastic/pharmacology , Antibiotics, Antineoplastic/administration & dosage
16.
J Mol Model ; 30(8): 261, 2024 Jul 10.
Article in English | MEDLINE | ID: mdl-38985223

ABSTRACT

CONTEXT: Multiwalled carbon nanotubes (MWCNTs) functionalized with lysine via 1,3-dipolar cycloaddition and conjugated to galactose or mannose are potential nanocarriers that can effectively bind to the lectin receptor in MDA-MB-231 or MCF-7 breast cancer cells. In this work, a method based on molecular dynamics (MD) simulation was used to predict the interaction of these functionalized MWCNTs with doxorubicin and obtain structural evidence that allows a better understanding of the drug loading and release process. The MD simulations showed that while doxorubicin only interacted with pristine MWCNTs through π-π stacking interactions, functionalized MWCNTs were also able to establish hydrogen bonds, suggesting that the functionalized groups improve doxorubicin loading. Moreover, the elevated adsorption levels observed for functionalized nanotubes further support this enhancement in loading efficiency. MD simulations also shed light on the intratumoral pH-specific release of doxorubicin from functionalized MWCNTs, which is induced by protonation of the daunosamine moiety. The simulations show that this change in protonation leads to a lower absorption of doxorubicin to the MWCNTs. The MD studies were then experimentally validated, where functionalized MWCNTs showed improved dispersion in aqueous medium compared to pristine MWCNTs and, in agreement with the computational predictions, increased drug loading capacity. Doxorubicin-loaded functionalized MWCNTs demonstrated specific release of doxorubicin in tumor microenvironment (pH = 5.0) with negligible release in the physiological pH (pH = 7.4). Furthermore, doxorubicin-free MWNCT nanoformulations exhibited insignificant cytotoxicity. The experimental studies yielded nearly identical results to the MD studies, underlining the usefulness of the method. Our functionalized MWCNTs represent promising non-toxic nanoplatforms with enhanced aqueous dispersibility and the potential for conjugation with ligands for targeted delivery of anti-cancer drugs to breast cancer cells. METHODS: The computational model of a pristine carbon nanotube was created with the buildCstruct 1.2 Python script. The lysinated functionalized groups were added with PyMOL and VMD. The carbon nanotubes and doxorubicin molecules were parameterized using the general AMBER force field, and RESP charges were determined using Gaussian 09. Molecular dynamics simulations were carried out with the AMBER 20 software package. Adsorption levels were calculated using the water-shell function of cpptraj. Cytotoxicity was evaluated via a MTT assay using MDA-MB-231 and MCF-7 breast cancer cells. Drug uptake of doxorubicin and doxorubicin-loaded MWCNTs was measured by fluorescence microscopy.


Subject(s)
Doxorubicin , Molecular Dynamics Simulation , Nanotubes, Carbon , Doxorubicin/chemistry , Doxorubicin/pharmacology , Doxorubicin/administration & dosage , Nanotubes, Carbon/chemistry , Humans , Lysine/chemistry , Drug Carriers/chemistry , MCF-7 Cells , Drug Delivery Systems , Drug Liberation , Cell Line, Tumor , Antibiotics, Antineoplastic/chemistry , Antibiotics, Antineoplastic/pharmacology , Antibiotics, Antineoplastic/administration & dosage
17.
Bioconjug Chem ; 35(8): 1207-1217, 2024 Aug 21.
Article in English | MEDLINE | ID: mdl-38989881

ABSTRACT

In this study, maleic anhydride-modified lignin (LG-M), a ROS-cleavable thioketal (TK) bond, and polyethylene glycol (PEG) were used to synthesize a lignin-based copolymer (LG-M(TK)-PEG). Doxorubicin (DOX) was attached to the ROS-cleavable bond in the LG-M(TK)-PEG for the preparation of the ROS-activatable DOX prodrug (LG-M(TK-DOX)-PEG). Nanoparticles (NPs) with a size of 125.7 ± 3.1 nm were prepared by using LG-M(TK-DOX)-PEG, and they exhibited enhanced uptake by cancer cells compared to free DOX. Notably, the presence of lignin in the nanoparticles could boost ROS production in breast cancer 4T1 cells while showing little effect on L929 normal cells. This selective effect facilitated the specific activation of the DOX prodrug in the tumor microenvironment, resulting in the superior tumor inhibitory effects and enhanced biosafety relative to free DOX. This work demonstrates the potential of the LG-M(TK-DOX)-PEG NPs as an efficient drug delivery system for cancer treatment.


Subject(s)
Doxorubicin , Drug Liberation , Lignin , Nanoparticles , Oxidative Stress , Polyethylene Glycols , Reactive Oxygen Species , Doxorubicin/pharmacology , Doxorubicin/chemistry , Doxorubicin/administration & dosage , Lignin/chemistry , Nanoparticles/chemistry , Reactive Oxygen Species/metabolism , Animals , Oxidative Stress/drug effects , Cell Line, Tumor , Mice , Polyethylene Glycols/chemistry , Prodrugs/chemistry , Prodrugs/pharmacology , Female , Humans , Drug Carriers/chemistry , Antibiotics, Antineoplastic/pharmacology , Antibiotics, Antineoplastic/administration & dosage , Antibiotics, Antineoplastic/pharmacokinetics , Antibiotics, Antineoplastic/chemistry , Maleic Anhydrides/chemistry
18.
Sci Rep ; 14(1): 17361, 2024 07 29.
Article in English | MEDLINE | ID: mdl-39075095

ABSTRACT

Electrochemotherapy (ECT) combines the reversible electroporation (rEP) with intravenous (i.v.) or intratumoral (i.t.) administration of chemotherapeutic drugs. We conducted this study to compare the efficacy of i.v., i.t., and i.v. + i.t. injection of bleomycin (BLM) in ECT treatment of colorectal hepatic metastases in a rat model. WAG/Rij rats were randomized into three groups and underwent ECT with i.v., i.t., or i.v. + i.t. injection of BLM. Tumor volumes and oxygenation were measured by means of ultrasound and photoacoustic imaging. Moreover, liver and tumor tissue were analyzed by histology and immunohistochemistry. The i.v. and i.v. + i.t. groups exhibited a 44.0% and 46.6% reduction in oxygen saturation of the tumor tissue when compared to pretreatment values, whereas the i.t. group only showed a reduction of 35.2%. The extent of tumor tissue necrosis did not statistically differ between the groups. However, the i.t. group showed a tendency towards a lower necrosis rate. Cell proliferation, apoptotic cell death, vascularization, and immune cell infiltration were comparable in the treated tumors of the three groups. ECT with i.v. administration of BLM should be preferred in clinical practice, as the combined i.v. + i.t. therapy did not show superior oncological outcomes in the present study.


Subject(s)
Bleomycin , Colorectal Neoplasms , Electrochemotherapy , Liver Neoplasms , Animals , Bleomycin/administration & dosage , Electrochemotherapy/methods , Colorectal Neoplasms/pathology , Colorectal Neoplasms/drug therapy , Rats , Liver Neoplasms/secondary , Liver Neoplasms/drug therapy , Disease Models, Animal , Antibiotics, Antineoplastic/administration & dosage , Male , Administration, Intravenous , Combined Modality Therapy , Injections, Intralesional
19.
Nanomedicine (Lond) ; 19(14): 1297-1311, 2024.
Article in English | MEDLINE | ID: mdl-39046514

ABSTRACT

Aim: To develop a robust drug-delivery system using multi-arm amphiphilic block copolymers for enhanced efficacy in cancer therapy. Materials & methods: Two series of amphiphilic polymer micelles, PEG-b-PCLm and PEG-b-PCLm/TPGS, were synthesized. Doxorubicin (DOX) loading into the micelles was achieved via solvent dialysis. Results: The micelles displayed excellent biocompatibility, narrow size distribution, and uniform morphology. DOX-loaded micelles exhibited enhanced antitumor efficacy and increased drug accumulation at tumor sites compared with free DOX. Additionally, 4A-PEG47-b-PCL21/TPGS micelles effectively suppressed drug-resistant MCF-7/ADR cells. Conclusion: This study introduces a novel micelle formulation with exceptional serum stability and efficacy against drug resistance, promising for cancer therapy. It highlights innovative strategies for refining clinical translation and ensuring sustained efficacy and safety in vivo.


[Box: see text].


Subject(s)
Doxorubicin , Drug Resistance, Neoplasm , Micelles , Polyethylene Glycols , Doxorubicin/pharmacology , Doxorubicin/chemistry , Humans , Drug Resistance, Neoplasm/drug effects , Polyethylene Glycols/chemistry , Animals , MCF-7 Cells , Drug Carriers/chemistry , Mice , Vitamin E/chemistry , Vitamin E/pharmacology , Female , Mice, Inbred BALB C , Polymers/chemistry , Mice, Nude , Antibiotics, Antineoplastic/pharmacology , Antibiotics, Antineoplastic/chemistry , Antibiotics, Antineoplastic/administration & dosage , Polyesters/chemistry , Drug Delivery Systems , Cell Survival/drug effects
20.
Biomacromolecules ; 25(8): 4697-4714, 2024 Aug 12.
Article in English | MEDLINE | ID: mdl-38995854

ABSTRACT

Stimulating the release of small nanoparticles (NPs) from a larger NP via the application of an exogenous stimulus offers the potential to address the different size requirements for circulation versus penetration that hinder chemotherapeutic drug delivery. Herein, we report a size-switching nanoassembly-based drug delivery system comprised of ultrasmall starch nanoparticles (SNPs, ∼20-50 nm major size fraction) encapsulated in a poly(oligo(ethylene glycol) methyl ether methacrylate) nanogel (POEGMA, ∼150 nm major size fraction) cross-linked via supramolecular PEG/α-cyclodextrin (α-CD) interactions. Upon heating the nanogel using a non-invasive, high-intensity focused ultrasound (HIFU) trigger, the thermoresponsive POEGMA-CD nanoassemblies are locally de-cross-linked, inducing in situ release of the highly penetrative drug-loaded SNPs. HIFU triggering increased the release of nanoassembly-loaded DOX from 17 to 37% after 3 h, a result correlated with significantly more effective tumor killing relative to nanoassemblies in the absence of HIFU or drug alone. Furthermore, 1.5× more total fluorescence was observed inside a tumor spheroid when nanoassemblies prepared with fluorophore-labeled SNPs were triggered with HIFU relative to the absence of HIFU. We anticipate this strategy holds promise for delivering tunable doses of chemotherapeutic drugs both at and within a tumor site using a non-invasive triggering approach.


Subject(s)
Doxorubicin , Polyethylene Glycols , Humans , Polyethylene Glycols/chemistry , Doxorubicin/chemistry , Doxorubicin/pharmacology , Doxorubicin/administration & dosage , Nanogels/chemistry , Nanoparticles/chemistry , alpha-Cyclodextrins/chemistry , Drug Delivery Systems/methods , Antibiotics, Antineoplastic/chemistry , Antibiotics, Antineoplastic/administration & dosage , Antibiotics, Antineoplastic/pharmacology , Animals , Drug Carriers/chemistry , Cell Line, Tumor , Polyethyleneimine/chemistry
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