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通过靶向递送紫杉醇通过Π-Π叠疊稳定的聚合物微胞,异种移植瘤完全退化

Complete Regression of Xenograft Tumors upon Targeted Delivery of PaclitaxelviaΠ–Π Stacking Stabilized Polymeric Micelles

作者:Yang Shi;Roy van der Meel;Benjamin Theek;Erik Oude Blenke;Ebel H. E. Pieters;Marcel H. A. M. Fens;Josef Ehling;Raymond M. Schiffelers;Gert Storm;Cornelus F. van Nostrum;Twan Lammers;Wim E. Hennink;

关键词:nanomedicine,drug targeting,polymeric micelles,paclitaxel,π−π stacking

DOI:https://doi.org/10.1021/acsnano.5b00929

发表时间:2015年

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摘要

癌症患者使用納米粒載體環紫杉醇(PTX)等納米粒載體的化療治療是復雜的,因為它們具有狹窄的治療指數。聚合物微粒是用於腫瘤靶向交付PTX的有吸引力的納米載體,因為它們可以量身定制地封裝大量親脂性藥物並實現持續的循環動力學。因此,腫瘤中PTX的沉積增加,而健康組織對藥物的暴露減少。然而,許多PTX載荷的微粒配方在循環中受到低穩定性和快速藥物釋放的限制,限制了它們用於全身藥物靶向的適用性。為了克服這些限制,我們開發了PTX載荷的微粒,這些微粒在不使用化學交聯和共價藥物附件的情況下是穩定的。由於PTX與微粒核心中的聚合物鏈的芳香族基之間的π–π堆疊作用,這些微粒具有良好的載荷能力和強大的藥物滯留能力。這些微粒基於甲氧基聚(乙二醇)-b-(N-(2-苯甲酰氧丙基)甲基丙烯酰胺)(mPEG-b-p(HPMAm-Bz))嵌段共聚物,改善了PTX的藥代動力學和生物分佈,顯著增加了PTX在腫瘤中的積累(比Taxol或對照微粒配方增加了超過2000%)。透過使用近紅外標記的微粒和負載物進行的混合μCT-FMT成像確認了改善的生物分佈和腫瘤積累。PTX載荷的微粒在不同劑量下耐受良好,同時在兩種不同的異基因移植模型中(即A431和MDA-MB-468)誘導完全腫瘤消退。因此,我們的研究結果表明,π–π堆疊穩定的聚合物微粒是有望提高高度親脂性藥物對腫瘤的傳遞,並提高其治療指數的載體。


Abstract

Treatment of cancer patients with taxane-based chemotherapeutics, such as paclitaxel (PTX), is complicated by their narrow therapeutic index. Polymeric micelles are attractive nanocarriers for tumor-targeted delivery of PTX, as they can be tailored to encapsulate large amounts of hydrophobic drugs and achiv prolonged circulation kinetics. As a result, PTX deposition in tumors is increased, while drug exposure to healthy tissues is reduced. However, many PTX-loaded micelle formulations suffer from low stability and fast drug release in the circulation, limiting their suitability for systemic drug targeting. To overcome these limitations, we have developed PTX-loaded micelles which are stable without chemical cross-linking and covalent drug attachment. These micelles are characterized by excellent loading capacity and strong drug retention, attributed to π–π stacking interaction between PTX and the aromatic groups of the polymer chains in the micellar core. The micelles are based on methoxy poly(ethylene glycol)-b-(N-(2-benzoyloxypropyl)methacrylamide) (mPEG-b-p(HPMAm-Bz)) block copolymers, which improved the pharmacokinetics and the biodistribution of PTX, and substantially increased PTX tumor accumulation (by more than 2000%; as compared to Taxol or control micellar formulations). Improved biodistribution and tumor accumulation were confirmed by hybrid μCT-FMT imaging using near-infrared labeled micelles and payload. The PTX-loaded micelles were well tolerated at different doses, while they induced complete tumor regression in two different xenograft models (i.e., A431 and MDA-MB-468). Our findings consequently indicate that π–π stacking-stabilized polymeric micelles are promising carriers to improve the delivery of highly hydrophobic drugs to tumors and to increase their therapeutic index.