Dual target gene therapy to EML4-ALK NSCLC by a gold nanoshell-based system
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Updated: Feb 10, 2026

Profiling Sensitivity to Targeted Therapies in EGFR-Mutant NSCLC Patient-Derived Organoids
Published on: November 22, 2021
Siwen Li1, Yuxi Liu1, Yalan Rui1
1Department of Biomedical Engineering, School of Engineering, China Pharmaceutical University, 24th Tong Jia street, Nanjing 210009, Jiangsu Province, China.
Abstract:
Although EML4-ALK transforming fusion gene is represented in only 8% of non-small cell lung cancer (NSCLC) cases, its expression is partly responsive for the failure of current NSCLC treatments. Preventing secondary mutation of the ALK protein through direct gene manipulation could overcome NSCLC drug resistance. Method: In this study, we developed a gold nanoshell (HAuNs) drug carrier for delivery and selective photo-thermal release of genes that target ALK and microRNA-301 in NSCLC. Additionally, the densely-coated nanoshell adsorbed high amounts of the positively-charged anticancer drug doxorubicin (DOX), generating an exciting multidimensional treatment strategy that includes gene-, thermal- and chemo- therapy. Results: The ALK mRNA and microRNA-301 genes as the double targets exhibited the combined effect. The drug carrier system significantly improved the drug accumulation in tumor tissues due to the enhanced vascular permeability by photothermal effect, dense spherical structure and RGD peptide modification. In vitro and in vivo results demonstrated the multiple therapeutic effects of the gold nanoshell-based system was better than the monotherapy. Conclusion: The above results indicated the gold nanoshell-based system would be a promising translational nano-formulation platform for effective treatment of EML4-ALK-positive NSCLC.
Insights
This study presents a novel gold nanoshell drug carrier for treating non-small cell lung cancer (NSCLC). The system effectively delivers genes and drugs, offering a promising multidimensional therapy for ALK-positive NSCLC.
Area of Science:
- Biomedical Engineering
- Nanotechnology
- Oncology
Background:
- EML4-ALK fusion gene in 8% of non-small cell lung cancer (NSCLC) contributes to treatment failure.
- Drug resistance in NSCLC can be overcome by targeting secondary mutations in ALK protein.
- Targeting ALK and microRNA-301 offers a novel therapeutic strategy for NSCLC.
Purpose of the Study:
- To develop a gold nanoshell (HAuNs) drug carrier for targeted gene and drug delivery in NSCLC.
- To investigate a multidimensional treatment strategy combining gene therapy, photothermal therapy, and chemotherapy.
- To evaluate the efficacy of a novel nano-formulation for EML4-ALK-positive NSCLC treatment.
Main Methods:
- Development of gold nanoshells for drug and gene delivery.
- Loading of doxorubicin (DOX) onto nanoshells for chemotherapy.
- Selective photo-thermal release of genes targeting ALK and microRNA-301.
- RGD peptide modification for enhanced tumor targeting.
- In vitro and in vivo evaluation of the nanoshell system's therapeutic effects.
Main Results:
- The dual-target gene therapy (ALK mRNA and microRNA-301) showed a combined therapeutic effect.
- The gold nanoshell system enhanced drug accumulation in tumor tissues via photothermal effect and RGD modification.
- Multidimensional therapy using the gold nanoshell system demonstrated superior efficacy compared to monotherapy.
- In vitro and in vivo studies confirmed the effectiveness of the nano-formulation.
Conclusions:
- The developed gold nanoshell-based system is a promising platform for treating EML4-ALK-positive NSCLC.
- This multidimensional approach offers a potential strategy to overcome NSCLC drug resistance.
- The nano-formulation represents a significant advancement in translational nanomedicine for targeted cancer therapy.
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