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Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
Published on: February 6, 2019
An extracellular pH-driven targeted multifunctional manganese arsenite delivery system for tumor imaging and therapy
Ke Zhang1, Hongyu Lin, Junjie Mao
1Center for Interventional Medicine, Guangdong Provincial Key Laboratory of Biomedical Imaging, and Guangdong Provincial Engineering Research Center of Molecular Imaging, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, Guangdong 519000, China. lidan25@mail.sysu.edu.cn zhoub2@mail.sysu.edu.cn.
Abstract:
Expanding the use of arsenic trioxide (ATO, As2O3) in cancer chemotherapy has received extensive attention in recent years owing to its remarkable efficacy in treating acute promyelocytic leukemia (APL). To date, the use of ATO for clinical treatment of solid tumors is still limited by its poor biocompatibility and severe toxic side effects. To address these limitations, here we developed a pH-low insertion peptide (pHLIP) modified ATO-based multifunctional drug-delivery system (DDS), which is termed MnAs@SiO2-pHLIP. With the coating of pHLIP, MnAs@SiO2-pHLIP could efficiently target the acidic tumor microenvironment, resulting in high intracellular accumulation of the DDS. As a "smart" nanoparticle (NP) platform, the DDS could controllably discharge the loaded ATO in response to acidic environments, which promotes the apoptosis of cancer cells. The features of controlled release capacity and the outstanding targeting ability contribute to better anticancer efficacy and less toxicity towards normal tissues compared with free ATO. It is worth noting that the acidic tumor microenvironment would also trigger the release of manganese ions (Mn2+) that brighten the T1 signal, which is exploited for real-time monitoring via contrast-enhanced magnetic resonance imaging (MRI). These multifunctional features, as demonstrated by both in vitro and in vivo experiments, could potentially expand the use of ATO to the treatment of solid tumors. We believe that MnAs@SiO2-pHLIP could serve as an auspicious agent for cancer theranostics and find tremendous applications in cancer management.
Insights
This study introduces a novel nanoparticle system (MnAs@SiO2-pHLIP) that improves arsenic trioxide (ATO) delivery for solid tumors. The system targets acidic tumor environments, enhancing efficacy and reducing side effects for better cancer theranostics.
Area of Science:
- Biomedical Engineering
- Nanotechnology
- Oncology
Background:
- Arsenic trioxide (ATO) shows efficacy in acute promyelocytic leukemia (APL) but has limited use in solid tumors due to poor biocompatibility and toxicity.
- Developing targeted drug delivery systems is crucial for overcoming ATO's limitations in solid tumor treatment.
Purpose of the Study:
- To develop a multifunctional drug delivery system (DDS) based on ATO, modified with pH-low insertion peptide (pHLIP), for targeted solid tumor therapy.
- To investigate the controlled release, targeting ability, and theranostic potential of the novel DDS in vitro and in vivo.
Main Methods:
- Fabrication of a pH-low insertion peptide (pHLIP) modified, silica-coated arsenic trioxide (ATO) and manganese ion (Mn2+) loaded nanoparticle system (MnAs@SiO2-pHLIP).
- Evaluation of the DDS's targeting efficiency in acidic tumor microenvironments and controlled ATO release.
- Assessment of in vitro and in vivo anticancer efficacy, reduced toxicity, and magnetic resonance imaging (MRI) monitoring capabilities.
Main Results:
- MnAs@SiO2-pHLIP demonstrated efficient targeting of acidic tumor microenvironments and enhanced intracellular accumulation.
- The DDS exhibited controlled release of ATO in response to acidic conditions, promoting cancer cell apoptosis.
- In vitro and in vivo studies showed improved anticancer efficacy and reduced toxicity compared to free ATO, with MRI capability for real-time monitoring.
Conclusions:
- The developed MnAs@SiO2-pHLIP system offers a promising platform for targeted arsenic trioxide delivery in solid tumors.
- This multifunctional DDS enhances therapeutic efficacy, minimizes toxicity, and enables theranostic applications through MRI monitoring.
- The findings suggest significant potential for MnAs@SiO2-pHLIP in advancing cancer management strategies.
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