Defeating relapsed and refractory malignancies through a nano-enabled mitochondria-mediated respiratory inhibition

Zhengyang Yang1, Jiafeng Wang1, Song Liu1

  • 1Department of General Surgery, Drum Tower Hospital, Medical School of Nanjing University, 321 Zhongshan RD, Nanjing, 210008, China.

Biomaterials
|November 11, 2019
PubMed

Insights

This study introduces a novel approach to combat tumor hypoxia by reducing endogenous oxygen consumption using IR780 and metformin nanoparticles. This strategy enhances cancer therapy efficacy and allows for dual-modal imaging monitoring.

Area of Science:

  • Biomedical Engineering
  • Cancer Therapy
  • Nanomedicine

Background:

  • Tumor hypoxia is a major cause of poor prognosis and resistance to therapies like chemotherapy and radiotherapy.
  • Hypoxia impairs drug efficacy, limits immune infiltration, and promotes tumor recurrence and metastasis.
  • Current strategies focus on oxygen supply, but the relationship between oxygen and cancer cell proliferation remains debated.

Purpose of the Study:

  • To develop a novel therapeutic strategy targeting tumor hypoxia by reducing endogenous oxygen consumption.
  • To investigate the synergistic effects of combining photodynamic/photothermic therapy with mitochondrial respiration inhibition.
  • To enable monitoring of therapeutic efficacy using dual-modal imaging.

Main Methods:

  • PEG-PCL liposomes encapsulating IR780 (photosensitizer) and metformin were developed.
  • Nanoparticles were designed to accumulate in tumor tissues.
  • 808 nm laser irradiation triggered ROS generation, releasing metformin and IR780 to inhibit mitochondrial respiration and induce synergistic therapy.
  • Near-infrared/photoacoustic dual-modal imaging was used for monitoring.

Main Results:

  • Metformin effectively inhibited mitochondrial complex I activity, reducing cellular respiration.
  • The combination of IR780-mediated photodynamic/photothermic therapy with metformin overcame tumor hypoxia.
  • Dual-modal imaging allowed for real-time monitoring of the synergistic therapeutic effects.
  • The approach demonstrated potential for overcoming hypoxia-induced therapeutic resistance.

Conclusions:

  • Reducing endogenous oxygen consumption is a viable strategy to address tumor hypoxia and enhance cancer therapy.
  • The developed nanoparticle system offers synergistic therapeutic benefits through combined PDT, PTT, and mitochondrial respiration inhibition.
  • This approach provides a novel platform for overcoming therapeutic resistance in various cancer treatments, monitorable via advanced imaging techniques.

Related Concept Videos

Electron Transport Chain: Complex I and II01:46

Electron Transport Chain: Complex I and II

The mitochondrial electron transport chain (ETC) is the main energy generation system in the eukaryotic cells. However, mitochondria also produce cytotoxic reactive oxygen species (ROS) due to the large electron flow during oxidative phosphorylation. While Complex I is one of the primary sources of superoxide radicals, ROS production by Complex II is uncommon and may only be observed in cancer cells with mutated complexes.
ROS generation is regulated and maintained at moderate levels necessary...
18.3K
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.6K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
8.6K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.8K
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
9.7K