Van der Waals force-driven indomethacin-ss-paclitaxel nanodrugs for reversing multidrug resistance and enhancing

Wenbo Kang1, Yuanhui Ji1, Yu Cheng1

  • 1Jiangsu Province Hi-Tech Key Laboratory for Biomedical Research, School of Chemistry and Chemical Engineering, Southeast University, Nanjing 211189, PR China.

Insights

This study developed a novel nanodrug by linking indomethacin and paclitaxel. This conjugate effectively reverses multidrug resistance in non-small cell lung cancer by inhibiting MRP1.

Area of Science:

  • Nanomedicine
  • Cancer Therapy
  • Drug Delivery

Background:

  • Multidrug resistance (MDR) mediated by high expression of multidrug resistance-associated protein 1 (MRP1) significantly limits paclitaxel (PTX) efficacy in non-small cell lung cancer (NSCLC).
  • Indomethacin (IND), a non-steroidal anti-inflammatory drug (NSAID), is a potential MRP1 inhibitor.
  • Utilizing established drugs avoids additional biosafety concerns.

Purpose of the Study:

  • To design and synthesize a novel carrier-free nanodrug delivery system (nDDs) to overcome PTX resistance in NSCLC.
  • To investigate the self-assembly, stability, and drug release characteristics of the designed nanodrug.
  • To evaluate the efficacy of the nanodrug in reversing MRP1-mediated MDR.

Main Methods:

  • Conjugation of IND and PTX via a disulfide bond (-S-S-) to form IND-S-S-PTX.
  • Self-assembly of the conjugate into nanodrugs (IND-S-S-PTX NPs) with particle size ~160 nm and PDI 0.099.
  • Molecular dynamics (MD) simulations for self-assembly process and density functional theory (DFT) calculations for driving forces.

Main Results:

  • The IND-S-S-PTX NPs exhibited good water dispersibility and stability.
  • The disulfide bond enabled GSH-sensitive drug release in the tumor microenvironment.
  • The nanodrug successfully reversed MDR in A549/taxol cells by downregulating MRP1 expression.

Conclusions:

  • The developed carrier-free IND-S-S-PTX nanodrug is a promising strategy to overcome paclitaxel resistance in NSCLC.
  • The nanodrug leverages the MRP1 inhibitory properties of indomethacin and the anti-cancer effects of paclitaxel.
  • This approach offers a safe and effective alternative for NSCLC chemotherapy.

Related Concept Videos

Drugs that Stabilize Microtubules01:15

Drugs that Stabilize Microtubules

Microtubules are dynamic structures that undergo cycles of catastrophe and rescue. The microtubules play a central role in cell division by forming the spindle apparatus for segregating the chromosomes. This makes them ideal targets for regulating dividing cells in tumors and malignant cancer cells. Microtubule stabilizing drugs help stabilize the microtubule formation and promote its polymerization. Paclitaxel was the first microtubule stabilizing agent used as anticancer drug in chemotherapy...
2.3K
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...
3.5K
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...
5.4K
Drugs that Destabilize Microtubules01:10

Drugs that Destabilize Microtubules

Microtubules are dynamic structures and can be regulated by microtubule targeting agents (MTAs). Microtubule destabilizing drugs are a class of MTAs that destabilize and prevent microtubules' polymerization. Both natural and synthetic chemicals can be found under this class of drugs. Vincristine and vinblastine, two vinca alkaloids, and colchicine were among the first to be discovered. These drugs can affect cells in various ways, either by inducing a change in cell morphology, preventing...
2.2K
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...
8.0K