Development of artesunate intelligent prodrug liposomes based on mitochondrial targeting strategy

Liwei Gu1, Jiaxing Zhang2, Dandan Liu1

  • 1Artemisinin Research Center and Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing, 100700, People's Republic of China.

Insights

Researchers developed targeted liposomes (TPP-SS-ATS-LS) to enhance artesunate

Area of Science:

  • Biomedical Engineering
  • Cancer Biology
  • Mitochondrial Biology

Background:

  • Breast cancer poses a significant therapeutic challenge, with mitochondria emerging as a key target.
  • Artemisinin derivatives show anti-cancer activity, but their efficacy is limited by poor tumor targeting.
  • Mitochondrial autophagy (mitophagy) is a crucial anti-tumor mechanism exploited by artemisinin drugs.

Purpose of the Study:

  • To synthesize a GSH-sensitive artesunate conjugate (TPP-SS-ATS) and formulate it into tumor- and mitochondria-targeting liposomes (TPP-SS-ATS-LS).
  • To evaluate the in vivo and in vitro efficacy of TPP-SS-ATS-LS for breast cancer treatment.
  • To elucidate the mechanism of TPP-SS-ATS-LS-induced anti-cancer effects, focusing on mitophagy.

Main Methods:

  • Synthesis of a glutathione-sensitive artesunate conjugate (TPP-SS-ATS).
  • Formulation of TPP-SS-ATS into targeted liposomes (TPP-SS-ATS-LS).
  • In vitro and in vivo evaluation of TPP-SS-ATS-LS in breast cancer models, including cytotoxicity assays, tumor growth inhibition studies, and assessment of mitochondrial function (ATP production, respiratory capacity).
  • Analysis of mitophagy-related protein expression (PHB2, PINK1).

Main Results:

  • TPP-SS-ATS-LS demonstrated enhanced targeting to breast tumors in vivo and in vitro.
  • In vitro cytotoxicity was significantly increased compared to non-targeted formulations.
  • In orthotopic breast cancer mouse models, TPP-SS-ATS-LS increased tumor growth inhibition from 37.7% to 56.4% at equivalent artesunate doses.
  • Mitochondrial dysfunction, reduced ATP production, and suppressed respiratory capacity were observed in treated breast cancer cells.
  • TPP-SS-ATS-LS inhibited tumor cell proliferation via mitophagy, mediated by the regulation of PHB2 and PINK1 expression.

Conclusions:

  • Targeted liposomal delivery of artesunate (TPP-SS-ATS-LS) enhances anti-cancer efficacy against breast cancer.
  • The enhanced efficacy is attributed to improved tumor targeting and induction of mitophagy, leading to mitochondrial dysfunction.
  • This study presents a promising strategy for developing novel artemisinin-based therapeutics for breast cancer with improved targeting capabilities.

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