Multiple Strikes Achieve Remarkable Tumor-Inhibition Efficiency via Multi-mechanism Combination
Hanchun Yao1,2, Pan Qiao1, Zhihui Zhu1
1School of Pharmaceutical Science, Zhengzhou University, Zhengzhou 450001, China.
Abstract:
Breast cancer treatment has been challenging all the time because cancer cells have multiple signaling pathways; so, breast cancer still remains a threat to the lives and health of many patients. While common single drug therapies inhibit only one pathway, the combination of multiple mechanisms offers the potential to simultaneously suppress multiple targets and pathways to kill cancer cells more effectively. It is reported that autophagy caused by autophagy inducers and apoptosis caused by some chemotherapeutic drugs can promote ferroptosis to some extent; herein, we combined these three pathways and constructed a multifunctional dual-responsive release nanosystem of Rap@mFe3O4-DOX-HA that achieved the ferroptosis-autophagy-apoptosis synergistic effect for cancer treatment. Mesoporous Fe3O4 (mFe3O4) was set as the carrier and can also release Fe ions for ferroptosis, the autophagy inducer rapamycin (Rap) was wrapped in the carrier to trigger autophagy, and the chemotherapeutic drug doxorubicin (DOX) was used as the apoptosis inducer. At the tumor site, the prepared Rap@mFe3O4-DOX-HA nanoparticles split and released DOX/Rap in response to H+/GSH. From in vivo and in vitro studies, it was found that Rap@mFe3O4-DOX-HA nanoparticles effectively inhibited the migration of 4T1 cells, furthermore, they struck cancer cells through multiple pathways and greatly improved the anti-tumor effect. Therefore, the strategy of multi-mechanism combination achieved a therapeutic effect of 1 + 1 > 2.
Insights
This study introduces a novel nanosystem combining ferroptosis, autophagy, and apoptosis pathways to enhance breast cancer treatment. The Rap@mFe3O4-DOX-HA nanoparticles demonstrate a synergistic anti-tumor effect, improving therapeutic outcomes.
Area of Science:
- Biomedical Engineering
- Nanotechnology
- Oncology
Background:
- Breast cancer treatment faces challenges due to multiple cancer cell signaling pathways.
- Single-drug therapies are limited; combination therapies offer potential for enhanced efficacy.
- Inducing ferroptosis, autophagy, and apoptosis simultaneously presents a promising strategy.
Purpose of the Study:
- To develop a multifunctional dual-responsive nanosystem for synergistic ferroptosis-autophagy-apoptosis breast cancer therapy.
- To investigate the anti-tumor effects of the novel Rap@mFe3O4-DOX-HA nanoparticles.
- To evaluate the nanoparticle's ability to inhibit cancer cell migration and improve therapeutic outcomes.
Main Methods:
- Construction of Rap@mFe3O4-DOX-HA nanoparticles using mesoporous Fe3O4 as a carrier.
- Incorporation of rapamycin (Rap) for autophagy induction and doxorubicin (DOX) for apoptosis induction.
- Dual-responsive drug release at the tumor site triggered by H+/GSH, with Fe ions promoting ferroptosis.
Main Results:
- The nanosystem effectively inhibited 4T1 breast cancer cell migration in vitro and in vivo.
- The combination therapy achieved a synergistic effect by targeting multiple pathways.
- Significant improvement in anti-tumor efficacy was observed compared to single-mechanism treatments.
Conclusions:
- The developed nanosystem successfully integrates ferroptosis, autophagy, and apoptosis for enhanced breast cancer treatment.
- Dual-responsive drug release and multi-pathway targeting contribute to superior therapeutic effects.
- This multi-mechanism combination strategy offers a promising approach for overcoming treatment resistance and improving patient outcomes.
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