Precision Therapy of Recurrent Breast Cancer through Targeting Different Malignant Tumor Cells with a

Juan Chen1,2, Jinjin Li1, Xiaolu Sun1

  • 1Engineering Research Center of Cell & Therapeutic Antibody, Ministry of Education, and School of Pharmacy, Shanghai Jiao Tong University, 800 Dongchuan Road, Shanghai, 200240, China.

Insights

A novel hydrogel nanobot (ALPR) effectively targets and treats heterogeneous breast cancer by delivering multiple drugs. This approach overcomes drug resistance and offers a new strategy for recurrent breast cancer treatment.

Area of Science:

  • Biomedical Engineering
  • Nanotechnology
  • Oncology

Background:

  • Tumor heterogeneity and drug resistance are major challenges in treating recurrent breast cancer, leading to poor patient outcomes.
  • Effective delivery of multiple therapeutic agents to diverse cancer cell subtypes is crucial for overcoming treatment resistance.

Purpose of the Study:

  • To design and fabricate a novel hydrogel nanobot (ALPR) for targeted delivery of biological anticancer drugs to heterogeneous breast cancer cells.
  • To evaluate the efficacy of ALPR in overcoming drug resistance and achieving synergistic therapeutic effects in recurrent breast cancer models.

Main Methods:

  • Fabrication of ALPR by embedding liposome-based nanocomplexes (LPR) containing pro-apoptotic peptide and survivin siRNA into Herceptin/hyaluronic acid cross-linked nanohydrogels (Herceptin-HA).
  • Assessment of ALPR's targeting capability to HER2 and CD44 overexpressing cells.
  • Evaluation of ALPR's drug release mechanism and cellular uptake.
  • In vitro and in vivo studies to assess the anti-cancer effects of ALPR on various human breast cancer cell lines and tumor growth.

Main Results:

  • ALPR demonstrated specific delivery of Herceptin, peptide, and siRNA to HER2-positive, triple-negative, and HER2-negative drug-resistant breast cancer cells.
  • ALPR induced synergistic anti-cancer effects by disrupting mitochondria, downregulating survivin gene expression, and blocking HER2 receptors.
  • Complete inhibition of heterogeneous breast tumor growth was observed, indicating ALPR's high therapeutic efficacy.

Conclusions:

  • The developed ALPR nanobot overcomes chemical drug resistance in recurrent breast cancer.
  • This innovative design provides a feasible platform for combinational therapy of recurrent breast cancer and potentially other solid tumors using diverse biological drugs.