CPPs-modified chitosan as permeability-enhancing chemotherapeutic combined with gene therapy nanosystem by

Jie Cao1, Chenghong Zhu1, Ziqi Cao1

  • 1Department of Pharmaceutics, China Pharmaceutical University, 24 Tongjiaxiang, Nanjing 210009, Jiangsu province, China.

Abstract

Insights

This study developed a novel nanoparticle system to overcome chemotherapy resistance in osteosarcoma. By blocking DNA damage tolerance with siRad18, the treatment enhanced chemotherapy effectiveness and activated anti-tumor immunity.

Area of Science:

  • Biomedical Engineering
  • Nanotechnology
  • Oncology

Background:

  • Osteosarcoma (OS) chemotherapy resistance remains a significant clinical challenge, leading to poor patient outcomes.
  • E3 ubiquitin-protein ligase Rad18 (Rad18) promotes doxorubicin resistance in OS by mediating DNA damage tolerance.
  • Targeting Rad18 offers a potential strategy to enhance chemotherapy efficacy in osteosarcoma.

Purpose of the Study:

  • To develop and characterize a multifunctional nanoparticle system for treating doxorubicin-resistant osteosarcoma.
  • To evaluate the anti-tumor effects of the nanoparticle system, including its combination with immunotherapy.
  • To investigate the role of siRad18 in overcoming chemotherapy resistance and enhancing immunogenic cell death (ICD).

Main Methods:

  • Doxorubicin and siRad18 were loaded into iron-based nanoparticles (FSD), coated with cell-penetrating peptide-modified chitosan (FSD-CHR).
  • FSD-CHR was encapsulated in a thermosensitive hydrogel (PPP) for peritumoral injection in an osteosarcoma model.
  • The study assessed physicochemical properties, molecular characteristics, anti-tumor efficacy, and immunotherapy effects (combined with αPD-L1).

Main Results:

  • The FSD-CHR@PPP system demonstrated enhanced tumor tissue permeability and significant inhibition of osteosarcoma growth in vivo.
  • siRad18 effectively reduced doxorubicin-mediated DNA damage tolerance, enhancing anti-tumor effects and ROS upregulation.
  • The combination therapy, particularly with PD-L1 blocking, significantly boosted anti-tumor responses by decreasing PD-L1 enrichment and enhancing ICD.

Conclusions:

  • Hydrogel-encapsulated permeable nanoparticles offer a promising strategy for treating doxorubicin-resistant osteosarcoma.
  • Gene therapy targeting DNA damage tolerance (siRad18) enhances chemotherapy response and activates the immune system.
  • This approach shows potential for improving osteosarcoma treatment by combining chemotherapy, gene therapy, and immunotherapy.

Related Concept Videos