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Nitric Oxide-Releasing Topical Treatments for Cutaneous Melanoma
Quincy E Grayton1, Heba El-Ahmad2, Anna L Lynch1
1Department of Chemistry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, United States.
Abstract:
Melanoma is an aggressive skin cancer notorious for high levels of drug resistance. Additionally, current treatments such as immunotherapies are often associated with numerous adverse side effects. The use of nitric oxide (NO) may represent an attractive treatment for melanoma due to NO's various anticancer properties, unlikeliness to foster resistance, and limited toxicity toward healthy tissues. The anticancer effects of chemical NO donors have been explored previously but with limited understanding of the needed characteristics for exerting optimal antimelanoma activity. Herein, the in vitro therapeutic efficacy of three macromolecular NO donor systems (i.e., cyclodextrin, mesoporous silica nanoparticles, and hyaluronic acid) with tunable NO-release kinetics was explored by evaluating skin permeation along with toxicity against melanoma and healthy skin cells. Cytotoxicity against melanoma cells was dependent on NO payload and not donor identity or NO-release kinetics. In contrast, cytotoxicity against healthy cells was primarily influenced by the macromolecular NO donor, with cyclodextrin- and hyaluronic acid-based NO donors having the highest therapeutic indices. In vitro skin permeation was influenced by both the size and charge of the NO donor, with smaller, more neutral donors resulting in greater permeation. A Pluronic F127 organogel was optimized for the delivery of a cyclodextrin-based NO donor. Delivery of the NO donor in this manner resulted in increased in vitro skin permeation and reduced tumor growth in an in vivo model.
Insights
Nitric oxide (NO) donors show promise for melanoma treatment, with efficacy depending on NO payload. Macromolecular NO donors offer targeted delivery and reduced toxicity to healthy cells, improving therapeutic potential.
Area of Science:
- Biochemistry
- Materials Science
- Dermatology
Background:
- Melanoma exhibits high drug resistance and current treatments like immunotherapy cause adverse effects.
- Nitric oxide (NO) possesses anticancer properties, low resistance potential, and limited toxicity, making it a potential melanoma therapeutic.
- Understanding NO donor characteristics is crucial for optimizing antimelanoma activity.
Purpose of the Study:
- To evaluate the in vitro therapeutic efficacy of three macromolecular nitric oxide (NO) donor systems.
- To assess skin permeation and toxicity of NO donors against melanoma and healthy skin cells.
- To optimize a delivery system for enhanced NO donor performance.
Main Methods:
- Investigated three macromolecular NO donor systems: cyclodextrin, mesoporous silica nanoparticles, and hyaluronic acid.
- Assessed in vitro cytotoxicity against melanoma and healthy skin cells.
- Evaluated in vitro skin permeation based on NO donor size and charge.
- Optimized a Pluronic F127 organogel for NO donor delivery.
Main Results:
- Melanoma cell cytotoxicity correlated with NO payload, irrespective of donor type or release kinetics.
- Healthy cell cytotoxicity varied by donor; cyclodextrin and hyaluronic acid donors showed higher therapeutic indices.
- Smaller, neutral NO donors exhibited greater skin permeation.
- Organogel delivery of a cyclodextrin-based NO donor enhanced skin permeation and reduced tumor growth in vivo.
Conclusions:
- Macromolecular NO donors can be tailored for melanoma treatment, balancing efficacy and safety.
- NO donor properties (size, charge, payload) significantly influence therapeutic outcomes and delivery.
- Optimized delivery systems, like organogels, can improve the clinical potential of NO-based melanoma therapies.
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