Syntheses, Biological and Preclinical Evaluations, and Nanoparticle Formulations of the ROS-Activatable Prodrugs of

Ryo Tamura1, Jan Grimm1,2,3

  • 1Molecular Pharmacology Program, Memorial Sloan Kettering Cancer Center, New York, New York 10065, United States.

Molecular Pharmaceutics
|December 10, 2025
PubMed

Insights

A novel ROS-activatable nanoparticle prodrug, Doxaz-BA, effectively targets and eliminates drug-resistant cancer cells with minimal toxicity. This breakthrough offers a promising solution for treating incurable cancers, overcoming limitations of traditional doxorubicin treatments.

Area of Science:

  • Oncology
  • Nanomedicine
  • Drug Development

Background:

  • Doxorubicin (dox) is a widely used chemotherapy agent, but its clinical application is hampered by cardiotoxicity and acquired drug resistance.
  • Doxazolidine (doxaz), a conjugate of doxorubicin, exhibits enhanced cytotoxicity and DNA cross-linking activity, even against resistant cancer cells.
  • Previous attempts to develop doxaz prodrugs failed due to non-specific cytotoxicity and challenges in targeted activation within cancer cells.

Purpose of the Study:

  • To develop and evaluate a novel reactive oxygen species (ROS)-activatable nanoparticle prodrug of doxaz, termed Doxaz-BA.
  • To assess the efficacy and safety of Doxaz-BA nanoparticle formulations against drug-resistant cancers.
  • To overcome the clinical translation barriers associated with doxaz, including its cytotoxicity and lack of tumor-specific activation.

Main Methods:

  • Synthesis of Doxaz-BA and its derivatives.
  • Formulation of Doxaz-BA into nanoparticles.
  • In vitro evaluation in cancer cell cultures.
  • In vivo assessment using mouse xenograft models.

Main Results:

  • Doxaz-BA nanoparticles demonstrated significant cytotoxicity against cancer cells, including doxorubicin-resistant lines.
  • In vivo studies showed minimal toxicity to normal tissues in mouse models.
  • The ROS-activatable nature of Doxaz-BA allows for targeted drug release and enhanced anti-cancer activity.

Conclusions:

  • Doxaz-BA represents a promising nanoparticle-based prodrug strategy for overcoming doxorubicin resistance and reducing systemic toxicity.
  • This approach offers a potential solution for treating aggressive and incurable cancers.
  • Further clinical translation of Doxaz-BA is warranted based on its efficacy and safety profile in preclinical studies.

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