Triple-Synergistic Therapy with Cobalt-Pheophytin Coordination Micelles for Overcoming Drug Resistance in Pancreatic
Zhen Jiang1, Yue Pan1, Gengqi Liu1
1School of Synthetic Biology and Biomanufacturing, State Key Laboratory of Synthetic Biology, Frontiers Science Center for Synthetic Biology (Ministry of Education), Tianjin University, Tianjin 300350, P. R. China.
Abstract:
Pancreatic ductal adenocarcinoma (PDAC) represents one of the deadliest malignancies as KRAS (Kirsten rat sarcoma viral oncogene homolog) mutations continuously activate multiple downstream signaling pathways, leading to drug resistance. To overcome this issue, herein, we developed a cobalt-pheophytin (CoPheo) coordination micelle chelating two chemotherapeutic agents including ONC201 and Palbociclib (Pal), yielding CoPheo-ONC201-Pal-F127. Compared with other metals, cobalt exhibits stronger coordination ability and higher drug-loading efficiency. The resulting ligand bonds are both acid- and GSH-responsive so that the cargos could be responsively released in the tumor microenvironment. To overcome drug resistance in KRAS-mutant cancers, CoPheo-ONC201-Pal-F127 is able to regulate three independent cell death pathways including ferroptosis, disulfidptosis, and cellular senescence. In particular, the cobalt-mediated Fenton-like effect synergistically enhances ONC201-induced serine-threonine protein kinase AKT (AKT) inhibition to amplify ferroptosis. Also, cobalt-mediated NADPH oxidation disrupts redox homeostasis in synergy with Pal-induced NADPH depletion, triggering disulfidptosis. In addition, ONC201-mediated mitogen-activated protein kinase kinase (MEK) inhibition, combined with Pal-induced CDK4/6 blockade, promotes cellular senescence and remodels the tumor microenvironment. These three independent mechanisms collectively establish a mutually enhanced therapeutic strategy capable of overcoming the complex drug resistance driven by multiple downstream signaling pathways in KRAS-mutant pancreatic cancer.
Insights
This study introduces a novel cobalt-based micelle (CoPheo-ONC201-Pal-F127) to combat drug-resistant pancreatic cancer. It simultaneously triggers ferroptosis, disulfidptosis, and senescence, overcoming KRAS mutations.
Area of Science:
- Biomedical Engineering
- Nanotechnology
- Oncology
Background:
- Pancreatic ductal adenocarcinoma (PDAC) is a lethal cancer with significant drug resistance due to KRAS mutations.
- Targeting downstream signaling pathways is crucial for overcoming resistance in KRAS-mutant cancers.
Purpose of the Study:
- To develop a novel drug delivery system for treating KRAS-mutant pancreatic cancer.
- To overcome chemoresistance by simultaneously inducing multiple cell death pathways.
Main Methods:
- Development of a cobalt-pheophytin coordination micelle (CoPheo-ONC201-Pal-F127) encapsulating ONC201 and Palbociclib.
- Investigation of acid- and GSH-responsive drug release in the tumor microenvironment.
- Evaluation of the micelle's ability to induce ferroptosis, disulfidptosis, and cellular senescence.
Main Results:
- Cobalt's strong coordination enhanced drug loading and facilitated a Fenton-like reaction.
- CoPheo-ONC201-Pal-F127 synergistically enhanced ONC201-induced AKT inhibition, amplifying ferroptosis.
- The formulation disrupted redox homeostasis and induced disulfidptosis, while also promoting senescence via MEK and CDK4/6 inhibition.
Conclusions:
- The CoPheo-ONC201-Pal-F127 micelle offers a multi-pronged therapeutic strategy against KRAS-mutant pancreatic cancer.
- This approach effectively overcomes drug resistance by targeting three independent cell death pathways.
- The study highlights the potential of metal-based coordination micelles in cancer therapy.
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