Attenuating chemotherapy-induced nephrotoxicity while potentiating antitumor efficacy by transforming a Janus drug
Wancheng Zou1, Chao Shang2, Zhuo Hao2
1School of Materials Science and Engineering, Changchun University of Science and Technology, Changchun, 130022, PR China; Changchun Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Changchun, 130122, PR China.
Abstract:
Chemotherapy-induced acute kidney injury (AKI) remains a major clinical challenge because existing renoprotective agents often compromise the antitumor efficacy of chemotherapeutics. To address this limitation, we transformed apigenin, a natural flavonoid with Janus bioactivities, into bioactive carbonized polymer dots (Api-CPDs) via a one-step carbonization process. The resulting Api-CPDs exhibit markedly high hydrophilicity, prolonged retention in the body, and, most importantly, preferential accumulation in both renal tissues and tumors. Mechanistically, Api-CPDs potently activate the Nrf2/HO-1 pathway and promote mitophagy, thereby shielding kidneys from cisplatin-induced apoptosis. Beyond conferring renoprotection, Api-CPDs enhance the antitumor efficacy of chemotherapeutics by modulating the p53 pathway. Collectively, this study demonstrates that transforming a Janus drug into bioactive carbonized polymer dots effectively overcomes the inherent limitations of small-molecule flavonoids, including poor aqueous solubility, rapid clearance, and lack of target specificity, enabling concurrent mitigation of chemotherapy-induced nephrotoxicity and potentiation of antitumor efficacy.
Insights
This study developed novel carbonized polymer dots from apigenin to protect kidneys from chemotherapy damage. These dots also enhance anti-cancer drug effectiveness, offering a dual benefit for patients.
Area of Science:
- Biomaterials Science
- Nanotechnology
- Pharmacology
Background:
- Chemotherapy-induced acute kidney injury (AKI) is a significant clinical problem.
- Current renoprotective agents can reduce the effectiveness of anti-cancer treatments.
Purpose of the Study:
- To develop a novel therapeutic strategy to mitigate chemotherapy-induced AKI while enhancing anti-tumor efficacy.
- To overcome the limitations of small-molecule flavonoids, such as poor solubility and rapid clearance.
Main Methods:
- Apigenin was transformed into bioactive carbonized polymer dots (Api-CPDs) using a one-step carbonization process.
- Api-CPDs were characterized for hydrophilicity, body retention, and tissue accumulation.
- The activation of Nrf2/HO-1 and p53 pathways, along with mitophagy, was investigated.
Main Results:
- Api-CPDs demonstrated high hydrophilicity and prolonged systemic retention.
- Api-CPDs preferentially accumulated in both renal tissues and tumors.
- Api-CPDs activated the Nrf2/HO-1 pathway and promoted mitophagy, protecting kidneys from cisplatin-induced apoptosis.
- Api-CPDs enhanced anti-tumor efficacy by modulating the p53 pathway.
Conclusions:
- Transforming apigenin into Api-CPDs overcomes small-molecule limitations, enabling dual action.
- Api-CPDs offer a promising approach for concurrent mitigation of chemotherapy-induced nephrotoxicity and potentiation of anti-tumor effects.
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