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Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Tumor microenvironment-responsive self-assembling nanotherapeutics integrating chemo-, anti-angiogenic, and
Weihong Nie1, Tongxiao Luan2, Chengxun Liu1
1Department of Human Anatomy, Histology and Embryology, School of Basic Medicine, Qingdao University, Qingdao, Shandong Province, 266071, China.
Abstract:
Triple-negative breast cancer (TNBC) remains a significant clinical challenge due to the lack of actionable targets, dose-limiting cardiotoxicity, and the limited efficacy of single-modality therapies. Doxorubicin (DOX), a first-line chemotherapeutic agent, is constrained by inadequate tumor targeting and systemic toxicity. In this study, we identified an SML peptide with high binding affinity for TNBC through in vitro and in vivo investigations. Fibroblast activation protein-alpha-α (FAP-α), which is highly expressed by cancer-associated fibroblasts (CAFs) within the TNBC tumor microenvironment (TME), was exploited as a tumor-specific trigger for targeted drug release. We developed a TME-responsive self-assembled peptide-based nanoplatform (QGS@DOX, DOX-loaded QGS self-assembled nanocarrier) that integrates g active tumor targeting, FAP-α-triggered cleavage, anti-angiogenic activity, and DOX chemotherapy. QGS@DOX demonstrated enhanced tumor accumulation, prolonged circulation time, and controlled drug release. In vivo, it effectively inhibited tumor growth and metastasis while reducing DOX-induced cardiotoxicity. Mechanistic studies revealed that QGS@DOX suppressed epithelial-mesenchymal transition (EMT), induced immunogenic cell death (ICD), and activated the cGAS-STING pathway, thereby remodeling the TME. Importantly, moesin (MSN) was identified as a novel target of the SML targeting peptide, uncovering a previously unrecognized mechanism for TNBC-specific delivery. To our knowledge, this is the first report of an integrated nanoplatform combining FAP-α responsiveness, SML-MSN targeting, anti-angiogenesis, chemotherapy, and cGAS-STING-mediated immunotherapy for TNBC. These findings present a promising strategy for precise, multimodal treatment of TNBC.
Insights
A novel nanoplatform targets triple-negative breast cancer (TNBC) by leveraging SML peptide and fibroblast activation protein-alpha (FAP-α) for precise drug delivery. This approach enhances chemotherapy efficacy while reducing cardiotoxicity, offering a promising multimodal treatment strategy.
Area of Science:
- Biomedical Engineering
- Nanotechnology
- Oncology
Background:
- Triple-negative breast cancer (TNBC) presents significant treatment challenges due to a lack of targeted therapies and the toxicity of agents like doxorubicin (DOX).
- Current treatments are limited by poor tumor targeting and systemic side effects, necessitating innovative delivery systems.
Purpose of the Study:
- To develop a tumor microenvironment (TME)-responsive nanoplatform for targeted TNBC therapy.
- To integrate active tumor targeting, triggered drug release, anti-angiogenesis, and chemotherapy into a single system.
- To investigate the potential of targeting moesin (MSN) for TNBC-specific delivery.
Main Methods:
- Identification of an SML peptide with high TNBC binding affinity and exploitation of fibroblast activation protein-alpha (FAP-α) for TME-triggered release.
- Development of a self-assembled peptide-based nanocarrier (QGS@DOX) encapsulating doxorubicin.
- In vitro and in vivo evaluation of QGS@DOX for tumor targeting, drug release kinetics, therapeutic efficacy, and toxicity.
Main Results:
- QGS@DOX demonstrated enhanced tumor accumulation, prolonged circulation, and controlled DOX release.
- The nanoplatform effectively inhibited TNBC tumor growth and metastasis while significantly reducing doxorubicin-induced cardiotoxicity.
- Mechanistic studies showed suppression of epithelial-mesenchymal transition (EMT), induction of immunogenic cell death (ICD), and activation of the cGAS-STING pathway.
Conclusions:
- The developed QGS@DOX nanoplatform offers a promising strategy for precise, multimodal TNBC treatment by combining FAP-α responsiveness, SML-MSN targeting, and chemotherapy.
- This integrated approach effectively remodels the TME and presents a novel therapeutic avenue for TNBC.
- The study highlights the potential of targeting moesin (MSN) for TNBC-specific drug delivery.
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