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A multistage drug delivery approach for colorectal primary tumors and lymph node metastases

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机构: [1]Hongqiao International Instituteof Medicine, Tongren Hospital and State Key Laboratoryof Systems Medicine for Cancer, DepartmentofPharmacology and ChemicalBiology,ShanghaiJiaoTongUniversitySchoolofMedicine(SJTU-SM),Shanghai200025,China [2]DepartmentofGeneralSurgery,TongrenHospital, SJTU-SM, Shanghai 200336, China [3]Key Laboratory of Basic Pharmacology of Ministry of Education & Joint International Research Laboratory of Ethno- medicine of Ministry of Education, Zunyi Medical University, Zunyi 563003, China [4]Department of Biomedical Engineering, University at Buffalo, State University of New York, Buffalo, NY 14260, USA [5]Shanghai Frontiers Science Center of TCM Chemical Biology, Institute of Interdisciplinary Integrative BiomedicalResearch,ShuguangHospital,ShanghaiUniversityofTraditionalChineseMedicine,Shanghai201203,China
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The presence of lymph node (LN) metastases guides cancer staging and worsens prognoses. Incomplete lymphadenectomy of metastatic LNs may end up with disease recurrence, while excessive resection can result in increased postoperative complications with even no survival benefit. Thus, effective non-invasive methods to treat metastatic LNs would be highly desirable. Here, we develop an enzyme-responsive formulation of small-sized doxorubicin-loaded mesoporous silica nanoparticles (DMSN, 40 nm) encapsulated in nanoliposomes (DMSN@Pla-Lipo, 160 nm). The liposomal membrane contains 1,2-dipalmitoyl-sn-glycero-3-phospho-rac-(1-glycerol) (DPPG) and 1,2-dipalmitoyl-sn-glycero-3-phosphocholine (DPPC), two phospholipids sensitive to secreted phospholipase A2 in human colorectal tumors. In an orthotopic colorectal murine tumor model, phospholipase-induced membrane permeabilization triggers the liberation of DMSN from liposomes for enhanced tumor penetration, conferring an enhanced suppression for the primary tumor. Furthermore, through translocation into metastatic LNs via tumor lymphatics, metastatic tumor cells in LNs are eradicated. Metastases to other major organs are also suppressed, which can be ascribed to the inhibition of colorectal cancer metastasis-associated TGF-beta, Wnt, and Hippo signaling pathways in metastatic LNs. The treatment confers an 80% 90-day survival rate in this aggressive tumor model. Taken together, this study demonstrates a deliberate treatment approach for management of both primary tumors and metastatic LNs through multistage drug delivery.

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大类 | 1 区 综合性期刊
小类 | 1 区 综合性期刊
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大类 | 1 区 综合性期刊
小类 | 1 区 综合性期刊
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出版当年[2023]版:
Q1 MULTIDISCIPLINARY SCIENCES
最新[2023]版:
Q1 MULTIDISCIPLINARY SCIENCES

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第一作者机构: [1]Hongqiao International Instituteof Medicine, Tongren Hospital and State Key Laboratoryof Systems Medicine for Cancer, DepartmentofPharmacology and ChemicalBiology,ShanghaiJiaoTongUniversitySchoolofMedicine(SJTU-SM),Shanghai200025,China
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通讯机构: [1]Hongqiao International Instituteof Medicine, Tongren Hospital and State Key Laboratoryof Systems Medicine for Cancer, DepartmentofPharmacology and ChemicalBiology,ShanghaiJiaoTongUniversitySchoolofMedicine(SJTU-SM),Shanghai200025,China [3]Key Laboratory of Basic Pharmacology of Ministry of Education & Joint International Research Laboratory of Ethno- medicine of Ministry of Education, Zunyi Medical University, Zunyi 563003, China
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