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新型还原响应纳米四价铂抗卵巢癌作用研究

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目的 探讨新型还原响应纳米四价铂[NP@Pt(Ⅳ)]的抗卵巢癌作用.方法 合成还原响应的聚合物载体,与四价铂[Pt(Ⅳ)]组装形成NP@Pt(Ⅳ).电感耦合等离子体质谱检测NP@Pt(Ⅳ)在还原环境下的铂释放情况,以及经顺铂、Pt(Ⅳ)和NP@Pt(Ⅳ)处理后卵巢癌ES2细胞中的铂含量.四甲基偶氮唑蓝和流式细胞术检测顺铂、Pt(Ⅳ)和NP@Pt(Ⅳ)对卵巢癌细胞增殖抑制能力的影响.收集2022年10-12月于中国医学科学院肿瘤医院手术治疗的原发性高级别浆液性卵巢癌患者的原发卵巢癌组织,采用动物活体成像观察花菁染料(Cy)7.5标记的NP@Pt(Ⅳ)在高级别浆液性卵巢癌人源性肿瘤异种移植(PDX)小鼠体内的生物分布.PDX小鼠尾静脉注射磷酸盐缓冲液(对照组)、顺铂(顺铂组)和NP@Pt(Ⅳ),测量各组小鼠的肿瘤体积和重量,采用HE染色、TUNEL荧光染色和Ki-67免疫组化染色检测肿瘤组织的坏死、凋亡和细胞增殖情况.测量各组小鼠的体重变化和主要器官的HE染色情况.结果 NP@Pt(Ⅳ)在还原环境中48 h后的铂释放量为76.29%,高于非还原环境中的26.82%(P<0.05).经NP@Pt(Ⅳ)处理4、7 h后卵巢癌ES2细胞内铂含量(308.59和553.15 ng/百万细胞)高于Pt(Ⅳ)处理组(分别为100.21和180.31 ng/百万细胞)和顺铂处理组(分别为43.36和50.36 ng/百万细胞,均P<0.05).NP@Pt(Ⅳ)对卵巢癌ES2、A2780、A2780DDP细胞的半抑制浓度分别为 1.39、1.42、和 4.62 µmol/L,低于 Pt(Ⅳ)组(分别为 2.89、7.27 和 16.74 µmol/L)和顺铂组(分别为5.21、11.85、和71.98µmol/L).经NP@Pt(Ⅳ)处理的ES2细胞凋亡率为(33.91±3.80)%,高于Pt(Ⅳ)和顺铂处理组[分别为(16.28±2.41)%和(15.01±1.17)%,均P<0.05].Cy7.5@NP@Pt(Ⅳ)可靶向蓄积于PDX小鼠肿瘤组织.经NP@Pt(Ⅳ)治疗后的小鼠肿瘤体积[(130±98)mm3]低于对照组[(1 349±161)mm3]和顺铂组[(715±293)mm3,均P<0.05].NP@Pt(Ⅳ)组的小鼠瘤重[(0.17±0.09)g]低于对照组[(1.55±0.11)g]和顺铂组[(0.82±0.38)g,均P<0.05].肿瘤组织染色结果显示,与顺铂组比较,NP@Pt(Ⅳ)治疗后的小鼠肿瘤组织有更明显的坏死和凋亡,Ki-67表达量减少.NP@Pt(Ⅳ)组的小鼠体重变化较对照组差异无统计学意义[分别为(18.56±2.04)g和(20.87±0.79)g,P>0.05].小鼠心脏、肝脏、脾脏、肺、肾脏主要脏器HE染色未见明显异常.结论 NP@Pt(Ⅳ)可靶向蓄积于肿瘤组织,促进铂在卵巢癌细胞内的累积,具有较强的抗卵巢癌作用.
Antitumor effects of redox-responsive nanoparticles containing platinum(Ⅳ)in ovarian cancer
Objectives To explore the antitumor effects of redox-responsive nanoparticles containing platinum(Ⅳ)—NP@Pt(Ⅳ)in ovarian cancer.Methods Redox-responsive polymer carriers were synthesized.Polymer carriers and platinum(Ⅳ)—Pt(Ⅳ)can self-assemble into NP@Pt(Ⅳ).Inductively coupled plasma mass spectrometry was performed to detect the platinum release from NP@Pt(Ⅳ)in reducing environment and the platinum content in ovarian cancer cells ES2 treated with cisplatin,Pt(Ⅳ)and NP@Pt(Ⅳ).The proliferation ability of the ovarian cancer cells were detected by 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide(MTT)assay.Cellular apoptosis was assessed by flow cytometry.Collection of primary ovarian cancer tissues from patients with primary high-grade serous ovarian cancer who were surgically treated at the Cancer Hospital of the Chinese Academy of Medical Sciences from October to December 2022.The high-grade serous ovarian cancer patient-derived xenograft(PDX)mice were intravenously injected with Cy7.5 labeled NP@Pt(Ⅳ)followed by in vivo imaging system.Mice were treated with PBS,cisplatin and NP@Pt(Ⅳ).Tumor volume and weight were measured in each group.Necrosis,apoptosis and cell proliferation of tumor tissues were detected by hematoxylin-eosin(HE)staining,TUNEL fluorescence staining and Ki-67 immunohistochemistry staining.Body weight and HE staining of heart,liver,spleen,lung and kidney of mice in each group were measured.Results The platinum release of NP@Pt(Ⅳ)after 48 hours in reducing environment was 76.29%,which was significantly higher than that of 26.82%in non-reducing environment(P<0.001).The platinum content in ES2 cells after 4 hours and 7 hours of treatment with NP@Pt(Ⅳ)(308.59,553.15 ng/million cells)were significantly higher than those of Pt(Ⅳ)(100.21,180.31 ng/million cells)and cisplatin(43.36,50.36 ng/million cells,P<0.05).The half inhibitory concentrations of NP@Pt(Ⅳ)in ovarian cancer cells ES2,A2780,A2780DDP were 1.39,1.42 and 4.62 μmol/L,respectively,which were lower than those of Pt(Ⅳ)(2.89,7.27,and 16.74 μmol/L)and cisplatin(5.21,11.85,and 71.98μmol/L).The apoptosis rate of ES2 cells treated with NP@Pt(Ⅳ)was(33.91±3.80)%,which was significantly higher than that of Pt(Ⅳ)[(16.28±2.41)%]and cisplatin[(15.01±1.17)%,P<0.05].In high-grade serous ovarian cancer PDX model,targeted accumulation of Cy7.5 labeled NP@Pt(Ⅳ)at tumor tissue could be observed.After the treatment,the tumor volume of mice in NP@Pt(Ⅳ)group was(130±98)mm3,which was significantly lower than those in control group[(1 349±161)mm3,P<0.001]and cisplatin group[(715±293)mm3,P=0.026].The tumor weight of mice in NP@Pt(Ⅳ))group was(0.17±0.09)g,which was significantly lower than those in control group[(1.55±0.11)g,P<0.001]and cisplatin group[(0.82±0.38)g,P=0.029].The areas of tumor necrosis and apoptosis in mice treated with NP@Pt(Ⅳ))were higher than those in mice treated with cisplatin.Immunohistochemical staining revealed that there were low expressions of Ki-67 at tumor tissues of mice treated with NP@Pt(Ⅳ))compared with cisplatin.The change in body weight of mice in NP@Pt(Ⅳ))group was not significantly different from that of the control group[(18.56±2.04)g vs.(20.87± 0.79)g,P=0.063].Moreover,the major organs of the heart,liver,spleen,lung,and kidney were also normal by HE staining.Conclusion Redox-responsive NP@Pt(Ⅳ)),produced in this study can enhance the accumulation of cisplatin in ovarian cancer cells and improve the efficacy of ovarian cancer chemotherapy.

Ovarian neoplasmsCisplatinPlatinum(Ⅳ))Nanoparticle deliveryRedox-responsivePlatinum resistance

侯弘毅、唐东升、张亚男、王焜煜、奥妙、雒海瑕、李斌

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国家癌症中心国家肿瘤临床医学研究中心中国医学科学院北京协和医学院肿瘤医院妇科,北京 100021

北京大学人民医院妇产科,北京 100044

北京分子科学国家研究中心中国科学院化学研究所高分子物理化学实验室,北京 100190

卵巢肿瘤 顺铂 四价铂 纳米递送 还原响应 铂耐药

北京协和医学院中央高校基本科研业务费项目北京大学人民医院研究与发展基金北京市自然科学基金

3332022134RDJP2023-04J200009

2024

中华肿瘤杂志
中华医学会

中华肿瘤杂志

CSTPCD北大核心
影响因子:1.908
ISSN:0253-3766
年,卷(期):2024.46(1)
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