A platelet-mimicking theranostic platform for cancer interstitial brachytherapy.

A platelet-mimicking theranostic platform for cancer interstitial brachytherapy.
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DOI:
10.7150/thno.61259
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发表时间:
2021
期刊:
影响因子:
12.4
通讯作者:
Bao Z
Bao Z
中科院分区:
医学1区
文献类型:
--
作者:
Lyu M;Chen M;Liu L;Zhu D;Wu X;Li Y;Rao L;Bao Z

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理由:组织间近距离放射治疗(BT)是一种很有前途的放射治疗癌症,但BT的疗效受到肿瘤放射抗性的限制。材料科学和纳米技术的最新进展为BT提供了许多新的机会。方法:在这项工作中,我们开发了一种仿生纳米治疗诊断平台,用于增强BT。制备了核壳结构的Au@AuPd纳米球(CANS),并将其包裹在血小板(PLT)质膜中。结果如下:由于PLT膜涂层的靶向能力,所得PLT/CANS纳米颗粒有效地逃避免疫清除并特异性地在肿瘤组织中积累。在内窥镜引导下,操作BT针向原位结肠肿瘤提供适当的辐射剂量,同时保留周围器官。累积的PLT/CANS促进了肿瘤组织中的辐射剂量沉积,同时通过催化内源性H2O2产生O2来缓解肿瘤缺氧。经PLT/CANS和BT治疗后,100%的小鼠存活30天。结论:我们的工作提出了一种安全、稳健和有效的策略,用于在适用于腔内和不可切除肿瘤的治疗时增强BT结局。
Rational: Interstitial brachytherapy (BT) is a promising radiation therapy for cancer; however, the efficacy of BT is limited by tumor radioresistance. Recent advances in materials science and nanotechnology have offered many new opportunities for BT. Methods: In this work, we developed a biomimetic nanotheranostic platform for enhanced BT. Core-shell Au@AuPd nanospheres (CANS) were synthesized and then encapsulated in platelet (PLT)-derived plasma membranes. Results: The resulting PLT/CANS nanoparticles efficiently evaded immune clearance and specifically accumulated in tumor tissues due to the targeting capabilities of the PLT membrane coating. Under endoscopic guidance, a BT needle was manipulated to deliver appropriate radiation doses to orthotopic colon tumors while sparing surrounding organs. Accumulated PLT/CANS enhanced the irradiation dose deposition in tumor tissue while alleviating tumor hypoxia by catalyzing endogenous H2O2 to produce O2. After treatment with PLT/CANS and BT, 100% of mice survived for 30 days. Conclusions: Our work presents a safe, robust, and efficient strategy for enhancing BT outcomes when adapted to treatment of intracavitary and unresectable tumors.
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