Combination therapy to overcome ferroptosis resistance by biomimetic self-assembly nano-prodrug.

Combination therapy to overcome ferroptosis resistance by biomimetic self-assembly nano-prodrug.
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DOI:
10.1016/j.ajps.2023.100844
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发表时间:
2023-09
影响因子:
10.2
通讯作者:
Shen, Jianliang
Shen, Jianliang
中科院分区:
医学1区
文献类型:
--
作者:
Huang, Yong;Lin, Yi;Li, Bowen;Zhang, Fu;Zhan, Chenyue;Xie, Xin;Yao, Zhuo;Wu, Chongzhi;Ping, Yuan;Shen, Jianliang

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Ferroptosis has emerged as a potent form of no-apoptotic cell death that offers a promising alternative to avoid the chemoresistance of apoptotic pathways and serves as a vulnerability of cancer. Herein, we have constructed a biomimetic self-assembly nano-prodrug system that enables the co-delivery of gefitinib (Gefi), ferrocene (Fc) and dihydroartemisinin (DHA) for the combined therapy of both ferroptosis and apoptosis. In the tumor microenvironment, this nano-prodrug is able to disassemble and trigger drug release under high levels of GSH. Interestingly, the released DHA can downregulate GPX4 level for the enhancement of intracellular ferroptosis from Fc, further executing tumor cell death with concomitant chemotherapy by Gefi. More importantly, this nano-prodrug provides highly homologous targeting ability by coating related cell membranes and exhibits outstanding inhibition of tumor growth and metastasis, as well as no noticeable side-effects during treatments. This simple small molecular self-assembled nano-prodrug provides a new reasonably designed modality for ferroptosis-combined chemotherapy. A biomimetic nano-prodrug system based on small molecule self-assembly has been developed for the combined therapy of both ferroptosis and apoptosis. The biomimetic nano-prodrug integrates the advantage of targeted co-delivery and combination therapy, which can stimulate the release of drugs under the tumor microenvironment, effectively inhibit ferroptosis resistance for enhanced ferroptosis and improve the therapeutic effect of different tumors model.
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