用于胰腺癌治疗的吉西他滨-维生素 E 原药载体胶束

M. Pereira-Silva, Darío Miranda-Pastoriza, Luis Diaz-Gomez, Eddy Sotelo, A. C. Paiva-Santos, Francisco Veiga, A. Concheiro, C. Alvarez‐Lorenzo
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摘要

胰腺癌(PC)是一种具有侵袭性的癌症亚型,其临床挑战尚未得到解决。包括抗代谢药物吉西他滨(GEM)在内的传统化疗因半衰期短、缺乏靶向能力和全身毒性而受到严重破坏。由于吉西他滨(GEM)的亲水性阻碍了其有效封装,因此在自组装纳米系统中加入 GEM 的研究仍显不足。我们假设维生素 E 琥珀酸盐-GEM 原药(VES-GEM 共轭物)兼具疏水性和多功能性,可以促进基于 Pluronic®F68 和 Pluronic®F127 胶束的纳米载体的开发,提高 GEM 的治疗潜力。采用不同的纯化方法,通过溶剂蒸发制备了不同摩尔比的 Pluronic®F68/VES-GEM 和 Pluronic®F127/VES-GEM 胶束,并对其尺寸、电荷、多分散指数、形态和包封性进行了表征。此外,还探讨了超声和超声处理的效果以及辅助表面活性剂的影响,以及药物的释放、稳定性、血液相容性、对肿瘤细胞的疗效和细胞吸收。通过减少辅料,VES-GEM 共轭胶束显示出可接受的尺寸和较高的封装效率(>95%)。Pluronic®F127/VES-GEM胶束具有优异的VES-GEM释放特性(累积释放>50%,pH = 7.4)、稳定性、细胞生长抑制(100 µM VES-GEM的细胞存活率<50%)、血液相容性和广泛的细胞内化,因此是利用GEM的有效性和安全性进行PC靶向治疗的一种很有前景的方法。
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Gemcitabine-Vitamin E Prodrug-Loaded Micelles for Pancreatic Cancer Therapy
Pancreatic cancer (PC) is an aggressive cancer subtype presenting unmet clinical challenges. Conventional chemotherapy, which includes antimetabolite gemcitabine (GEM), is seriously undermined by a short half-life, its lack of targeting ability, and systemic toxicity. GEM incorporation in self-assembled nanosystems is still underexplored due to GEM’s hydrophilicity which hinders efficient encapsulation. We hypothesized that vitamin E succinate–GEM prodrug (VES-GEM conjugate) combines hydrophobicity and multifunctionalities that can facilitate the development of Pluronic®F68 and Pluronic®F127 micelle-based nanocarriers, improving the therapeutic potential of GEM. Pluronic®F68/VES-GEM and Pluronic®F127/VES-GEM micelles covering a wide range of molar ratios were prepared by solvent evaporation applying different purification methods, and characterized regarding size, charge, polydispersity index, morphology, and encapsulation. Moreover, the effect of sonication and ultrasonication and the influence of a co-surfactant were explored together with drug release, stability, blood compatibility, efficacy against tumour cells, and cell uptake. The VES-GEM conjugate-loaded micelles showed acceptable size and high encapsulation efficiency (>95%) following an excipient reduction rationale. Pluronic®F127/VES-GEM micelles evidenced a superior VES-GEM release profile (cumulative release > 50%, pH = 7.4), stability, cell growth inhibition (<50% cell viability for 100 µM VES-GEM), blood compatibility, and extensive cell internalization, and therefore represent a promising approach to leveraging the efficacy and safety of GEM for PC-targeted therapies.
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