Dexamethasone Pretreatment Potentiates a Folic Acid-Functionalized Delivery System for Enhanced Lung Cancer Therapy

Folic acid (FA) has been widely engineered to promote the targeted delivery of FA-modified nanoparticles (NPs) by recognizing the folate receptor α (FRα). However, the efficacy of FA-targeted therapy significantly varied with the abundance of FRα and natural immunoglobulin levels in different tumors. Therefore, a sequential therapy of dexamethasone (Dex)-induced FRα amplification and immunosuppression combined with FA-functionalized doxorubicin (DOX) micelles to synergistically suppress tumor proliferation was proposed in this study. In brief, a pH/reduction-responsive FA-functionalized micelle (FCSD) was obtained by grafting FA, derivatization-modified cholesterol, and 2,3-dimethylmaleic anhydride onto a chitosan oligosaccharide. The obtained FCSD/DOX NPs can effectively deliver DOX in tumors, and their targeting efficiency can be further improved with Dex pretreatment to decrease the immunoglobulin M (IgM) content in serum and amplify FRα levels on the surface of M109 cells. After internalization, charge reversal and disulfide bond breakage of FCSD vectors under the stimulation of tumor extracellular pH (pHe) and intracellular glutathione (GSH) would contribute to the disintegration of vectors and the rapid release of DOX. The sequential therapy that combined Dex pretreatment and targeted chemotherapy by FCSD/DOX NPs demonstrated superior tumor suppression compared with monotherapy, which is expected to provide a potential strategy for FRα-positive lung cancer patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

Molecular pharmaceutics - 21(2024), 3 vom: 04. März, Seite 1077-1089

Sprache:

Englisch

Beteiligte Personen:

Zhao, Ying [VerfasserIn]
Jia, Changhao [VerfasserIn]
Yao, Zhixin [VerfasserIn]
Chen, Gang [VerfasserIn]
Huang, Gui [VerfasserIn]
Li, Hui [VerfasserIn]
Lu, Linghong [VerfasserIn]
Jin, Taiwei [VerfasserIn]
Tang, Yan [VerfasserIn]
Zhu, Zengyan [VerfasserIn]
Zhang, Xuenong [VerfasserIn]

Links:

Volltext

Themen:

7S5I7G3JQL
80168379AG
935E97BOY8
Dexamethasone
Doxorubicin
Drug Carriers
FA-targeted delivery system
FRα upregulation
Folic Acid
Journal Article
Micelles
Natural immunoglobulin
Sequential therapy

Anmerkungen:

Date Completed 05.03.2024

Date Revised 05.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1021/acs.molpharmaceut.3c00472

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368365190