不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:HPMA Copolymer Mebendazole Conjugate Allows Systemic Administration and Possesses Antitumour Activity In Vivo.
HPMA Copolymer Mebendazole Conjugate Allows Systemic Administration and Possesses Antitumour Activity In Vivo.
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甲苯达唑和其他苯并咪唑类抗蠕虫药,如阿苯达唑、芬苯达唑或氟苯达唑,已被证明具有抗肿瘤活性,主要归因于其微管破坏活性。然而,甲苯达唑和其他苯并咪唑类药物极差的水溶性导致生物利用度非常低,是该类药物的严重缺陷。
因此,迄今为止对其抗肿瘤潜力的研究仅限于口服(p.o.)反复给予高剂量或使用脂质体等制剂。在此,我们报道一种完全生物相容、水溶性的基于 HPMA 共聚物的偶联物,携带通过可生物降解键共价连接的甲苯达唑(P-MBZ;M w 28-33 kDa),可实现全身给药。这种方法不仅显著改善了甲苯达唑的溶解度,还显著延长了半衰期,并通过体内增强渗透和滞留(EPR)效应确保肿瘤蓄积。该 P-MBZ 在体外对 EL-4 T 细胞淋巴瘤、LL2 肺癌和 CT-26 结肠癌小鼠细胞系具有显著的抑制细胞生长和细胞毒性活性,相应的 IC 50 值分别为 1.07、1.51 和 0.814 µM。P-MBZ 在 EL-4 荷瘤小鼠中腹腔内(i.p.)给药时也表现出可观的抗肿瘤活性,无论是单次给药还是采用 3 次间歇给药。P-MBZ 与基于 IL-2 和抗 IL-2 mAb S4B6 复合物的免疫疗法联合使用,可强效刺激活化和记忆 CD8 + T 细胞以及 NK 细胞,进一步改善了治疗效果。
Mebendazole and other benzimidazole antihelmintics, such as albendazole, fenbendazole, or flubendazole, have been shown to possess antitumour activity, primarily due to their microtubule-disrupting activity.
However, the extremely poor water-solubility of mebendazole and other benzimidazoles, resulting in very low bioavailability, is a serious drawback of this class of drugs.
Thus, the investigation of their antitumour potential has been limited so far to administering repeated high doses given peroral (p. o.) or to using formulations, such as liposomes.
Herein, we report a fully biocompatible, water-soluble, HPMA copolymer-based conjugate bearing mebendazole (P-MBZ; M w 28-33 kDa) covalently attached through a biodegradable bond, enabling systemic administration. Such an approach not only dramatically improves mebendazole solubility but also significantly prolongs the half-life and ensures tumour accumulation via an enhanced permeation and retention (EPR) effect in vivo. This P-MBZ has remarkable cytostatic and cytotoxic activities in EL-4 T-cell lymphoma, LL2 lung carcinoma, and CT-26 colon carcinoma mouse cell lines in vitro, with corresponding IC 50 values of 1.
07, 1. 51, and 0. 814 µM, respectively. P-MBZ also demonstrated considerable antitumour activity in EL-4 tumour-bearing mice when administered intraperitoneal (i. p.) , either as a single dose or using 3 intermittent doses. The combination of P-MBZ with immunotherapy based on complexes of IL-2 and anti-IL-2 mAb S4B6, potently stimulating activated and memory CD8 + T cells, as well as NK cells, further improved the therapeutic effect.
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