胰腺癌空间构型与新辅助治疗和根治性切除术后疾病复发相关
Spatial Configuration of Pancreatic Cancer Is Associated with Disease Recurrence after Neoadjuvant Therapy and Curative-Intent Resection.
从标准H&E切片量化的残留癌-间质拓扑结构在PDAC新辅助治疗后产生独立预后信号,为空间风险提供细胞免疫相关性依据,并推动前瞻性验证及空间信息指导的辅助治疗策略。
英文原题:Mesenchymal stem cell-delivered paclitaxel nanoparticles exhibit enhanced efficacy against a syngeneic orthotopic mouse model of pancreatic cancer.
胰腺癌被认为是各种实体瘤中最致命的,五年生存率为13 %。
胰腺癌被认为是各种实体瘤中最致命的,五年生存率为13%。晚期胰腺癌治疗中的主要挑战之一是化疗药物向肿瘤部位递送效率低下。尽管已开发出纳米载体以改善化疗药物的肿瘤递送,但不到1%的药物到达肿瘤,导致浓度不足以有效抑制肿瘤。作为一种潜在的替代方案,间充质干细胞(MSCs)由于其化疗耐药性和固有的肿瘤趋向性,可以有效地将其载荷递送至肿瘤部位。在本研究中,我们使用MSCs递送二苯并环辛炔(DBCO)功能化的紫杉醇(PTX)负载的聚(乳酸-共-乙醇酸)-b-聚(乙二醇)(PLGA)纳米颗粒。对MSCs进行修饰以在其表面产生人工叠氮基团,从而允许通过内吞作用加载纳米颗粒并通过点击化学进行表面偶联。与未修饰的MSCs(28.1 pg/细胞)相比,这种双重药物加载策略显著提高了表达叠氮的MSCs(MSC-Az,55.4 pg/细胞)的PTX加载能力。体外研究表明,负载PTX的MSC-Az(nano-MSCs)对胰腺癌表现出细胞毒性作用,而不改变其固有表型、分化能力和肿瘤趋向性。在原位胰腺肿瘤模型中,与PTX溶液、PTX纳米载体和Abraxane相比,nano-MSCs表现出显著的肿瘤生长抑制(p < 0.05)和生存改善(p < 0.0001)。因此,nano-MSCs可能是靶向胰腺癌化疗和其他实体瘤的有效递送系统。
Pancreatic cancer is considered the deadliest among various solid tumors, with a five-year survival rate of 13 %. One of the major challenges in the management of advanced pancreatic cancer is the inefficient delivery of chemotherapeutics to the tumor site. Even though nanocarriers have been developed to improve tumoral delivery of chemotherapeutics, less than 1 % of the drugs reach tumors, rendering inadequate concentration for effective inhibition of tumors. As a potential alternative, mesenchymal stem cells (MSCs) can effectively deliver their cargo to tumor sites because of their resistance to chemotherapeutics and inherent tumor tropism. In this study, we used MSCs for the delivery of dibenzocyclooctyne (DBCO)-functionalized paclitaxel (PTX)-loaded poly(lactide-co-glycolide)-b-poly (ethylene glycol) (PLGA) nanoparticles. MSCs were modified to generate artificial azide groups on their surface, allowing nanoparticle loading via endocytosis and surface conjugation via click chemistry. This dual drug loading strategy significantly improves the PTX-loading capacity of azide-expressed MSCs (MSC-Az, 55.4 pg/cell) compared to unmodified MSCs (28.1 pg/cell). The in vitro studies revealed that PTX-loaded MSC-Az, nano-MSCs, exhibited cytotoxic effects against pancreatic cancer without altering their inherent phenotype, differentiation abilities, and tumor tropism. In an orthotopic pancreatic tumor model, nano-MSCs demonstrated significant inhibition of tumor growth (p < 0.05) and improved survival (p < 0.0001) compared to PTX solution, PTX nanocarriers, and Abraxane. Thus, nano-MSCs could be an effective delivery system for targeted pancreatic cancer chemotherapy and other solid tumors.
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