脂质体递药系统的靶向修饰

作为药物递送载体,脂质体(LPs)由于免疫原性低、稳定性好、毒性低和成本低而被认为是有前途的纳米药物递送系统。然而,LPs的靶向递送效果并不理想,往往会对正常的机体细胞造成伤害,因此,如何优化LPs药物,使其具有靶向性仍然是当前研究的重点。本文结合近年来国内外相关研究进展,重点介绍了多肽、抗体、糖类、配体,以及核酸适配体等靶向修饰物对LPs功能的影响,并归纳总结了各种靶向修饰目前存在的优势与挑战,以期对LPs给药系统的进一步研究提供科学参考及新药研发提供理论依据。     

肝细胞靶向pH敏脂质体的制备及性质分析

为了制备具有肝细胞特异靶向性和pH敏感性的脂质体,设计并合成了四种带有半乳糖残基的导向分子,与具有pH敏感性的DC-chol/DOPE混合制备脂质体,通过质粒转染实验、受体竞争抑制实验和红细胞溶血等实验选出最佳转染活性的十八醇-半乳糖甙(18-gal)脂质体,并证明其具有肝细胞特异受体介导的靶向性和pH敏感性,且细胞毒性较小,可以作为一种潜在的肝细胞靶向转运系统得到进一步发展.     

多肽靶向脂质体的表面配体修饰密度及其体内肿瘤靶向效果的研究

脂质体作为一种药物载体广泛应用于肿瘤药物输送中。配体修饰的靶向脂质体,其靶向配体分子在脂质体表面修饰的构象和密度等参数,对脂质体本身的特性及其体内的靶向效果,有很大的影响。但有关其中的具体相互关系,以及可能的最优条件,国内外文献都尚无定论。据此我们建立了多肽靶向脂质体表面配体修饰的分析方法,并通过影像学手段来研究不同靶向肽含量对脂质体在荷瘤裸鼠中的靶向行为的影响。首先采用孵育插入法将带有多肽的脂质分子插入脂质体表面,用分子筛色谱法分离修饰后的脂质体和未插入的多肽脂质,再用HPLC-ELSD定量各脂质成分,得到多肽靶向脂质体表面的靶向肽密度。而后将修饰有不同密度靶向多肽的荧光脂质体经荷瘤小鼠尾静脉注射,分别在给药前后各时间点对小鼠进行扫描,对扫描得到的图像进行处理并计算AUC、T1/2和MRT等相关药代动力学参数。结果表明,随着脂质体表面多肽密度的增加,即多肽密度大于1.298%的靶向脂质体,其肿瘤部位的荧光AUC、T1/2和MRT都较未修饰的隐形脂质体有所提高,显示其在肿瘤组织中的聚集量增多、停留时间延长,针对肿瘤细胞的特异性作用机制得以彰显。     

Conventional Liposome Performance and Evaluation: Lessons from the Development of Vescan

In the early 1980s, Vestar Inc., a company founded on the basis of science developed by the California Institute of Technology and the City of Hope, brought into development an imaging agent based on liposome encapsulated ¹¹¹In³⁺. This agent, named Vescan, together with the gamma ray perturbed angular correlation spectroscopy technique to examine liposome integrity, was envisioned as a broadly applicable in vivo tumor diagnostic agent. While not ultimately commercialized, the agent was used to successfully image a variety of tumors, and was evaluated in late-stage clinical trials. Lessons learned from the formulation and process development of this product, and the wealth of non-clinical and clinical results, revealed valuable information about the properties of stable, RES avoiding conventional liposomes. This technology ultimately would lead (at NeXstar Pharmaceuticals and, later, at Gilead Sciences) to the technology that created commercialized liposomal products such as AmBisome and DaunoXome as well as other development stage product candidates.     

阿霉素靶向给药系统研究进展

近年来,癌症的发病率和死亡率不断上升,对人类健康造成极大的威胁。阿霉素作为一种广谱抗肿瘤药物,对正常细胞亦有严重毒副作用,从而使其临床应用受到限制。提高阿霉素肿瘤靶向性、降低其毒性由此成为该药物的热点研究方向。对阿霉素靶向给药系统的研究进展进行了综述。     

前列腺癌的靶向治疗研究现状与展望

前列腺癌难以根治,研究雄激素非依赖型前列腺癌的靶向治疗具有实际的临床意义,涉及抗体靶向治疗、靶向抗前列腺癌药物研制、细胞生长信号转导通路抑制、微小RNA应用等多方面,而靶向清除肿瘤干细胞则是根治前列腺癌的有效策略。     

Preparation and in vitro evaluation of a folate-linked liposomal curcumin formulation

Curcumin (CUR), a plant-derived compound, exhibits versatile antitumor effects. However, its poor hydrophilic property limits its application. To circumvent these drawbacks, we encapsulated CUR in liposomes modified with folic acid for better solubility and enhanced tumor targeting. This novel formulation was prepared by a film-dispersion method and characterized by size, zeta potential, drug-loading efficiency, and physical-condition stability. In vitro, cellular uptake efficiency, cytotoxicity, and apoptosis analysis by flow cytometry were performed to evaluate tumor targeting and killing ability. Results showed that the folate-receptor (FR)-targeted liposomal CUR (F-CUR-L) performed with improved solubility, sufficient stability, and enhanced antitumor activity. Mean diameter, zeta potential, and drug-loading efficiency were 182?nm, ?26 mV, and 68%, respectively, and this formulation exhibited stability in storage at 4°C for 1 month. In vitro, FR-positive cells endocytosed more F-CUR-L than nontargeted liposomal CUR (CUR-L); thus, the former induced more cellular proliferation inhibition and higher apoptosis than the latter, and the enhanced targeting could be hindered by 1?mM of free folic acid. Further, KB cells were more sensitive to F-CUR-L, compared to Hela cells. Finally, the two kinds of tumor cells treated with F-CUR-L also showed dose- and time-dependent apoptosis.     

载药脂质体的研究与应用进展

载药脂质体给药系统已成为国内外的研究热点。传统脂质体经修饰和改良后表现出良好的生物相容性,缓释性和靶向性。新型脂质体在经皮给药,肺部给药,脑部靶向治疗,基因治疗等方面的应用研究结果显示,集药物缓释、靶向于一体的具有良好生物安全性的脂质体给药系统具有很大发展潜力。本文综述了该领域中的最新研究进展。     

甲胎蛋白携带药物靶向治疗肿瘤

甲胎蛋白(alpha fetoprotein,AFP)是一种在胎儿发育时期高表达的蛋白质,它又是一种穿梭蛋白质,能够将营养物质输送给胚胎细胞.相似的是,在肝癌等恶性肿瘤发展时期,肿瘤细胞也高表达AFP及其受体,它们通过AFP受体摄取AFP及其运载的物质.因此,可以将AFP与抗癌药物结合,选择性攻击肿瘤细胞.AFP与药物...     

靶向蛋白质泛素修饰及降解在前列腺癌治疗中的机遇与挑战

前列腺癌是中国发病率增长最快的男性肿瘤,抗雄激素治疗耐药是导致前列腺癌患者预后差的主要原因。因此,解决耐药性难题是前列腺癌转化研究的关键问题。哺乳动物细胞利用泛素-蛋白酶体系统实现蛋白质的靶向降解。因此,前列腺癌中关键的癌基因如雄激素受体（AR）的上游泛素化调控因子（如去泛素化酶）是潜在的治疗靶点。然而,这些酶具有较广的底物谱系,存在脱靶的可能性。近来,基于泛素-蛋白酶体系统开发的蛋白质降解靶向嵌合体（proteolysis-targeting chimeras,PROTAC）技术是最具前景和革命性的新型抗癌药物研发技术,能够利用特定E3泛素连接酶对靶蛋白进行降解而不影响其他底物。与传统小分子抑制剂相比,PROTAC分子在克服耐药性以及针对不可成药的靶点方面拥有巨大优势。目前,针对AR的PROTAC降解剂已在II期临床取得了成功,靶向蛋白质泛素化及降解途径的新技术将有望为前列腺癌的临床治疗带来新的突破。     

肿瘤干细胞靶向治疗研究进展

肿瘤干细胞是存在于肿瘤组织中的一小部分具有自我更新、多向分化和无限增殖能力的细胞,其控制着肿瘤的生长、分化,并且与 肿瘤的耐药性、转移以及复发密切相关。简述近年来国内外学者针对肿瘤干细胞的靶向治疗产品,包括抗体、多肽以及靶向药物的研究进展。 肿瘤干细胞的靶向治疗为临床肿瘤治疗提供了新的希望。     

血清ANXA2、ANXA6、ANXA7与乳腺癌患者聚乙二醇多柔比星脂质体相关新辅助化疗方案治疗疗效的关系研究

摘要 目的：探讨血清膜联蛋白A2（ANXA2）、膜联蛋白A6（ANXA6）、膜联蛋白A7（ANXA7）与乳腺癌患者聚乙二醇多柔比星脂质体（PLD）相关新辅助化疗方案治疗疗效的关系。方法：选择2019年11月至2022年12月于山西医科大学第一医院95例行PLD相关新辅助化疗的乳腺癌患者。新辅助化疗前检测所有乳腺癌患者的血清ANXA2、ANXA6、ANXA7水平。单因素和多因素Logistic回归分析影响乳腺癌患者PLD相关新辅助化疗疗效的因素。受试者工作特征（ROC）曲线分析血清ANXA2、ANXA6、ANXA7预测乳腺癌患者PLD相关新辅助化疗疗效的价值。结果：无效组新辅助化疗前血清ANXA2、ANXA6、ANXA7水平均高于有效组（P＜0.05）。TNM分期IIIA期、ER阳性、高水平ANXA2、高水平ANXA6、高水平ANXA7是乳腺癌PLD相关新辅助化疗无效的危险因素（P＜0.05）。血清ANXA2、ANXA6、ANXA7单独检测预测乳腺癌PLD相关新辅助化疗无效的曲线下面积分别为0.783、0.774、0.821,三指标联合检测预测的曲线下面积为0.923,高于各指标单独预测效能。结论：高ANXA2、ANXA6、ANXA7水平及TNM分期ⅢA期、ER阳性均是乳腺癌患者PLD相关新辅助化疗无效的危险因素,联合检测血清ANXA2、ANXA6、ANXA7水平可提高对乳腺癌患者PLD相关新辅助化疗疗效的预测效能。     

藻蓝蛋白亚基脂质体光动力作用对LKB1在乳腺癌细胞中表达的影响

为了探讨肿瘤抑制因子LKB1蛋白在肿瘤光动力疗法中作用,先用MTT法检测藻蓝蛋白亚基脂质体（PEG-PCS-Lip）对人乳腺癌细胞MCF-7,鼠乳腺癌细胞MA-782的光动力杀伤效果,分光光度法检测活性氧ROS的产量,Western blot检测LKB1激酶表达水平;然后用免疫组织化学方法观察PEG-PCS-Lip介导的光动力作用在乳腺癌模型鼠对LKB1基因表达影响. 结果显示在光照剂量为29.17 J/cm2时,用0~25 μg/mL PEG-PCS-Lip处理会小幅度促进MA-782和MCF-7细胞的生长,同时细胞中的ROS和LKB1蛋白的量下降;当用25~100 μg/mL PEG-PCS-Lip处理则明显抑制MA-782和MCF-7细胞的生长,同时细胞中的ROS和LKB1蛋白的量随PEG-PCS-Lip量的增加而增加.用10 mg/kg PEG-PCS-Lip静脉注射荷瘤小鼠,光照剂量为208.2 J/cm2时,其抑瘤率可达到68.9 %,LKB1在乳腺癌组织中的表达量则增加了33.9 %,同时,LKB1激酶从细胞核转移到细胞质的量也在增加. 因此,PEG-PCS-Lip PDT作用所产生的ROS可能是激活LKB1的表达的原因之一,二者协同作用在一定的光敏剂浓度范围内增强了PDT抑制肿瘤生长的疗效.     

Mouse Ovarian Cancer Models Recapitulate the Human Tumor Microenvironment and Patient Response to Treatment

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Influence of Drug-to-Lipid Ratio on Drug Release Properties and Liposome Integrity in Liposomal Doxorubicin Formulations

Recent studies have shown that the release properties of vincristine encapsulated in large unilamellar vesicles (LUV) can be regulated by varying the drug-to-lipid (D/L) ratio. In this work it is shown that the drug-to-lipid ratio technique for regulating drug release also applies to doxorubicin encapsulated in LUV. In particular it is shown that the half-times (T_1/2) for doxorubicin release from distearoylphosphatidylcholine (DSPC)/cholesterol LUV in vitro can be increased more than six-fold by increasing the D/L ratio from 0.05 (wt/wt) to 0.39 (wt/wt). This behavior is consistent with the behavior expected for drugs that precipitate following accumulation into liposomes. It is shown that the release properties of ciprofloxacin—a drug that does not precipitate following accumulation into LUV—are not affected by the D/L ratio. It is also shown that the crystalline intravesicular doxorubicin precipitates observed as the D/L ratio is raised from 0.05 to 0.46 adopt increasingly unusual morphologies. Linear crystals are observed at lower D/L values, however triangular and rectangular variations are observed as the D/L ratio is increased, and induce considerable distortion in vesicle morphology. It is noted that trapping efficiency following uptake of external doxorubicin into LUV is reduced from nearly 100% at a D/L ratio of 0.05 (wt/wt) to less than 70% at an (initial) D/L ratio of 0.8 (wt/wt). It is suggested that this arises, at least in part, from membrane-disrupting effects of internal drug crystals as they increase in size.     

Proteomic Changes to the Updated Discovery of Engineered Insulin and Its Analogs: Pros and Cons

The destruction of β-cells of the pancreas leads to either insulin shortage or the complete absence of insulin, which in turn causes diabetes Mellitus. For treating diabetes, many trials have been conducted since the 19th century until now. In ancient times, insulin from an animal’s extract was taken to treat human beings. However, this resulted in some serious allergic reactions. Therefore, scientists and researchers have tried their best to find alternative ways for managing diabetes with progressive advancements in biotechnology. However, a lot of research trials have been conducted, and they discovered more progressed strategies and approaches to treat type I and II diabetes with satisfaction. Still, investigators are finding more appropriate ways to treat diabetes accurately. They formulated insulin analogs that mimic the naturally produced human insulin through recombinant DNA technology and devised many methods for appropriate delivery of insulin. This review will address the following questions: What is insulin preparation? How were these devised and what are the impacts (both positive and negative) of such insulin analogs against TIDM (type-I diabetes mellitus) and TIIDM (type-II diabetes mellitus)? This review article will also demonstrate approaches for the delivery of insulin analogs into the human body and some future directions for further improvement of insulin treatment.     

Perceptions of Dogs in the Workplace: The Pros and the Cons

With growing interest in the value of animal companionship to human health, and increasing business awareness of promoting work-based health innovations and improving employees’ feelings of support, there has been a rise in interest about allowing dogs in the workplace (e.g., “Take your dog to work day” initiative; Pet Sitters International, 2015). However, there is little scientific literature about the advantages or disadvantages of such practice to support decision makers. We report the results of an internationally promoted survey to assess perceptions of dogs in the workplace, promoted through a “Take your dog to work” initiative. Responses to four open-ended questions were analyzed for themes across 776 participants. Common barriers to allowing dogs at work included the suitability of the working environment (44%) and health and safety concerns (31.3%). Where dogs were permitted in the workplace, there appeared to be little regulation of this, with few formal policies in place (63.8% had no guidelines/policies). The majority of those surveyed believed their colleagues had no concerns about having dogs at work (63.3%); the main potential problems that were recognized included a dislike of dogs (16.7%) and cleanliness issues (6.7%). Respondents made generally positive comments about having dogs at work (43.1%), referring to specific benefits including increased social interactions and reduced stress and improved atmosphere of the office. The implications of these findings are discussed for businesses and the development of “dog in the workplace” policies.     

Caveolin-1 is a negative regulator of tumor growth in glioblastoma and modulates chemosensitivity to temozolomide

Caveolin-1 (Cav-1) is a critical regulator of tumor progression in a variety of cancers where it has been shown to act as either a tumor suppressor or tumor promoter. In glioblastoma multiforme, it has been previously demonstrated to function as a putative tumor suppressor. Our studies here, using the human glioblastoma-derived cell line U-87MG, further support the role of Cav-1 as a negative regulator of tumor growth. Using a lentiviral transduction approach, we were able to stably overexpress Cav-1 in U-87MG cells. Gene expression microarray analyses demonstrated significant enrichment in gene signatures corresponding to downregulation of MAPK, PI3K/AKT and mTOR signaling, as well as activation of apoptotic pathways in Cav-1-overexpressing U-87MG cells. These same gene signatures were later confirmed at the protein level in vitro. To explore the ability of Cav-1 to regulate tumor growth in vivo, we further show that Cav-1-overexpressing U-87MG cells display reduced tumorigenicity in an ectopic xenograft mouse model, with marked hypoactivation of MAPK and PI3K/mTOR pathways. Finally, we demonstrate that Cav-1 overexpression confers sensitivity to the most commonly used chemotherapy for glioblastoma, temozolomide. In conclusion, Cav-1 negatively regulates key cell growth and survival pathways and may be an effective biomarker for predicting response to chemotherapy in glioblastoma.     

介孔纳米二氧化硅作为药物载体在癌症治疗中的应用

介孔纳米二氧化硅作为抗肿瘤药物载体,在癌症治疗上的应用越来越受到关注。介孔纳米二氧化硅不仅可实现药物的有效递送,而且可显著提高药物的生物利用度。功能化介孔纳米二氧化硅还能提高药物对肿瘤细胞的靶向性,实现药物的特异性按需释放。该新型纳米载体在癌症治疗中具有非常广阔的应用前景。本文对介孔纳米二氧化硅作为药物载体在多种癌症治疗中的应用,以及不同表面修饰物对药物载体递送的影响和优势加以综述,并对功能化介孔纳米二氧化硅载体对提高药物抗癌活性和靶向性的积极作用提出了展望。     

免疫重建荷人膀胱癌-SCID鼠模型的建立

目的：探讨建立稳定的荷人膀胱癌SCID 鼠人化复合模型的方法,为在人免疫重建荷人膀胱肿瘤SCID 鼠模型检测重组BCG 的免疫刺激和免疫保护中打下基础。方法：经SCID 鼠腹腔内注射人PBL、皮下接种RT4 膀胱癌细胞,于接种后4 周检测SCID 鼠体内人免疫细咆水平（IgG 和CD^3＋、CD^4＋、CD^8＋ T 细胞）及脾脏重量,观察皮下成瘤潜伏期及成瘤率。结果：模型组100％成瘤,病理类型为移行细胞癌;检测SCID 鼠血中人IgG 均一定水平存在,与对照组间差异有统计学意义（P〈0.01）;人CD^3＋、CD^4＋、CD^8＋T 细胞在鼠血及脾中均有表达,而对照组均未检出（P〈0.05）;4 周鼠脾重平均（178.9± 45.2）mg。较对照组（40.6± 14.8）mg 差异有统计学意义（P〈0.01）。结论：采用腹腔注射人PBL、皮下接种RT4膀胱癌细胞的方法可以有效地建立人化荷人膀胱癌SCID 鼠模型,较好地模拟人浸润性膀胱癌体内生物学特性,是膀胱癌免疫基因治疗的较理想模型。