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Dual-aptamer-decorated reduction-activated dimeric-prodrug nanoparticles for broad-spectrum treatment of leukemia - 08/11/24

Doi : 10.1016/j.biopha.2024.117543 
Shan Yang a, 1, Riming Wang a, 1, Mei Liu b, Yanhong Lv c, Hong Fu a, Xiaochen Cao a, , Guogang Dong d,
a Department of Pharmacy, the General Hospital of Eastern Command of the Chinese People's Liberation Army (PLA), Nanjing 210012, China 
b Department of Pharmacy, the Air Force Hospital from Eastern Theater of Chinese People's Liberation Army (PLA), Nanjing 210012, China 
c Department of Anatomy, Harbin Medical University, Harbin 150086, China 
d Department of Radiology, the General Hospital of Eastern Command of the Chinese People's Liberation Army (PLA), Nanjing 210012, China 

Correspondence to: Department of Pharmacy, the General Hospital of Eastern Command of the Chinese People's Liberation Army (PLA), No.305 Zhongshan East Road, Xuanwu District, Nanjing 210012, China.Department of Pharmacy, the General Hospital of Eastern Command of the Chinese People's Liberation Army (PLA)No.305 Zhongshan East Road, Xuanwu DistrictNanjing210012China⁎⁎Correspondence to: Department of Radiology, the General Hospital of Eastern Command of the Chinese People's Liberation Army (PLA), No. 305 Zhongshan East Road, Xuanwu District, Nanjing 210012, China.Department of Radiology, the General Hospital of Eastern Command of the Chinese People's Liberation Army (PLA)No. 305 Zhongshan East Road, Xuanwu DistrictNanjing210012China

Abstract

Leukemia remains a fatal disease for most affected patients, and a simple and effective therapeutic strategy is urgently needed. Targeted delivery chemo-drugs to leukemia cells shows promise, but the diverse subtypes of leukemia make single-ligand nanomedicine often ineffective. Herein, a dual-aptamer decorated, reduction-responsive dimeric prodrug-based nanoparticle (NP), termed SXP-NPs, was developed using the two leukemia-specific aptamers Sgc8c and XQ-2d, a reduction-responsive podophyllotoxin (POD) dimeric prodrug, and DSPE-PEG2000. Because the receptors of XQ-2d (CD71) and Sgc8c (PTK7) are overexpressed in different subtypes of leukemia cells, SXP-NPs can broadly and selectively recognize these leukemia cells after intravenous administration, subsequently releasing POD in response to the intracellular high-reduction environment to kill the leukemia cells. In vitro experiments showed that these simple SXP-NPs can specifically bind to various leukemia cancer cells and kill them. In vivo experiments revealed that SXP-NPs can remarkably reduce spleen weight, decrease white blood cell counts, and extend overall survival in a preclinical leukemia animal model. The in vitro and in vivo validation demonstrated that SXP-NPs offer several advantages, including high drug-loading potential, broad-spectrum recognition of leukemia cells, reduced systemic toxicity, and enhanced therapeutic effects of the drug. Taken together, this study provides a simple and effective strategy for broad-spectrum leukemia therapy and highlights the clinical potential of SXP-NPs.

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Graphical Abstract




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Highlights

A dual-aptamer-decorated reduction-activated POD dimeric-prodrug NPs was designed and prepared.
SXP-NPs can broadly and specifically recognize leukemia cells.
In responsive intracellular high GSH, SXP-NPs can release active POD and kill leukemia cells.
SXP-NPs have the potential for broadly and highly efficiently eliminating leukemia.

El texto completo de este artículo está disponible en PDF.

Keywords : Aptamer, High drug loading, Dual targeting, Dimeric prodrug, Stimuli-responsive


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© 2024  The Authors. Publicado por Elsevier Masson SAS. Todos los derechos reservados.
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