In breast cancer cell models that overexpress HER2/neu, an increased level of IGF-IR signaling appears to interfere with the action of trastuzumab. Thus, strategies that target IGF-IR signaling may prevent or delay development of resistance to trastuzumab.
Nanoscale
photodynamic therapy (PDT) is an appealing antitumor
modality for which apoptosis is the major mechanism of toxicity induction.
It was postulated that the highly reactive singlet oxygen in PDT could
deplete glutathione (GSH) and activate ferroptosis, the extent to
which could be further manipulated by a redox-responsive nanocarrier.
To validate this, a disulfide-bearing imidazole ligand coordinated
with zinc to form an all-active metal organic framework (MOF) nanocarrier
where a photosensitizer (chlorin e6/Ce6) was encapsulated. Regardless
of light irradiation, the Ce6-loaded nanocarrier caused the depletion
of intracellular GSH via the disulfide–thiol exchange reaction
in a murine mammary carcinoma cell line (4T1). The GSH depletion further
caused the inactivation of glutathione peroxide 4 (GPX4) and the enhancement
of cytotoxicity that was alleviated by ferroptosis inhibitors. The
superior in vivo antitumor efficacy of the all-active
nanocarrier was corroborated in a 4T1 tumor-bearing mice model regarding
tumor growth suppression and animal survival rate. The coadministration
of an iron chelator weakened the antitumor potency of the nanocarrier
due to ferroptosis inhibition, which was supported by the fact of
tumor growth upsurge and the recovered GPX4 activity. The current
work highlights the contribution of ferroptotic machinery to antitumor
PDT via an activatable, adaptable, all-active MOF nanocarrier.
Micelle-forming polymer-drug conjugates containing multiple drug molecules were an efficient means to increase loading and intracellular delivery of low-potency curcumin.
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