Anticancer drug resistance demands innovative approaches that boost the activity of drugs against drug-resistant cancers without increasing the systemic toxicity. Here we show the use of enzymeinstructed self-assembly (EIA) to generate intracellular supramolecular assemblies that drastically boost the activity of cisplatin against drug resistant ovarian cancer cells. We design and synthesize the small peptide precursors as the substrates of carboxylesterase (CES). CES cleaves the ester bond pre-installed on the precursors to form the peptides that self-assemble in water to form nanofibers. At the optimal concentrations, the precursors themselves are innocuous to cells, but they double or triple the activity of cisplatin against the drug resistant ovarian cancer cells. This work illustrates a simple, yet fundamental new way to introduce non-cytotoxic components into combination therapy of cisplatin without increasing the systemic burden or side effects.
Keywordsself-assembly; enzyme; combination therapy; cisplatin; drug-resistant Since its serendipitous discovery five decades ago, [1] cisplatin has become the most successful therapeutic agent for anticancer chemotherapy. [2] Particularly, cisplatin has drastically extended the progression free survival (PFS) of patients with ovarian cancers. [3] However, due to the lack of early detection of ovarian cancer and the almost inevitable relapse in the patients with advanced ovarian cancer, drug resistance remains a major obstacle in treating ovarian cancers. [4] Many approaches have been investigated to address the urgent need of treating drug-resistant ovarian cancers, one of the most explored strategy is combination chemotherapy (i.e., the combination of cisplatin with other therapeutics) because the obvious clinical advantages of cisplatin promise rapid translation from preclinical to clinical. Despite the remarkable clinical success of combination therapy (e.g., the combination of cisplatin and paclitaxel), [3] the 5-year relative survival rate of ovarian cancer hardly improved (45% (2004-2010) vs. 45% (1996-2003)) over the past decade. [4e] Thus, there is an urgent need of innovative approach for cisplatin-based combination therapy.We have been exploring enzyme-instructed molecular self-assembly [5] inside cells, [6] and our recent study shows that intracellular molecular nanofibers promiscuously interact with cytoskeleton proteins [7] yet selectively inhibit cancer cells. [8] Recently, Maruyama et al., [9] Pires and Ulijn, [10] Yang et al., [11] and Wells [12] also reported inhibition of cancer cells by nanofibers formed by the self-assembly of small molecules. The exceptional selectivity [8] and fundamentally new mechanisms [7,13] of the molecular nanofibers against cancer cells encouraged us to explore the utilization of enzyme-instructed intracellular molecular self-
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Author ManuscriptAuthor Manuscript assembly for the combination therapy of cisplatin. Unlike the previous approaches, this work focuses on the ...