A cascade dual-targeted nanocarrier for enhanced alectinib delivery to ALK-positive lung cancer

Biomater Sci. 2020 Nov 21;8(22):6404-6413. doi: 10.1039/d0bm00970a. Epub 2020 Oct 13.

Abstract

Alectinib is a highly efficacious inhibitor for the treatment of anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer (NSCLC) in the clinic; however, serious adverse events (AEs) occurred in 44.0% of patients. Herein, we explored magnetic/TAT dual-targeted nanocarriers as delivery systems for alectinib. Magnetic targeting efficiently enhanced the extravasation of alectinib-loaded nanoparticles from vessels into the tumor tissue, while the TAT targeting reactivated in the tumor tissue significantly improved the tumor cellular uptake of the nanocarrier. As a result, this dual-targeted polymeric nanocarrier exhibited superior therapeutic effects and induced tumor shrinkage in vivo. Meanwhile, this dual-targeted nanocarrier also minimized alectinib-induced hepatotoxicity, providing an efficient strategy to extend the application of alectinib for NSCLC patients.

MeSH terms

  • Anaplastic Lymphoma Kinase / genetics
  • Carbazoles
  • Carcinoma, Non-Small-Cell Lung* / drug therapy
  • Humans
  • Lung Neoplasms* / drug therapy
  • Piperidines
  • Protein Kinase Inhibitors

Substances

  • Carbazoles
  • Piperidines
  • Protein Kinase Inhibitors
  • Anaplastic Lymphoma Kinase
  • alectinib