Co-delivery of doxorubicin and imatinib by pH sensitive cleavable PEGylated nanoliposomes with folate-mediated targeting to overcome multidrug resistance

Int J Pharm. 2018 May 5;542(1-2):266-279. doi: 10.1016/j.ijpharm.2018.03.024. Epub 2018 Mar 15.

Abstract

Multidrug resistance to chemotherapeutic drugs is a major obstacle to breast cancer treatment. In this study, doxorubicin (DOX) and imatinib (IM) were co-loaded into folate receptor targeted (FR-targeted) pH-sensitive liposomes (denoted as FPL-DOX/IM) to fulfill intracellular acid-sensitive release and reverse drug resistance. FPL-DOX/IM could maintain stability in blood circulation with approximate diameters of 100 nm and rapidly release encapsulated drugs in tumor acidic microenvironment. Moreover, the IM in combination therapy could overcome chemoresistance associated with DOX effectively by inhibiting ABC transporter function and improving chemotherapy sensitivity. The designed liposomes co-loaded with DOX and IM significantly enhanced anti-tumor effects both in vitro and in vivo. These findings suggest that FPL-DOX/IM provides a novel strategy to improve chemotherapeutic efficacy against MDR tumors.

Keywords: Doxorubicin; Drug resistance; Imatinib; Liposomes; pH-sensitive.

MeSH terms

  • Animals
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage*
  • Antineoplastic Combined Chemotherapy Protocols / chemistry
  • Antineoplastic Combined Chemotherapy Protocols / pharmacokinetics
  • Apoptosis / drug effects
  • Cell Survival / drug effects
  • Doxorubicin / administration & dosage*
  • Doxorubicin / chemistry
  • Doxorubicin / pharmacokinetics
  • Drug Liberation
  • Drug Resistance, Neoplasm
  • Drug Stability
  • Female
  • Folate Receptors, GPI-Anchored / metabolism*
  • Folic Acid / administration & dosage*
  • Folic Acid / chemistry
  • Folic Acid / pharmacokinetics
  • Humans
  • Hydrogen-Ion Concentration
  • Imatinib Mesylate / administration & dosage*
  • Imatinib Mesylate / chemistry
  • Imatinib Mesylate / pharmacokinetics
  • Liposomes
  • MCF-7 Cells
  • Mice, Inbred BALB C
  • Mice, Nude
  • Vitamin E / administration & dosage*
  • Vitamin E / chemistry
  • Vitamin E / pharmacokinetics

Substances

  • Folate Receptors, GPI-Anchored
  • Liposomes
  • Vitamin E
  • Doxorubicin
  • Imatinib Mesylate
  • Folic Acid
  • tocophersolan