A nanotherapeutic strategy to overcome chemotherapeutic resistance of cancer stem-like cells

Nat Nanotechnol. 2021 Jan;16(1):104-113. doi: 10.1038/s41565-020-00793-0. Epub 2021 Jan 12.

Abstract

Tumour heterogeneity remains a major challenge in cancer therapy owing to the different susceptibility of cells to chemotherapy within a solid tumour. Cancer stem-like cells (CSCs), which reside in hypoxic tumour regions, are characterized by high tumourigenicity and chemoresistance and are often responsible for tumour progression and recurrence. Here we report a nanotherapeutic strategy to kill CSCs in tumours using nanoparticles that are co-loaded with the differentiation-inducing agent, all-trans retinoic acid, and the chemotherapeutic drug, camptothecin. All-trans retinoic acid is released under hypoxic conditions, leading to CSC differentiation in the hypoxic niche. In differentiating CSC, the reactive oxygen species levels increase, which then causes the release of camptothecin and subsequent cell death. This dual strategy enables controlled drug release in CSCs and reduces stemness-related drug resistance, enhancing the chemotherapeutic response. In breast tumour mouse models, treatment with the nanoparticles suppresses tumour growth and prevents post-surgical tumour relapse and metastasis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage*
  • Antineoplastic Combined Chemotherapy Protocols / pharmacokinetics
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / pathology
  • Breast Neoplasms / surgery
  • Camptothecin / administration & dosage
  • Cell Differentiation / drug effects
  • Drug Delivery Systems / methods*
  • Drug Liberation
  • Drug Resistance, Neoplasm
  • Female
  • Humans
  • Mice
  • Mice, Inbred BALB C
  • Nanomedicine / methods
  • Nanoparticles / administration & dosage*
  • Nanoparticles / chemistry
  • Neoplastic Stem Cells / drug effects*
  • Neoplastic Stem Cells / pathology
  • Rats
  • Rats, Wistar
  • Tissue Distribution
  • Tretinoin / administration & dosage
  • Tretinoin / pharmacokinetics
  • Xenograft Model Antitumor Assays

Substances

  • Tretinoin
  • Camptothecin