Dual-responsive nanoparticles loading bevacizumab and gefitinib for molecular targeted therapy against non-small cell lung cancer

Acta Pharmacol Sin. 2023 Jan;44(1):244-254. doi: 10.1038/s41401-022-00930-6. Epub 2022 Jun 15.

Abstract

The combination of vascular endothelial growth factor (VEGF) inhibitors and tyrosine kinase inhibitors (TKIs) is newly available for molecular targeted therapy against non-small cell lung cancer (NSCLC) in clinic. However, the therapeutic benefits remain unsatisfying due to the poor drug delivery to targets of interest. In this study, we developed bevacizumab-coated gefitinib-loaded nanoparticles (BCGN) with dual-responsive drug release for inhibiting tumor angiogenesis and phosphorylation of epidermal growth factor receptor (EGFR). Through an exogenous corona strategy, bevacizumab is easily coated on gefitinib-loaded nanoparticles via electrostatic interaction. After intravenous injection, BCGN are efficiently accumulated in NSCLC tumors as confirmed by dual-model imaging. Bevacizumab is released from BCGN upon oxidation in tumor microenvironment, whereas gefitinib is released after being internalized by tumor cells and disassembled in reduction cytoplasm. The dual-responsive release of bevacizumab and gefitinib significantly inhibits tumor growth in both A549 and HCC827 human NSCLC models. Our approach provides a promising strategy to improve combinational molecular targeted therapy of NSCLC with precisely controlled drug release.

Keywords: controlled release; dual-responsive; molecular targeted therapy; nanoparticles; non-small cell lung cancer.

MeSH terms

  • Bevacizumab / therapeutic use
  • Carcinoma, Non-Small-Cell Lung* / metabolism
  • Cell Line, Tumor
  • Drug Resistance, Neoplasm
  • Gefitinib
  • Humans
  • Lung Neoplasms* / pathology
  • Molecular Targeted Therapy
  • Protein Kinase Inhibitors / pharmacology
  • Protein Kinase Inhibitors / therapeutic use
  • Quinazolines / pharmacology
  • Tumor Microenvironment
  • Vascular Endothelial Growth Factor A

Substances

  • Gefitinib
  • Bevacizumab
  • Vascular Endothelial Growth Factor A
  • Quinazolines
  • Protein Kinase Inhibitors