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Orally Deliverable Nanotherapeutics for the Synergistic Treatment of Colitis-Associated Colorectal Cancer

Identifieur interne : 000568 ( Main/Exploration ); précédent : 000567; suivant : 000569

Orally Deliverable Nanotherapeutics for the Synergistic Treatment of Colitis-Associated Colorectal Cancer

Auteurs : Weidong Han [République populaire de Chine] ; Binbin Xie [République populaire de Chine] ; Yiran Li [République populaire de Chine] ; Linlin Shi [République populaire de Chine] ; Jianqin Wan [République populaire de Chine] ; Xiaona Chen [République populaire de Chine] ; Hangxiang Wang [République populaire de Chine]

Source :

RBID : PMC:6831307

Abstract

Purpose: Colitis-associated colorectal cancer (CAC) poses substantial challenges for effective treatment. Currently, there is a considerable need for the development of orally bioavailable dosage forms that enable the safe and effective delivery of therapeutic drugs to local diseased lesions in the gastrointestinal tract.

Experimental Design: In this study, we developed orally deliverable nanotherapeutics for the synergistic treatment of inflammatory bowel diseases (IBDs) and CAC. Water-insoluble curcumin (CUR) and 7-ethyl-10-hydroxycamptothecin (SN38), which served as anti-inflammatory and cytotoxic agents, respectively, were chemically engineered into hydrophilic mucoadhesive chitosan for the generation of chitosan-drug amphiphiles.

Results: The resulting amphiphilic constructs formed core-shell nanostructures in aqueous solutions and were orally administered for in vivo therapeutic studies. Using a preclinical CAC mouse model, we showed that the orally delivered nanotherapeutics locally accumulated in inflamed intestinal regions and tumor tissues. Furthermore, the therapeutic synergy of the combined nanotherapeutics in CAC mice was evaluated. Compared with their individual drug forms, combined CUR and SN38 nanoparticles yielded synergistic effects to alleviate intestinal inflammation and protect mice from ulcerative colitis. Notably, the combinatorial therapy demonstrated a remarkable tumor shrinkage with only ~6% of the total tumors exceeding 4 mm in diameter, whereas ~35% of tumors were observed to exceed a diameter of 4 mm in the saline-treated CAC mice. These data suggest a new and reliable approach for improving the treatment of IBD and CAC.

Conclusions: Our results showed that bioadhesive chitosan materials can be used to produce colloidal-stable nanotherapeutics that are suitable for oral delivery. Both nanotherapeutics exhibited substantial accumulation in inflamed intestinal regions and tumor tissues and showed good synergy for treating CAC, warranting further clinical translation.


Url:
DOI: 10.7150/thno.38081
PubMed: 31695780
PubMed Central: 6831307


Affiliations:


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<title xml:lang="en" level="a" type="main">Orally Deliverable Nanotherapeutics for the Synergistic Treatment of Colitis-Associated Colorectal Cancer</title>
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<name sortKey="Han, Weidong" sort="Han, Weidong" uniqKey="Han W" first="Weidong" last="Han">Weidong Han</name>
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<nlm:aff id="A1">Department of Medical Oncology; Sir Run Run Shaw Hospital; School of Medicine, Zhejiang University, Hangzhou, 310016, PR China.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
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<name sortKey="Xie, Binbin" sort="Xie, Binbin" uniqKey="Xie B" first="Binbin" last="Xie">Binbin Xie</name>
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<name sortKey="Li, Yiran" sort="Li, Yiran" uniqKey="Li Y" first="Yiran" last="Li">Yiran Li</name>
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<wicri:regionArea>Department of Medical Oncology; Sir Run Run Shaw Hospital; School of Medicine, Zhejiang University, Hangzhou, 310016</wicri:regionArea>
<orgName type="university">Université de Zhejiang</orgName>
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<name sortKey="Shi, Linlin" sort="Shi, Linlin" uniqKey="Shi L" first="Linlin" last="Shi">Linlin Shi</name>
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<nlm:aff id="A1">Department of Medical Oncology; Sir Run Run Shaw Hospital; School of Medicine, Zhejiang University, Hangzhou, 310016, PR China.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Department of Medical Oncology; Sir Run Run Shaw Hospital; School of Medicine, Zhejiang University, Hangzhou, 310016</wicri:regionArea>
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<name sortKey="Wan, Jianqin" sort="Wan, Jianqin" uniqKey="Wan J" first="Jianqin" last="Wan">Jianqin Wan</name>
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<wicri:regionArea>The First Affiliated Hospital; Key Laboratory of Combined Multi-Organ Transplantation, Ministry of Public Health; School of Medicine, Zhejiang University, Hangzhou, 310003</wicri:regionArea>
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<name sortKey="Chen, Xiaona" sort="Chen, Xiaona" uniqKey="Chen X" first="Xiaona" last="Chen">Xiaona Chen</name>
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<orgName type="university">Université de Zhejiang</orgName>
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<settlement type="city">Hangzhou</settlement>
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<name sortKey="Wang, Hangxiang" sort="Wang, Hangxiang" uniqKey="Wang H" first="Hangxiang" last="Wang">Hangxiang Wang</name>
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<nlm:aff id="A2">The First Affiliated Hospital; Key Laboratory of Combined Multi-Organ Transplantation, Ministry of Public Health; School of Medicine, Zhejiang University, Hangzhou, 310003, PR China.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>The First Affiliated Hospital; Key Laboratory of Combined Multi-Organ Transplantation, Ministry of Public Health; School of Medicine, Zhejiang University, Hangzhou, 310003</wicri:regionArea>
<orgName type="university">Université de Zhejiang</orgName>
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<title level="j">Theranostics</title>
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<p>
<bold>Purpose:</bold>
Colitis-associated colorectal cancer (CAC) poses substantial challenges for effective treatment. Currently, there is a considerable need for the development of orally bioavailable dosage forms that enable the safe and effective delivery of therapeutic drugs to local diseased lesions in the gastrointestinal tract.</p>
<p>
<bold>Experimental Design:</bold>
In this study, we developed orally deliverable nanotherapeutics for the synergistic treatment of inflammatory bowel diseases (IBDs) and CAC. Water-insoluble curcumin (CUR) and 7-ethyl-10-hydroxycamptothecin (SN38), which served as anti-inflammatory and cytotoxic agents, respectively, were chemically engineered into hydrophilic mucoadhesive chitosan for the generation of chitosan-drug amphiphiles.</p>
<p>Results: The resulting amphiphilic constructs formed core-shell nanostructures in aqueous solutions and were orally administered for
<italic>in vivo</italic>
therapeutic studies. Using a preclinical CAC mouse model, we showed that the orally delivered nanotherapeutics locally accumulated in inflamed intestinal regions and tumor tissues. Furthermore, the therapeutic synergy of the combined nanotherapeutics in CAC mice was evaluated. Compared with their individual drug forms, combined CUR and SN38 nanoparticles yielded synergistic effects to alleviate intestinal inflammation and protect mice from ulcerative colitis. Notably, the combinatorial therapy demonstrated a remarkable tumor shrinkage with only ~6% of the total tumors exceeding 4 mm in diameter, whereas ~35% of tumors were observed to exceed a diameter of 4 mm in the saline-treated CAC mice. These data suggest a new and reliable approach for improving the treatment of IBD and CAC.</p>
<p>
<bold>Conclusions:</bold>
Our results showed that bioadhesive chitosan materials can be used to produce colloidal-stable nanotherapeutics that are suitable for oral delivery. Both nanotherapeutics exhibited substantial accumulation in inflamed intestinal regions and tumor tissues and showed good synergy for treating CAC, warranting further clinical translation.</p>
</div>
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</record>

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