Pathology Unit, Centro di Riferimento Oncologico di Aviano (C.R.O.) IRCCS, 33081 Aviano, Italy; Department of Molecular Sciences and Nanosystems, Ca' Foscari University of Venice, 30172 Venice, Italy.
Pathology Unit, Centro di Riferimento Oncologico di Aviano (C.R.O.) IRCCS, 33081 Aviano, Italy; Department of Molecular Sciences and Nanosystems, Ca' Foscari University of Venice, 30172 Venice, Italy.
J Adv Res. 2024 Feb;56:43-56. doi: 10.1016/j.jare.2023.03.005. Epub 2023 Mar 22.
Chemodynamic therapy (CDT) holds great promise in achieving cancer therapy through Fenton and Fenton-like reactions, which generate highly toxic reactive species. However, CDT is limited by the lower amount of catalyst ions that can decompose already existing intracellular HO and produce reactive oxygen species (ROS) to attain a therapeutic outcome.
To overcome these limitations, a tailored approach, which utilizes dual metals cations (Ag, Fe) based silver pentacyanonitrosylferrate or silver nitroprusside (AgNP) were developed for Fenton like reactions that can specifically kill cancer cells by taking advantage of tumor acidic environment without used of any external stimuli.
A simple solution mixing procedure was used to synthesize AgNP as CDT agent. AgNP were structurally and morphologically characterized, and it was observed that a minimal dose of AgNP is required to destroy cancer cells with limited effects on normal cells. Moreover, comprehensive in vitro studies were conducted to evaluate antitumoral mechanism.
AgNP have an effective ability to decompose endogenous HO in cells. The decomposed endogenous HO generates several different types of reactive species (OH, O) including peroxynitrite (ONOO) species as apoptotic inducers that kill cancer cells, specifically. Cellular internalization data demonstrated that in short time, AgNP enters in lysosomes, avoid degradation and due to the acidic pH of lysosomes significantly generate high ROS levels. These data are further confirmed by the activation of different oxidative genes. Additionally, we demonstrated the biocompatibility of AgNP on mouse liver and ovarian organoids as an ex vivo model while AgNP showed the therapeutic efficacy on patient derived tumor organoids (PDTO).
This work demonstrates the therapeutic application of silver nitroprusside as a multiple ROS generator utilizing Fenton like reaction. Thereby, our study exhibits a potential application of CDT against HGSOC (High Grade Serous Ovarian Cancer), a deadly cancer through altering the redox homeostasis.
通过芬顿和类芬顿反应产生的强毒性活性氧物种,化学动力学疗法(CDT)在实现癌症治疗方面具有广阔的前景。然而,CDT 受到限制,因为能够分解已存在的细胞内 HO 并产生活性氧物种(ROS)以达到治疗效果的催化剂离子数量较少。
为了克服这些限制,采用了一种定制的方法,利用双金属阳离子(Ag、Fe)基于银五氰硝基金属配合物或银硝普酸盐(AgNP),用于类芬顿反应,可利用肿瘤酸性环境特异性杀死癌细胞,而无需使用任何外部刺激。
采用简单的溶液混合程序合成作为 CDT 剂的 AgNP。对 AgNP 进行了结构和形态学表征,结果表明,AgNP 只需最小剂量即可破坏癌细胞,对正常细胞的影响有限。此外,还进行了全面的体外研究来评估抗肿瘤机制。
AgNP 具有有效分解细胞内源性 HO 的能力。分解的内源性 HO 产生几种不同类型的活性氧物种(OH、O),包括作为凋亡诱导剂的过氧亚硝酸盐(ONOO-)物种,专门杀死癌细胞。细胞内摄取数据表明,AgNP 在短时间内进入溶酶体,避免降解,并且由于溶酶体的酸性 pH 值,显著产生高 ROS 水平。这些数据通过不同氧化基因的激活得到进一步证实。此外,我们在小鼠肝和卵巢类器官作为离体模型上证明了 AgNP 的生物相容性,同时 AgNP 在患者来源的肿瘤类器官(PDTO)上显示出治疗效果。
这项工作证明了银硝普酸盐作为一种利用类芬顿反应产生多种 ROS 的发生器的治疗应用。因此,我们的研究通过改变氧化还原稳态,展示了 CDT 在治疗致命性癌症——高级别浆液性卵巢癌(HGSOC)方面的潜在应用。