4.8 Article

Self-Delivery Janus-Prodrug for Precise Immuno-Chemotherapy of Colitis-Associated Colorectal Cancer

Journal

ACS APPLIED MATERIALS & INTERFACES
Volume 14, Issue 1, Pages 297-306

Publisher

AMER CHEMICAL SOC
DOI: 10.1021/acsami.1c20031

Keywords

self-delivery; aromatized thioketal; Janus-prodrug; synergistic therapy; colitis-associated colorectal cancer

Funding

  1. National Key Research and Development Program of China [2020YFC2005500]
  2. Sichuan Science and Technology Program [2019YFS0514, 2021YJ0128]
  3. Sichuan Provincial People's Hospital [30420200034, 304202100262]

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The study constructed a ROS-activated Janus-prodrug BAG by linking Bud and Gem, which could self-assemble into nanoaggregates BAG NA and exhibited excellent therapeutic effects on colitis-associated colorectal cancer.
Aromatized thioketal (ATK) linked the immunoregulatory molecule (budesonide, Bud) and the cytotoxic molecule (gemcitabine, Gem) to construct a ROS-activated Janus-prodrug, termed as BAG. Benefiting from the hydrogen bonding, pi-pi stacking, and other intermolecular interactions, BAG could self-assemble into nanoaggregates (BAG NA) with a well-defined spherical shape and uniform size distribution. Compared to the carrier-based drug delivery system, BAG NA have ultrahigh drug loading content and ROS concentration-dependent drug release. Colitis-associated colorectal cancer (CAC) is a typical disease in which chronic inflammation transforms into tumors. BAG NA can be internalized by colon cancer C26 cells and then triggered by excessive intracellular ROS to release nearly 100% of the drugs. Based on this, BAG NA showed a stronger pro-apoptotic effect than free Bud combined with free Gem. What is gratifying is that orally administered BAG NA can precisely accumulate in the diseased colon tissues of CAC mice induced by AOM/DSS and simultaneously release Bud and Gem. Bud can regulate the tumor immune microenvironment to restore and enhance the cytotoxicity of Gem. Therefore, BAG NA maximizes the synergistic therapeutic effect through co-delivery of Bud and Gem. This work provided a cutting-edge method for constructing self-delivery Janus-prodrug based on ATK and confirmed its potential application in inflammation-related carcinogenesis.

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