单位:[1]Department of Obstetrics and Gynecology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430030,China.华中科技大学同济医学院附属同济医院妇产科教研室妇产科学系[2]National Clinical Research Center for Obstetrical and Gynecological Diseases, Wuhan, 430030, China.[3]Key Laboratory of Cancer Invasion and Metastasis, Ministry of Education, Wuhan, 430030, China.[4]State Key Laboratory of Biogeology and Environmental Geology, Faculty of Materials Science and Chemistry, China University of Geosciences, Wuhan, 430074, China.[5]Key Laboratory of Biomaterials and Biofabrication in Tissue Engineering of Jiangxi Province, Gannan Medical University, Ganzhou, 341000, China.
Chemotherapy is a widely used and effective adjuvant treatment for cancer, and it has unavoidable damage to female fertility, with statistics showing 38% of women who have received chemotherapy are infertile. How to reduce fertility toxicity while enhancing the oncologic chemotherapy is a clinical challenge. Herein, we developed the co-delivery micelles (BML@PMP), which are composed of a reduction-sensitive paclitaxel prodrug (PMP) for chemotherapy and a CHEK2 inhibitor (BML277) for both fertility protection and chemotherapy enhancement. BML@PMP achieves fertility protection through three actions. (1) Due to the enhanced permeability and retention (EPR) effect, BML@PMP is more enriched in the tumor, while very little in the ovary (about 1/10th of the tumor). (2) Glutathione (GSH) triggers the release of PTX, and with low levels of GSH in the ovary, the amount of PTX released in the ovary is correspondingly reduced. (3) BML277 inhibits oocyte apoptosis by inhibiting the CHEK2-TAp63α pathway. Because of the different downstream targets of CHEK2 in tumor cells and oocytes, BML277 also enhances chemotherapeutic efficacy by reducing DNA damage repair which is activated through the CHEK2 pathway. This bidirectional effect of CHEK2 inhibitor-based co-delivery system represents a promising strategy for improving oncology treatment indices and preventing chemotherapy-associated fertility damage. This article is protected by copyright. All rights reserved.This article is protected by copyright. All rights reserved.
基金:
the National Key R&D Program of China (2021YFA1200403
and 2018YFE0206900), the National Natural Science Foundation of China (81873824, 22104040,
82001514 and 81701420), the Young Top-notch Talent Cultivation Program of Hubei Province and
the Fundamental Research Funds for the Central Universities (HSUT: 2021yjsCXCY087).
第一作者单位:[1]Department of Obstetrics and Gynecology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430030,China.[2]National Clinical Research Center for Obstetrical and Gynecological Diseases, Wuhan, 430030, China.[3]Key Laboratory of Cancer Invasion and Metastasis, Ministry of Education, Wuhan, 430030, China.
共同第一作者:
通讯作者:
通讯机构:[1]Department of Obstetrics and Gynecology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430030,China.[2]National Clinical Research Center for Obstetrical and Gynecological Diseases, Wuhan, 430030, China.[3]Key Laboratory of Cancer Invasion and Metastasis, Ministry of Education, Wuhan, 430030, China.
推荐引用方式(GB/T 7714):
Wu Meng,Xue Liru,Guo Yican,et al.Microenvironmentally responsive chemotherapeutic prodrugs and CHEK2 inhibitors self-assembled micelles: protecting fertility and enhancing chemotherapy[J].ADVANCED MATERIALS.2023,35(11):doi:10.1002/adma.202210017.