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Hyaluronic acid-tailored prodrug nanoplatforms for efficiently overcoming colorectal cancer chemoresistance and recurrence by synergistic inhibition of cancer cell stemness

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机构: [1]Univ Elect Sci & Technol China, Sichuan Prov Peoples Hosp, Dept Oncol, Chengdu 610054, Sichuan, Peoples R China [2]Sichuan Univ, West China Hosp, State Key Lab Biotherapy, Chengdu, Peoples R China [3]West China Hosp, Canc Ctr, Collaborat Innovat Ctr Biotherapy, Chengdu, Peoples R China [4]Tianfu Jincheng Lab, Frontiers Med Ctr, Chengdu, Sichuan, Peoples R China [5]Shanghai Univ Tradit Chinese Med, Shanghai Municipal Hosp Tradit Chinese Med, Shanghai, Peoples R China [6]Univ S Florida, Morsani Coll Med, Dept Internal Med, Tampa, FL USA [7]Kunming Med Univ, Affiliated Hosp 1, Dept Oncol, Kunming 650032, Peoples R China
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关键词: Colorectal cancer Chemoresistance Recurrence Site-specific polymer prodrug Stem maintenance

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A subset of residual colorectal cancer (CRC) cells with stemness features exhibits a transient adaptive resistance after chemotherapy, limiting durable therapeutic benefits and even accelerating tumor recurrence. To tackle this problem, we have developed a targeted polymer prodrug nanoplatform (CHH-T/NPs) capable of synergistically inhibiting cancer cell stemness by modulating intracellular metabolism and inhibiting protective autophagy. Hyaluronic acid (HA) acts as a tumor-targeting molecular backbone, alpha-cyanohydroxycinnamic acid (CHC) is an inhibitor of monocarboxylic acid transporter 1 (MCT1), and hydroxychloroquine sulfate (HCQ) is an inhibitor of autophagy. These compounds were loaded on the HA backbone to form a polymeric prodrug, CHH, with pH-responsive ester bonds. CHH was self-assembled with mitochondria-targeting IR820 (T820), resulting in the formation of CHH-T/NPs. CHC and T820 disrupted cellular metabolism by inducing mitochondrial dysfunction and inhibiting lactate transport, leading to a synergistic inhibition of cancer cell stemness. Simultaneously, HCQ effectively inhibited autophagy to disrupt the self-protection mechanism of CRC cells. As anticipated, CHH-T/NPs effectively suppressed the chemoresistance and postoperative recurrence of CRC in subcutaneous and in situ tumors models. Taken together, this approach presents a promising strategy for overcoming CRC chemoresistance and recurrence through the synergistic inhibition of cancer cell stemness.

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大类 | 1 区 生物学
小类 | 1 区 生物工程与应用微生物 2 区 纳米科技
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Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Q1 NANOSCIENCE & NANOTECHNOLOGY

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第一作者机构: [1]Univ Elect Sci & Technol China, Sichuan Prov Peoples Hosp, Dept Oncol, Chengdu 610054, Sichuan, Peoples R China
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