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CN115813884A - Macromolecule nano-drug for enhancing tumor treatment effect by regulating tumor extracellular matrix and preparation method and application thereof - Google Patents

Macromolecule nano-drug for enhancing tumor treatment effect by regulating tumor extracellular matrix and preparation method and application thereof Download PDF

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CN115813884A
CN115813884A CN202310001368.9A CN202310001368A CN115813884A CN 115813884 A CN115813884 A CN 115813884A CN 202310001368 A CN202310001368 A CN 202310001368A CN 115813884 A CN115813884 A CN 115813884A
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CN115813884B (en
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姜秀娥
殷闻博
王月
贾潇丹
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Changchun Institute of Applied Chemistry of CAS
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Abstract

The invention relates to a high-molecular nano-drug for enhancing tumor treatment effect by regulating tumor extracellular matrix, and a preparation method and application thereof. The nano-drug can perform effective anti-tumor treatment by regulating and controlling tumor ECM, and improve the treatment effect of various anti-tumor therapies. The nano-drug can realize the controllable drug release and activation of tumor microenvironment response, further reduce the toxic and side effects on normal tissues, simultaneously enhance the anti-tumor combined effect of small molecular drugs, and has good water solubility and biocompatibility; in addition, the composite material prepared by the preparation method of the nano-drug has uniform size and particle size, can efficiently load various small-molecule drugs, also solves the problems of poor solubility and low bioavailability of part of drugs in the preparation of antitumor drugs, and has simple preparation process and easy realization of industrial production.

Description

一种通过调控肿瘤细胞外基质增强肿瘤治疗效果的高分子纳 米药物及其制备方法与应用A polymer nanoparticle that enhances the therapeutic effect of tumors by regulating the extracellular matrix of tumors Rice medicine and its preparation method and application

技术领域technical field

本发明涉及医药材料技术领域,具体涉及一种通过调控肿瘤细胞外基质增强肿瘤治疗效果的高分子纳米药物及其制备方法与应用。The invention relates to the technical field of medical materials, in particular to a macromolecular nanomedicine that enhances tumor treatment effect by regulating tumor extracellular matrix, its preparation method and application.

背景技术Background technique

癌症目前已经成为全球范围内危害人类生命健康的主要杀手之一,尽管随着现代医学的不断发展,癌症诊疗技术已经取得了显著进步,但癌症的发病率和死亡率仍然居高不下。Cancer has become one of the major killers that endanger human life and health worldwide. Although cancer diagnosis and treatment technology has made significant progress with the continuous development of modern medicine, the morbidity and mortality of cancer are still high.

一个成型的肿瘤是一个复杂的组织,具有独特的肿瘤微环境。其中包括多种成分,如:肿瘤细胞、肿瘤血管、成纤维细胞、免疫细胞、各种信号分子、细胞外基质等。与正常细胞的微环境相比,肿瘤微环境的PH值更低、氧气含量更少、GSH和H2O2含量过表达、肿瘤血管异常、肿瘤细胞外基质(ECM)的刚性增加。其中,肿瘤ECM刚性的增加,不但会阻碍药物渗透、增加肿瘤耐药而且会进一步促进肿瘤的进展。然而,目前的肿瘤治疗策略仍然以靶向肿瘤细胞的小分子细胞毒性药物为主,通过直接调控肿瘤ECM进行抗肿瘤治疗的研究相对较少。因此,调控肿瘤ECM对于增强抗肿瘤治疗研究具有重要的意义。A well-formed tumor is a complex tissue with a unique tumor microenvironment. It includes a variety of components, such as: tumor cells, tumor blood vessels, fibroblasts, immune cells, various signaling molecules, extracellular matrix, etc. Compared with the microenvironment of normal cells, the tumor microenvironment has lower pH value, less oxygen content, overexpression of GSH and H2O2 content, abnormal tumor blood vessels, and increased rigidity of tumor extracellular matrix (ECM). Among them, the increase of tumor ECM rigidity will not only hinder drug penetration, increase tumor drug resistance but also further promote tumor progression. However, the current tumor treatment strategy is still dominated by small molecule cytotoxic drugs targeting tumor cells, and there are relatively few studies on anti-tumor therapy by directly regulating tumor ECM. Therefore, the regulation of tumor ECM is of great significance for enhancing the research of anti-tumor therapy.

肿瘤ECM刚性增加的主要驱动因素包括表型转化的肿瘤相关成纤维细胞、转化生长因子-β(TGF-β)和基质交联。其中,由肿瘤微环境中的肿瘤细胞、成纤维细胞和其他基质细胞释放的TGF-β发挥着重要的调控作用。首先,TGF-β能够促进成纤维细胞分化为肿瘤成纤维细胞并上调许多基质蛋白质如I型胶原蛋白、层粘连蛋白以及纤维连接蛋白等的表达和合成;其次,TGF-β能够上调赖氨酰氧化酶的表达促进胶原的交联;同时,TGF-β还能下调肿瘤ECM中降解类蛋白质如基质金属蛋白酶的合成。因此,阻断TGF-β信号通路有助于抑制成纤维细胞向肿瘤相关成纤维细胞的转化,并抑制ECM成分过量的沉积以及胶原的过度交联,有望成为降低ECM刚性的有效方法。目前,基于阻断TGF-β信号通路以提高抗肿瘤疗效的多项临床试验正在进行中。然而,由于TGF-β在多种生理功能中的重要作用,阻断TGF-β信号通路的疗法可能导致TGF-β通路的全身抑制,应用于临床治疗后很可能导致严重的副作用。因此,选择性阻断肿瘤部位的TGF-β信号通路对于实现调控肿瘤ECM和提高生物安全性具有重要的意义。然而,目前针对靶向阻断肿瘤部位的TGF-β信号通路降低ECM刚性的纳米药物研究鲜有报道。Major drivers of increased tumor ECM stiffness include phenotypically transformed tumor-associated fibroblasts, transforming growth factor-β (TGF-β), and matrix crosslinking. Among them, TGF-β released by tumor cells, fibroblasts and other stromal cells in the tumor microenvironment plays an important regulatory role. First, TGF-β can promote the differentiation of fibroblasts into tumor fibroblasts and up-regulate the expression and synthesis of many matrix proteins such as type I collagen, laminin and fibronectin; secondly, TGF-β can up-regulate the expression of lysyl The expression of oxidase promotes the cross-linking of collagen; at the same time, TGF-β can also down-regulate the synthesis of degradative proteins such as matrix metalloproteinases in tumor ECM. Therefore, blocking the TGF-β signaling pathway can help inhibit the transformation of fibroblasts into tumor-associated fibroblasts, and inhibit the excessive deposition of ECM components and excessive cross-linking of collagen, which is expected to be an effective method to reduce ECM rigidity. At present, a number of clinical trials based on blocking TGF-β signaling pathway to improve anti-tumor efficacy are underway. However, due to the important role of TGF-β in a variety of physiological functions, therapy to block TGF-β signaling pathway may lead to systemic inhibition of TGF-β pathway, which may lead to serious side effects after clinical treatment. Therefore, selectively blocking the TGF-β signaling pathway at the tumor site is of great significance for regulating tumor ECM and improving biological safety. However, there are few reports on the research of nanomedicine targeting to block the TGF-β signaling pathway at the tumor site to reduce the rigidity of the ECM.

另外有研究表明TGF-β还能够诱导促血管生成的微环境进而刺激肿瘤血管新生;并且血管内皮生长因子(VEGF)抑制剂能够促进肿瘤ECM正常化,暗示抑制肿瘤血管新生可有效促进ECM的正常化。因此,同时阻断TGF-β与VEGF信号通路,有望实现ECM正常化,抑制肿瘤的生长,同时增强多种抗肿瘤治疗如光动力以及免疫治疗的疗效,为抗肿瘤治疗提供了新的思路。In addition, studies have shown that TGF-β can also induce a pro-angiogenic microenvironment to stimulate tumor angiogenesis; and vascular endothelial growth factor (VEGF) inhibitors can promote the normalization of tumor ECM, suggesting that inhibiting tumor angiogenesis can effectively promote the normalization of ECM. change. Therefore, blocking TGF-β and VEGF signaling pathways at the same time is expected to normalize ECM, inhibit tumor growth, and enhance the efficacy of various anti-tumor treatments such as photodynamic and immunotherapy, which provides a new idea for anti-tumor therapy.

此外为了加快其临床转化,充分考虑其在体内的代谢以及生物安全性问题是至关重要的。生物可降解合成高分子具有优异的生物相容性,易于功能化修饰等特点,以其为纳米载体递送疏水性小分子药物,可有效提高其水溶性及其生物相容性,并通过增强渗透和保留效应改变药物在体内的分布,使其在肿瘤病灶部位高效富集,提高其生物利用度。因此,以生物可降解高分子为纳米载体构建纳米药物进行肿瘤ECM调控是很吸引人的,且具有重大的临床意义。In addition, in order to speed up its clinical transformation, it is crucial to fully consider its metabolism in the body and biological safety issues. Biodegradable synthetic polymers have excellent biocompatibility and easy functional modification. Using them as nanocarriers to deliver hydrophobic small molecule drugs can effectively improve their water solubility and biocompatibility, and enhance penetration And the retention effect changes the distribution of the drug in the body, so that it can be efficiently enriched in the tumor lesion and improve its bioavailability. Therefore, it is very attractive and has great clinical significance to use biodegradable polymers as nanocarriers to construct nanomedicines for tumor ECM regulation.

发明内容Contents of the invention

有鉴于此,本发明要解决现有技术中的技术问题提供一种通过调控肿瘤细胞外基质增强肿瘤治疗效果的高分子纳米药物及其制备方法与应用。本发明的纳米药物能够通过调控肿瘤ECM,进行有效的抗肿瘤治疗,同时提高多种抗肿瘤疗法的治疗效果。In view of this, the present invention aims to solve the technical problems in the prior art and provide a polymer nanomedicine that enhances tumor therapeutic effect by regulating tumor extracellular matrix, its preparation method and application. The nano-medicine of the present invention can perform effective anti-tumor therapy by regulating tumor ECM, and simultaneously improve the therapeutic effect of various anti-tumor therapies.

为了解决上述技术问题,本发明的技术方案具体如下:In order to solve the problems of the technologies described above, the technical solution of the present invention is specifically as follows:

本发明提供一种通过调控肿瘤细胞外基质增强肿瘤治疗效果的高分子纳米药物,其是通过将药物I,药物II和载体III自组装得到;The present invention provides a polymer nanomedicine that enhances tumor therapeutic effects by regulating tumor extracellular matrix, which is obtained by self-assembling drug I, drug II and carrier III;

所述药物I包括Linker,其为肿瘤微环境响应单元,所述Linker的两端分别连接有抗血管生成类药物和细胞外基质正常化药物;The drug I includes Linker, which is a tumor microenvironment response unit, and the two ends of the Linker are respectively connected with anti-angiogenic drugs and extracellular matrix normalizing drugs;

所述药物II为光热、光动力或近红外成像分子药物;The drug II is a photothermal, photodynamic or near-infrared imaging molecular drug;

所述载体III为高分子载体。The carrier III is a polymer carrier.

优选的是,所述Linker为GSH响应单元、ROS响应单元或酶响应单元,所述Linker的两端分别通过羟基、醛基、氨基或巯基官能团与药物连接。Preferably, the Linker is a GSH response unit, a ROS response unit or an enzyme response unit, and the two ends of the Linker are respectively connected to the drug through hydroxyl, aldehyde, amino or sulfhydryl functional groups.

优选的是,所述抗血管生成类药物为贝伐单抗、康柏西普、地塞米松、雷珠单抗和阿瓦斯丁中的一种或几种,所述细胞外基质正常化药物为维替泊芬、木瓜蛋白酶、曲尼司特和透明质酸酶中的一种或几种,所述药物II为二氢卟吩、吲哚菁绿、近红外染料IR780和聚多巴胺中的一种或几种,所述载体III为mPEG-DSPE或者mPEG-b-PLA。Preferably, the anti-angiogenic drug is one or more of bevacizumab, conbercept, dexamethasone, ranibizumab and Avastin, and the extracellular matrix normalizing drug It is one or more of verteporfin, papain, tranilast and hyaluronidase, and the drug II is chlorin, indocyanine green, near-infrared dye IR780 and polydopamine. One or more, the carrier III is mPEG-DSPE or mPEG-b-PLA.

优选的是,所述高分子纳米药物的粒径为50-300nm。Preferably, the particle diameter of the polymer nanomedicine is 50-300nm.

进一步优选的是,所述抗血管生成类药物为地塞米松,所述细胞外基质正常化药物为曲尼司特,所述药物II为吲哚菁绿,所述载体III为mPEG-DSPE,分别对应的结构式如下:Further preferably, the anti-angiogenic drug is dexamethasone, the extracellular matrix normalizing drug is tranilast, the drug II is indocyanine green, and the carrier III is mPEG-DSPE, The corresponding structural formulas are as follows:

所述药物I的结构式如式(I)所示:The structural formula of the drug I is shown in formula (I):

Figure BDA0004034812820000041
Figure BDA0004034812820000041

所述药物II的结构式如式(II)所示:The structural formula of the drug II is shown in formula (II):

Figure BDA0004034812820000042
Figure BDA0004034812820000042

所述载体III的结构如式(III)所示:The structure of the carrier III is shown in formula (III):

Figure BDA0004034812820000043
Figure BDA0004034812820000043

本发明还提供一种通过调控肿瘤细胞外基质增强肿瘤治疗效果的高分子纳米药物的制备方法,包括以下步骤:The present invention also provides a method for preparing a polymer nanomedicine that enhances tumor therapeutic effects by regulating tumor extracellular matrix, comprising the following steps:

1)将抗血管生成类药物和细胞外基质正常化药物通过微环境响应的linker进行连接,得到药物I;1) Connecting anti-angiogenic drugs and extracellular matrix normalizing drugs through a microenvironment-responsive linker to obtain drug I;

2)将药物I,药物II和载体III自组装,得到含多种药物的高分子纳米药物。2) Self-assembling the drug I, the drug II and the carrier III to obtain a polymer nanomedicine containing multiple drugs.

优选的是,所述制备方法中步骤1)的一种具体实施方式为:Preferably, a specific implementation of step 1) in the preparation method is:

1-1)将曲尼司特、微环境响应linker和无水溶剂混合反应得中间体IV,中间体IV具有式(IV)所示结构;1-1) Mixing and reacting tranilast, microenvironment responsive linker and anhydrous solvent to obtain intermediate IV, intermediate IV has the structure shown in formula (IV);

Figure BDA0004034812820000051
Figure BDA0004034812820000051

1-2)将中间体IV、地塞米松和无水溶剂混合反应,得到药物I。1-2) Mixing and reacting intermediate IV, dexamethasone and anhydrous solvent to obtain drug I.

优选的是,所述步骤1)中反应的温度为10~150℃,所述步骤2)中的反应的温度为10~50℃,所述药物I:药物II:载体III的质量比为(1~100):(1~5):(100~500)。Preferably, the reaction temperature in step 1) is 10-150°C, the reaction temperature in step 2) is 10-50°C, and the mass ratio of drug I: drug II: carrier III is ( 1~100): (1~5): (100~500).

优选的是,所述步骤1-1)中反应的温度为120~130℃,所述步骤1-2)中的反应的温度为20~40℃。Preferably, the reaction temperature in the step 1-1) is 120-130°C, and the reaction temperature in the step 1-2) is 20-40°C.

本发明还提供了一种包括本发明所述的高分子纳米药物的抗肿瘤药物、包括本发明所述的高分子纳米药物的近红外荧光成像的造影剂、或者包括本发明所述的高分子纳米药物的抗炎药物。The present invention also provides an antitumor drug comprising the polymeric nanomedicine described in the present invention, a contrast agent comprising the polymeric nanomedicine described in the present invention for near-infrared fluorescence imaging, or comprising the polymeric nanomedicine described in the present invention Nanomedicines for anti-inflammatory drugs.

本发明的有益效果是:The beneficial effects of the present invention are:

本发明提供的高分子纳米药物能够通过调控肿瘤ECM,进行有效的抗肿瘤治疗,同时提高多种抗肿瘤疗法的治疗效果。The macromolecule nanomedicine provided by the invention can perform effective anti-tumor treatment by regulating tumor ECM, and simultaneously improve the therapeutic effects of various anti-tumor therapies.

本发明的高分子纳米药物中所采用的小分子药物均是FDA认证的药物。通过实验发现,本发明的高分子纳米药物可实现肿瘤微环境响应的可控药物释放与激活,进一步降低对正常组织的毒副作用,同时还可以增强小分子药物的抗肿瘤联合作用效果,且具有良好的水溶性及生物相容性。The small molecule drugs used in the polymer nano-medicine of the present invention are all FDA-approved drugs. It is found through experiments that the polymer nanomedicine of the present invention can realize the controllable drug release and activation in response to the tumor microenvironment, further reduce the toxic and side effects on normal tissues, and at the same time enhance the anti-tumor joint effect of small molecule drugs, and has Good water solubility and biocompatibility.

本发明的高分子纳米药物的制备方法,制备的材料尺寸粒径均一,可高效负载多种小分子药物,也解决部分小分子药物在制备抗肿瘤药物中的溶解度差及生物利用度低的问题,且制备工艺简单,易于实现工业化生产。The preparation method of the polymer nano-medicine of the present invention has a uniform size and particle size of the prepared material, can efficiently load a variety of small-molecule drugs, and also solves the problems of poor solubility and low bioavailability of some small-molecule drugs in the preparation of anti-tumor drugs , and the preparation process is simple, and it is easy to realize industrial production.

本发明的高分子纳米药物的可用于抗肿瘤药物、近红外荧光成像的造影剂、或者抗炎药物。The polymer nanomedicine of the present invention can be used for antitumor drugs, contrast agents for near-infrared fluorescence imaging, or anti-inflammatory drugs.

附图说明Description of drawings

下面结合附图和具体实施方式对本发明作进一步详细说明。The present invention will be described in further detail below in conjunction with the accompanying drawings and specific embodiments.

图1为本发明实施例1所得样品DEX/TRN/ICG NP的TEM图;Fig. 1 is the TEM picture of the sample DEX/TRN/ICG NP obtained in Example 1 of the present invention;

图2为本发明实施例1所得样品DEX/TRN/ICG NP的动态光散射图;Fig. 2 is the dynamic light scattering diagram of the sample DEX/TRN/ICG NP obtained in Example 1 of the present invention;

图3为DEX、TRN以及本发明实施例1中制备的TRN-SS-OH、TRN-SS-DEX的质谱图;Fig. 3 is the mass spectrogram of DEX, TRN and TRN-SS-OH, TRN-SS-DEX prepared in Example 1 of the present invention;

图4为DEX、TRN以及本发明实施例1中制备的TRN-SS-OH、TRN-SS-DEX的核磁共振氢谱图;Fig. 4 is the proton nuclear magnetic resonance spectra of DEX, TRN and TRN-SS-OH, TRN-SS-DEX prepared in Example 1 of the present invention;

图5为本发明实施例4纳米药物对肿瘤细胞及正常细胞的细胞毒性对比柱状图;其中上面的图是4T1肿瘤细胞,下面的图是3T3正常细胞;Fig. 5 is a histogram comparing the cytotoxicity of nanomedicines in Example 4 of the present invention to tumor cells and normal cells; wherein the upper figure is 4T1 tumor cells, and the lower figure is 3T3 normal cells;

图6为本发明实施例5中对照组、DEX/TRN/ICG NP组癌细胞内GSH的含量变化图;Fig. 6 is a graph showing the content change of GSH in cancer cells in the control group and the DEX/TRN/ICG NP group in Example 5 of the present invention;

图7为本发明实施例5中对照组、DEX、TRN、ICG+L、DEX/TRN/ICG NP及DEX/TRN/ICGNP+L组活体治疗过程的小鼠体重变化图;Figure 7 is a diagram of the body weight changes of mice during the in vivo treatment of the control group, DEX, TRN, ICG+L, DEX/TRN/ICG NP and DEX/TRN/ICGNP+L groups in Example 5 of the present invention;

图8为本发明实施例5中对照组、DEX、TRN、ICG+L、DEX/TRN/ICG NP及DEX/TRN/ICGNP+L组活体治疗过程的肿瘤体积变化图。Fig. 8 is a graph showing the changes in tumor volume during the in vivo treatment of the control group, DEX, TRN, ICG+L, DEX/TRN/ICG NP and DEX/TRN/ICGNP+L groups in Example 5 of the present invention.

具体实施方式Detailed ways

本发明提供一种通过调控肿瘤细胞外基质增强肿瘤治疗效果的高分子纳米药物,其是通过将药物I,药物II和载体III自组装得到;The present invention provides a polymer nanomedicine that enhances tumor therapeutic effects by regulating tumor extracellular matrix, which is obtained by self-assembling drug I, drug II and carrier III;

所述药物I包括Linker,其为肿瘤微环境响应单元,包括但不限于GSH响应、ROS响应或酶响应;所述Linker的两端分别连接有抗血管生成类药物和细胞外基质正常化药物,Linker两端的官能团可任意选择,包括但不限于羟基、醛基、氨基和巯基中的一种或几种,通过所述官能团分别连接药物;所述抗血管生成类药物为贝伐单抗、康柏西普、地塞米松、雷珠单抗和阿瓦斯丁中的一种或几种,优选为地塞米松;所述细胞外基质正常化药物为维替泊芬、木瓜蛋白酶、曲尼司特和透明质酸酶中的一种或几种,优选为曲尼司特。The drug I includes Linker, which is a tumor microenvironment response unit, including but not limited to GSH response, ROS response or enzyme response; the two ends of the Linker are respectively connected with anti-angiogenesis drugs and extracellular matrix normalization drugs, The functional groups at both ends of the Linker can be selected arbitrarily, including but not limited to one or more of hydroxyl, aldehyde, amino and mercapto groups, through which the functional groups are respectively connected to drugs; the anti-angiogenic drugs are bevacizumab, Kang One or more of Percept, Dexamethasone, Ranibizumab and Avastin, preferably Dexamethasone; the extracellular matrix normalizing drug is Verteporfin, Papain, Tranis One or more of special and hyaluronidase, preferably tranilast.

所述药物II为光热、光动力或近红外成像分子药物;The drug II is a photothermal, photodynamic or near-infrared imaging molecular drug;

所述药物II优选为包括但不限于二氢卟吩CE6、吲哚菁绿(ICG)、聚多巴胺和近红外染料IR780中的一种或几种,进一步优选为吲哚菁绿;The drug II preferably includes but is not limited to one or more of chlorin CE6, indocyanine green (ICG), polydopamine and near-infrared dye IR780, more preferably indocyanine green;

所述载体III为高分子载体,所述高分子载体可以按需选择,包括但不限于mPEG-DSPE或者mPEG-b-PLA。The carrier III is a polymer carrier, which can be selected as required, including but not limited to mPEG-DSPE or mPEG-b-PLA.

上述所述自组装过程具体为:将药物I的溶液,药物II的溶液和载体III的溶液按所需比例混合后逐滴加入水溶液中剧烈搅拌过夜。The above-mentioned self-assembly process is specifically as follows: the solution of drug I, the solution of drug II and the solution of carrier III are mixed according to the required ratio, and then added dropwise to the aqueous solution and vigorously stirred overnight.

上述所述药物I为微环境响应结构,可以响应肿瘤微环境进行断裂释放两种小分子药物。本发明所述高分子纳米药物粒径优选为50~300nm,更优选为100~150nm。本发明对高分子纳米材料负载小分子药物的量没有特别要求,本领域技术人员可以根据实际需要选择合适的担载量。The drug I mentioned above is a microenvironment responsive structure, which can respond to the tumor microenvironment to break and release two small molecule drugs. The particle size of the polymer nanomedicine in the present invention is preferably 50-300 nm, more preferably 100-150 nm. The present invention has no special requirements on the amount of small molecule drug loaded on the polymer nanomaterial, and those skilled in the art can select an appropriate loading amount according to actual needs.

进一步优选的是,所述抗血管生成类药物为地塞米松,所述细胞外基质正常化药物为曲尼司特,所述药物II为吲哚菁绿,所述载体III为mPEG-DSPE,分别对应的结构式如下:Further preferably, the anti-angiogenic drug is dexamethasone, the extracellular matrix normalizing drug is tranilast, the drug II is indocyanine green, and the carrier III is mPEG-DSPE, The corresponding structural formulas are as follows:

所述药物I的结构式如式(I)所示:The structural formula of the drug I is shown in formula (I):

Figure BDA0004034812820000081
Figure BDA0004034812820000081

所述药物II的结构式如式(II)所示:The structural formula of the drug II is shown in formula (II):

Figure BDA0004034812820000082
Figure BDA0004034812820000082

所述载体III的结构如式(III)所示:The structure of the carrier III is shown in formula (III):

Figure BDA0004034812820000083
Figure BDA0004034812820000083

本发明还提供一种通过调控肿瘤细胞外基质增强肿瘤治疗效果的高分子纳米药物的制备方法,包括以下步骤:The present invention also provides a method for preparing a polymer nanomedicine that enhances tumor therapeutic effects by regulating tumor extracellular matrix, comprising the following steps:

1)将抗血管生成类药物和细胞外基质正常化药物通过微环境响应的linker进行连接,得到药物I;1) Connecting anti-angiogenic drugs and extracellular matrix normalizing drugs through a microenvironment-responsive linker to obtain drug I;

2)将药物I,药物II和载体III自组装,得到含多种药物的高分子纳米药物。2) Self-assembling the drug I, the drug II and the carrier III to obtain a polymer nanomedicine containing multiple drugs.

优选的是,所述制备方法中步骤1)的一种具体实施方式为:Preferably, a specific implementation of step 1) in the preparation method is:

1-1)将曲尼司特、微环境响应linker和无水溶剂混合反应得中间体IV,中间体IV具有式(IV)所示结构;1-1) Mixing and reacting tranilast, microenvironment responsive linker and anhydrous solvent to obtain intermediate IV, intermediate IV has the structure shown in formula (IV);

Figure BDA0004034812820000091
Figure BDA0004034812820000091

1-2)将中间体IV、地塞米松和无水溶剂混合反应,得到药物I。1-2) Mixing and reacting intermediate IV, dexamethasone and anhydrous solvent to obtain drug I.

优选的是,所述步骤1)中反应的温度为10~150℃,所述步骤2)中的反应的温度为10~50℃,所述药物I:药物II:载体III的质量比为(1~100):(1~5):(100~500)。Preferably, the reaction temperature in step 1) is 10-150°C, the reaction temperature in step 2) is 10-50°C, and the mass ratio of drug I: drug II: carrier III is ( 1~100): (1~5): (100~500).

优选的是,所述步骤1-1)中反应的温度为120~130℃,所述步骤1-2)中的反应的温度为20~40℃。Preferably, the reaction temperature in the step 1-1) is 120-130°C, and the reaction temperature in the step 1-2) is 20-40°C.

当本发明的高分子纳米药物中,抗血管生成类药物为地塞米松,细胞外基质正常化药物为曲尼司特,所述药物II为吲哚菁绿,所述载体III为mPEG-DSPE,时,所述通过调控肿瘤细胞外基质增强肿瘤治疗效果的高分子纳米药物的制备方法,包括以下步骤:In the polymer nanomedicine of the present invention, the anti-angiogenic drug is dexamethasone, the extracellular matrix normalizing drug is tranilast, the drug II is indocyanine green, and the carrier III is mPEG-DSPE , when, the preparation method of the macromolecule nano-medicine that enhances tumor therapeutic effect by regulating tumor extracellular matrix comprises the following steps:

1)将地塞米松和曲尼司特通过微环境响应的linker进行连接,得到TRN-linker-DEX;1) Connecting dexamethasone and tranilast through a microenvironment-responsive linker to obtain TRN-linker-DEX;

2)将TRN-linker-DEX,ICG和mPEG-DSPE自组装,得到含多种药物的高分子纳米药物。2) Self-assemble TRN-linker-DEX, ICG and mPEG-DSPE to obtain polymer nanomedicine containing multiple drugs.

按照本发明,本发明将TRN-linker-DEX,ICG和mPEG-DSPE自组装,得到含多种药物的高分子纳米药物;其中,所述担载具体为将TRN-linker-DEX的四氢呋喃溶液,ICG的水溶液和mPEG-DSPE的四氢呋喃溶液按1:1:1逐滴加入水溶液中剧烈搅拌过夜,得到通过调控肿瘤细胞外基质增强肿瘤治疗效果的高分子纳米药物;其中,四氢呋喃代表大部分可挥发溶剂,但不是全部,本领域技术人员可以根据实际实验情况选择合适的溶剂以及挥发量;所述可挥发溶剂优选为四氢呋喃、氯仿和乙醇中的一种或几种,优选为四氢呋喃;所述抗血管生成类药物优选为贝伐单抗、康柏西普、地塞米松、雷珠单抗和阿瓦斯丁中的一种或几种,更优选为地塞米松;所述细胞外基质正常化的药物优选为维替泊芬、木瓜蛋白酶、曲尼司特和透明质酸酶中的一种或几种,更优选为曲尼司特;所述光动力、光热治疗的药物优选为二氢卟吩、吲哚菁绿、近红外染料IR780和聚多巴胺中的一种或几种,更优选为吲哚菁绿;所述TRN-linker-DEX:ICG:mPEG-DSPE的质量比优选(1~100):(1~5):(100~500)。According to the present invention, the present invention self-assembles TRN-linker-DEX, ICG and mPEG-DSPE to obtain a polymer nanomedicine containing multiple drugs; wherein, the loading is specifically the tetrahydrofuran solution of TRN-linker-DEX, The aqueous solution of ICG and the tetrahydrofuran solution of mPEG-DSPE are added dropwise into the aqueous solution at a ratio of 1:1:1 and stirred vigorously overnight to obtain a polymer nanomedicine that enhances the tumor therapeutic effect by regulating the extracellular matrix of the tumor; among them, tetrahydrofuran represents most of the volatile Solvent, but not all, those skilled in the art can select suitable solvent and volatile amount according to actual experimental situation; Described volatile solvent is preferably one or more in tetrahydrofuran, chloroform and ethanol, is preferably tetrahydrofuran; Angiogenic drugs are preferably one or more of bevacizumab, conbercept, dexamethasone, ranibizumab and Avastin, more preferably dexamethasone; the normalization of the extracellular matrix The drug is preferably one or more of verteporfin, papain, tranilast and hyaluronidase, more preferably tranilast; the photodynamic and photothermal therapy drugs are preferably two One or more in hydroporphine, indocyanine green, near-infrared dye IR780 and polydopamine, more preferably indocyanine green; The mass ratio of described TRN-linker-DEX:ICG:mPEG-DSPE is preferably ( 1~100): (1~5): (100~500).

本发明中,所述TRN-SS-DEX按照以下方法制备得到:In the present invention, the TRN-SS-DEX is prepared according to the following method:

1-1)将曲尼司特、HO-linker-OH、EDC·HCl和溶剂混合反应,得到TRN-linker-OH;其中,所述溶剂为无水乙腈;具体的,为了使反应更顺利的进行,本发明优选将曲尼司特溶于10~100mL乙腈,搅拌5~10分钟使混合均匀;加入EDC·HCl,在20~50℃条件下搅拌1~4小时进行活化;接着向所得溶液中滴加10~50mLHO-linker-OH的乙腈溶液,在60-120℃条件下搅拌15~30小时。用0.01~1mol/L的盐酸进行沉降。用9000~12000rpm离心8~12min收集并洗涤沉淀,去掉上清,冷冻干燥得TRN-linker-OH。1-1) Mix and react tranilast, HO-linker-OH, EDC·HCl and solvent to obtain TRN-linker-OH; wherein, the solvent is anhydrous acetonitrile; specifically, in order to make the reaction more smoothly To carry out, the present invention preferably dissolves tranilast in 10-100mL acetonitrile, stirs for 5-10 minutes to make the mixture uniform; adds EDC·HCl, and stirs for 1-4 hours at 20-50°C to activate; then add to the obtained solution 10-50mL HO-linker-OH solution in acetonitrile was added dropwise, and stirred at 60-120°C for 15-30 hours. Use 0.01-1mol/L hydrochloric acid for precipitation. Centrifuge at 9000-12000rpm for 8-12min to collect and wash the precipitate, remove the supernatant, freeze-dry to obtain TRN-linker-OH.

1-2)将TRN-linker-OH、三光气、DEX和溶剂混合反应,得到TRN-linker-DEX;其中,所述溶剂为无水四氢呋喃;所述反应为室温反应,所述反应的时间为12~48小时;更具体的,所述反应为:将50-400mg所得TRN-linker-OH重新分散于10-30mL无水四氢呋喃,加入三光气,冷凝管温度设置1-5℃。接着向所得溶液中滴加5~10mLDMAP的四氢呋喃溶液,产生白色沉淀,连续搅拌反应10-50min。接着向所得溶液中滴加5~10mLDEX的四氢呋喃溶液,室温反应15~30小时。用0.01~1mol/L的盐酸进行沉降。用9000~12000rpm离心8~12min收集并洗涤沉淀,去掉上清,冷冻干燥得TRN-linker-DEX。1-2) TRN-linker-OH, triphosgene, DEX and solvent are mixed and reacted to obtain TRN-linker-DEX; wherein, the solvent is anhydrous tetrahydrofuran; the reaction is a room temperature reaction, and the reaction time is 12-48 hours; more specifically, the reaction is: redisperse 50-400 mg of the obtained TRN-linker-OH in 10-30 mL of anhydrous tetrahydrofuran, add triphosgene, and set the temperature of the condenser to 1-5 °C. Then, 5-10 mL of DMAP in tetrahydrofuran solution was added dropwise to the obtained solution to form a white precipitate, and the reaction was continuously stirred for 10-50 min. Then, 5-10 mL of a tetrahydrofuran solution of DEX was added dropwise to the obtained solution, and reacted at room temperature for 15-30 hours. Use 0.01-1mol/L hydrochloric acid for precipitation. Centrifuge at 9000-12000 rpm for 8-12 minutes to collect and wash the precipitate, remove the supernatant, and freeze-dry to obtain TRN-linker-DEX.

本发明提供了一种抗肿瘤药物,包括本发明所述的通过调控肿瘤细胞外基质增强肿瘤治疗效果的高分子纳米药物。The present invention provides an anti-tumor drug, including the polymer nano-medicine for enhancing tumor therapeutic effect through regulation of tumor extracellular matrix described in the present invention.

本发明提供了一种近红外荧光成像的造影剂,包括本发明所述的通过调控肿瘤细胞外基质增强肿瘤治疗效果的高分子纳米药物。The invention provides a contrast agent for near-infrared fluorescence imaging, including the polymer nano-medicine that enhances tumor treatment effect by regulating tumor extracellular matrix.

本发明提供了一种抗炎药物,包括本发明所述的通过调控肿瘤细胞外基质增强肿瘤治疗效果的高分子纳米药物。The present invention provides an anti-inflammatory drug, including the polymer nano-medicine that enhances tumor treatment effect by regulating tumor extracellular matrix described in the present invention.

综上,本发明提供了一种通过调控肿瘤细胞外基质增强肿瘤治疗效果的高分子纳米药物及其制备方法和应用,本发明提供的抗肿瘤药物解决了现有医疗法肿瘤治疗效果不理想且耐药严重的问题,且可根据需要调节药物的担载比例,真正实现一患一策。并且利用上述方法也可以解决部分小分子药物溶解度差及生物利用度低的问题,还可以实现肿瘤微环境响应的可控药物释放与激活,降低对正常组织的毒副作用,同时可以调节肿瘤微环境以显著增强治疗效果,可应用于制备高效低毒的抗肿瘤药物。此外,本发明所述方法使得得到的复合材料尺寸均一,具有良好的水溶性及生物相容性,且制备工艺简单,成本低廉,适合工业化生产。To sum up, the present invention provides a polymer nanomedicine that enhances the therapeutic effect of tumors by regulating the extracellular matrix of tumors and its preparation method and application. Drug resistance is a serious problem, and the loading ratio of drugs can be adjusted according to the needs, so as to truly realize one disease, one policy. And using the above method can also solve the problem of poor solubility and low bioavailability of some small molecule drugs, and can also realize the controllable drug release and activation in response to the tumor microenvironment, reduce the toxic and side effects on normal tissues, and at the same time regulate the tumor microenvironment To significantly enhance the therapeutic effect, it can be applied to the preparation of antitumor drugs with high efficiency and low toxicity. In addition, the method of the invention makes the obtained composite material uniform in size, good in water solubility and biocompatibility, simple in preparation process, low in cost, and suitable for industrial production.

下面将结合本发明实施例对技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solution will be clearly and completely described below in conjunction with the embodiments of the present invention. Apparently, the described embodiments are only some of the embodiments of the present invention, not all of them. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.

实施例1:Example 1:

担载地塞米松/曲尼司特/吲哚菁绿高分子纳米药物的制备,包括以下步骤:The preparation of loaded dexamethasone/tranilast/indocyanine green macromolecule nanomedicine comprises the following steps:

1)TRN-SS-OH的制备:500mg曲尼司特溶于30mL无水乙腈,搅拌5~10分钟使混合均匀;加入293mg EDC·HCl,在35℃条件下搅拌2小时进行活化;接着将471mg HO-SS-OH(结构式为

Figure BDA0004034812820000121
)溶于20mL无水乙腈中,滴加至所得溶液中,在85℃条件下搅拌24小时。反应完成后用0.1mol/L的盐酸进行沉降。用10000rpm离心10min收集并洗涤沉淀,去掉上清,冷冻干燥得到TRN-SS-OH。1) Preparation of TRN-SS-OH: Dissolve 500mg tranilast in 30mL anhydrous acetonitrile, stir for 5-10 minutes to mix well; add 293mg EDC·HCl, stir at 35°C for 2 hours to activate; then 471mg HO-SS-OH (structural formula is
Figure BDA0004034812820000121
) was dissolved in 20 mL of anhydrous acetonitrile, added dropwise to the resulting solution, and stirred at 85° C. for 24 hours. After the reaction is completed, settle with 0.1mol/L hydrochloric acid. Centrifuge at 10,000 rpm for 10 min to collect and wash the precipitate, remove the supernatant, and freeze-dry to obtain TRN-SS-OH.

2)TRN-SS-DEX的制备:取236mg步骤(1)中制得的TRN-SS-OH,均匀分散于20mL无水四氢呋喃中,搅拌5~10分钟使混合均匀,加入55.4mg三光气,冷凝管温度设置3℃。接着将187mg DMAP溶于20mL无水四氢呋喃中,滴加至所得溶液中,产生白色沉淀,连续搅拌反应30min。接着将200mg DEX溶于10mL无水四氢呋喃中,滴加至所得溶液中,25℃搅拌反应24小时。反应完成后用0.1mol/L的盐酸进行沉降。用10000rpm离心10min收集并洗涤沉淀,去掉上清,冷冻干燥得TRN-SS-DEX;2) Preparation of TRN-SS-DEX: Take 236mg of TRN-SS-OH prepared in step (1), and evenly disperse it in 20mL of anhydrous tetrahydrofuran, stir for 5-10 minutes to mix evenly, add 55.4mg of triphosgene, The temperature of the condenser tube was set at 3°C. Next, 187 mg of DMAP was dissolved in 20 mL of anhydrous tetrahydrofuran, and added dropwise to the resulting solution to produce a white precipitate, and the reaction was continuously stirred for 30 min. Next, 200 mg of DEX was dissolved in 10 mL of anhydrous THF, added dropwise to the resulting solution, and stirred at 25°C for 24 hours. After the reaction is completed, settle with 0.1mol/L hydrochloric acid. Centrifuge at 10,000rpm for 10min to collect and wash the precipitate, remove the supernatant, and freeze-dry to obtain TRN-SS-DEX;

3)DEX/TRN/ICG NP:取22.5mg步骤(2)制得的TRN-SS-DEX溶于4mL四氢呋喃,2mgICG溶于4mL超纯水,75.5mg mPEG-DSPE溶于4mL四氢呋喃,将以上溶液混合,超声均匀后逐滴缓慢加入120mL超纯水,继续搅拌过夜。用0.22μm的滤头除去未包载的药物沉淀,冻干获得DEX/TRN/ICG NP,甲醇溶解后用紫外分光光度计测量药物分别的负载率;3) DEX/TRN/ICG NP: Dissolve 22.5 mg of TRN-SS-DEX prepared in step (2) in 4 mL of THF, 2 mg of ICG in 4 mL of ultrapure water, and 75.5 mg of mPEG-DSPE in 4 mL of THF. Mix, after ultrasonic homogeneity, slowly add 120mL ultrapure water drop by drop, continue to stir overnight. Use a 0.22 μm filter head to remove the unencapsulated drug precipitate, freeze-dry to obtain DEX/TRN/ICG NP, and measure the drug loading rate with a UV spectrophotometer after dissolving in methanol;

结果如图1~图4所示:The results are shown in Figures 1 to 4:

图1为本发明实施例1各步骤所得样品的TEM图,从图中可以看出,纳米药物DEX/TRN/ICG NP为实心球形结构,尺寸均一,粒径在60nm左右;Fig. 1 is the TEM image of the sample obtained in each step of Example 1 of the present invention. It can be seen from the figure that the nanomedicine DEX/TRN/ICG NP is a solid spherical structure with a uniform size and a particle size of about 60nm;

图2为本发明实施例1各步骤所得样品的动态光散射图,从图中可以看出,纳米药物DEX/TRN/ICG NP尺寸均一,水合粒径在110.5nm左右,电势在-30.7mV左右。Figure 2 is the dynamic light scattering diagram of the sample obtained in each step of Example 1 of the present invention. It can be seen from the figure that the nanomedicine DEX/TRN/ICG NP has a uniform size, the hydrated particle size is about 110.5nm, and the potential is about -30.7mV .

图3为TRN、DEX及本发明实施例1中制备的TRN-SS-OH、TRN-SS-DEX的质谱图,证明药物合成成功,在担载完成后通过紫外分光光度仪测得DEX的担载率为10%,TRN的担载率为8.34%,ICG的担载率为2%;各药物的担载效率均接近100%。Fig. 3 is the mass spectrogram of TRN, DEX and the TRN-SS-OH, TRN-SS-DEX prepared in the embodiment 1 of the present invention, proves that the medicine is successfully synthesized, and after loading is completed, the burden of DEX is measured by an ultraviolet spectrophotometer. The loading rate of TRN was 10%, that of TRN was 8.34%, and that of ICG was 2%. The loading efficiency of each drug was close to 100%.

图4为TRN、DEX及本发明实施例1中制备的TRN-SS-OH、TRN-SS-DEX的核磁共振氢谱图,根据峰特征峰的变化以及各组峰的峰位置可以证明药物合成成功。Fig. 4 is the proton nuclear magnetic resonance spectrum of TRN, DEX and TRN-SS-OH, TRN-SS-DEX prepared in Example 1 of the present invention, according to the change of peak characteristic peak and the peak position of each group of peaks, it can be proved that the drug is synthesized success.

实施例2:Example 2:

为了证明本发明实施例1所得DEX/TRN/ICG NP具有良好的生物相容性以及促进成纤维细胞生长的作用,我们使用MTT实验来测试材料与细胞共同培养一段时间后,细胞的增值情况,具体测试方法如下:In order to prove that the DEX/TRN/ICG NP obtained in Example 1 of the present invention has good biocompatibility and the effect of promoting the growth of fibroblasts, we use the MTT experiment to test the proliferation of the cells after the material and the cells are co-cultured for a period of time, The specific test method is as follows:

1)取对数生长期的4T1与3T3细胞(1×105/mL)加入到96孔细胞培养板中(200μL/孔),将96孔板中的细胞放在5% CO2,37℃二氧化碳培养箱培养24h,至细胞单层铺满孔底(96孔平底板)。1) Add the 4T1 and 3T3 cells (1×10 5 /mL) in the logarithmic growth phase to a 96-well cell culture plate (200 μL/well), and place the cells in the 96-well plate in 5% CO 2 at 37°C Cultivate in a carbon dioxide incubator for 24 hours until the cell monolayer covers the bottom of the well (96-well flat bottom plate).

2)然后将DEX、TRN、ICG(+L)、DEX/TRN/ICG NP(+L)用1640细胞培养基分散,分别配成不同浓度的分散液,其中DEX浓度分别为:0,15,20,25,30mg/mL,然后细胞与材料在5%CO2,37℃下孵育24h,对照组不加样品,加光照组在培养12小时后,分别进行808nm,5min,1.0W/cm2的近红外光照射。倒置显微镜下观察。2) Then disperse DEX, TRN, ICG (+L), DEX/TRN/ICG NP (+L) with 1640 cell culture medium, and make dispersions with different concentrations respectively. The concentrations of DEX are: 0, 15, 20, 25, 30 mg/mL, then cells and materials were incubated at 5% CO 2 , 37°C for 24 hours, the control group did not add samples, and the light group was cultured for 12 hours, respectively, 808nm, 5min, 1.0W/cm 2 near-infrared light irradiation. Observe under an inverted microscope.

3)培养结束后,吸去孔内培养液,小心用PBS洗2-3遍,洗去材料,然后每孔加100μL含MTT的PBS溶液(0.5mg/mL),终止培养,MTT与活细胞琥珀酸脱氢酶作用下形成不溶性的蓝紫色物质甲瓒沉积在细胞中。3) After the culture is over, suck off the culture medium in the wells, carefully wash with PBS 2-3 times to wash away the material, then add 100 μL of MTT-containing PBS solution (0.5 mg/mL) to each well to terminate the culture, MTT and living cells Under the action of succinate dehydrogenase, formazan, an insoluble blue-purple substance, is deposited in cells.

4)3-5h后加入100μL二甲基亚砜(DMSO)溶液将甲瓒溶出,置摇床上低速震荡10min,使结晶物质充分溶解。在酶标仪上检测570nm处的吸光度值(OD值),求出细胞的存活率。4) After 3-5 hours, add 100 μL dimethyl sulfoxide (DMSO) solution to dissolve the formazan, and shake it on a shaker at low speed for 10 minutes to fully dissolve the crystalline substance. The absorbance value (OD value) at 570 nm was detected on a microplate reader, and the survival rate of the cells was calculated.

结果见图5,图5为TRN、DEX、ICG(+L)实施例1制备的DEX/TRN/ICG NP(+L)对4T1与3T3细胞的选择性促进生长图。从图中可以看出,即使材料中DEX的浓度达到了30mg/mL,3T3细胞活性仍能基本维持在100%。可以看出,该材料有着良好的生物相容性,可以适用于生物体内。而随着DEX浓度的增加,DEX/TRN/ICG NP以及DEX/TRN/ICG NP+L组的4T1细胞表现出很明显的被抑制生长作用。表明该纳米粒子具有较好的抗肿瘤效果。The results are shown in Figure 5. Figure 5 is a graph showing the selective growth promotion of 4T1 and 3T3 cells by DEX/TRN/ICG NP (+L) prepared in Example 1 of TRN, DEX, and ICG (+L). It can be seen from the figure that even if the concentration of DEX in the material reaches 30mg/mL, the activity of 3T3 cells can still be basically maintained at 100%. It can be seen that the material has good biocompatibility and can be used in living organisms. With the increase of DEX concentration, the growth of 4T1 cells in DEX/TRN/ICG NP and DEX/TRN/ICG NP+L groups was significantly inhibited. It shows that the nanoparticles have good anti-tumor effect.

实施例3:Example 3:

可担载多种药物的高分子纳米药物在应用于制备高效且低毒的制备抗肿瘤药物。通过以下步骤测定其对细胞内谷胱甘肽的消耗:Polymer nano-drugs that can carry multiple drugs are used in the preparation of anti-tumor drugs with high efficiency and low toxicity. Its depletion of intracellular glutathione was determined by the following steps:

1)取对数生长期的4T1细胞(1×105/mL)加入到培养瓶中(200μL/孔),将96孔板中的细胞放在5% CO2,37℃二氧化碳培养箱培养24h,至细胞单层铺满。1) Add 4T1 cells (1×10 5 /mL) in the logarithmic growth phase to culture flasks (200 μL/well), and place the cells in the 96-well plate in a 5% CO 2 , 37°C carbon dioxide incubator for 24 hours , until the cell monolayer was confluent.

2)然后将DEX/TRN/ICG NP用1640细胞培养基分散,分别配成不同浓度的分散液,其中DEX/TRN/ICG NP浓度分别为:0,150,300mg/mL,然后细胞与材料在5%CO2,37℃下孵育24h,对照组不加样品。倒置显微镜下观察。利用GSH和GSSH检测试剂盒检测细胞内谷胱甘肽的消耗量。2) Then disperse DEX/TRN/ICG NP with 1640 cell culture medium, and make dispersions with different concentrations respectively, in which the concentrations of DEX/TRN/ICG NP are: 0, 150, 300 mg/mL, and then the cells and materials are mixed in 5% CO 2. Incubate at 37°C for 24 hours, and no samples are added to the control group. Observe under an inverted microscope. GSH and GSSH detection kits were used to detect the consumption of glutathione in cells.

如图6所示,图6为本发明实施例3高分子纳米药物消耗细胞内谷胱甘肽的曲线图,发现纳米药物可有效消耗谷胱甘肽;可以证明本发明所述的纳米药物可通过有效消耗谷胱甘肽改善肿瘤微环境的高还原性,降低肿瘤高还原性对ICG光动力过程产生的单线态氧等的消耗,从而有效提高治疗效果;As shown in Fig. 6, Fig. 6 is the graph of intracellular glutathione consumed by macromolecule nanomedicine in Example 3 of the present invention, and it is found that nanomedicine can effectively consume glutathione; it can be proved that nanomedicine of the present invention can Improve the high reduction of the tumor microenvironment by effectively consuming glutathione, and reduce the consumption of singlet oxygen generated by the ICG photodynamic process due to the high reduction of the tumor, thereby effectively improving the therapeutic effect;

实施例4:Example 4:

通过调控肿瘤细胞外基质增强肿瘤治疗效果的高分子纳米药物在应用于制备高效且低毒的制备抗肿瘤药物。在活体水平检测所述纳米药物的抗肿瘤效果,包括以下步骤:Polymer nano-drugs, which can enhance the therapeutic effect of tumors by regulating the extracellular matrix of tumors, are being applied to the preparation of anti-tumor drugs with high efficiency and low toxicity. Detecting the anti-tumor effect of the nano-medicine at the living level comprises the following steps:

选取体重15-25g的雌性BALB/C鼠作为模型鼠;通过在小鼠的前肢皮下注射106个鼠源乳腺癌细胞(4T1)建立肿瘤模型,当肿瘤体积达到120mm3时,将小鼠随机分成四组,每组10只,分别静脉注射生理盐水,TRN,DEX及ICG(+L),DEX/TRN/ICG NP(+L),每隔两天注射一次,ICG和DEX/TRN/ICG NP光照组分别在给药4h和24后光照5min。每隔一天测量一次肿瘤直径及小鼠体重。肿瘤体积通过如下公式计算:体积=肿瘤长度×肿瘤宽度2/2。在第15天将小鼠处死,将肿瘤剥离下来并称重,来评估肿瘤治疗效率。Female BALB/C mice weighing 15-25 g were selected as model mice; tumor models were established by subcutaneously injecting 106 mouse-derived breast cancer cells (4T1) into the forelimbs of the mice, and when the tumor volume reached 120mm3 , the mice were randomly Divided into four groups, 10 rats in each group, intravenous injection of normal saline, TRN, DEX and ICG (+L), DEX/TRN/ICG NP (+L), injected every two days, ICG and DEX/TRN/ICG The NP light group was lighted for 5 minutes 4 hours and 24 hours after administration, respectively. Tumor diameter and mouse body weight were measured every other day. Tumor volume was calculated by the following formula: volume=tumor length×tumor width2 /2. Mice were sacrificed on day 15, and tumors were dissected and weighed to assess tumor treatment efficiency.

如图7所示,图7为本发明实施例5中对照组、TRN,DEX及ICG(+L),DEX/TRN/ICG NP(+L)组活体治疗过程的小鼠体重变化图,可以看出小鼠体重保持稳定,表明本发明所述高分子纳米药物具有良好的生物相容性。As shown in Figure 7, Figure 7 is the control group, TRN, DEX and ICG (+L), DEX/TRN/ICG NP (+L) group living body treatment course mouse body weight change figure in the embodiment 5 of the present invention, can It can be seen that the body weight of the mice remains stable, indicating that the polymer nanomedicine of the present invention has good biocompatibility.

如图8所示,图8为本发明实施例5中对照组、TRN,DEX及ICG(+L),DEX/TRN/ICG NP(+L)组活体治疗过程的肿瘤体积变化图及治疗后的肿瘤抑制率,可以看出与控制组相比小分子组的肿瘤抑制效率有限,而DEX/TRN/ICG NP加光照组肿瘤的生长几乎被完全抑制了;说明本发明所述的纳米药物通过调控肿瘤细胞外基质与抗血管生成疗法和光疗法相结合有效地提高了肿瘤的治疗效果。As shown in Fig. 8, Fig. 8 is the tumor volume change diagram and after treatment of the control group, TRN, DEX and ICG (+L), DEX/TRN/ICG NP (+L) group in vivo treatment process in Example 5 of the present invention It can be seen that compared with the control group, the tumor suppression efficiency of the small molecule group is limited, while the growth of the tumor in the DEX/TRN/ICG NP plus light group is almost completely inhibited; Modulation of the tumor extracellular matrix combined with anti-angiogenic therapy and phototherapy has effectively improved the therapeutic effect of tumors.

以上实施例的说明只是用于帮助理解本发明的方法及其核心思想。应当指出,对于本技术领域的普通技术人员来说,在不脱离本发明原理的前提下,还可以对本发明进行若干改进和修饰,这些改进和修饰也落入本发明权利要求的保护范围内。The descriptions of the above embodiments are only used to help understand the method and core idea of the present invention. It should be pointed out that for those skilled in the art, without departing from the principle of the present invention, some improvements and modifications can be made to the present invention, and these improvements and modifications also fall within the protection scope of the claims of the present invention.

Claims (10)

1. A macromolecule nanometer medicine for enhancing the tumor treatment effect by regulating and controlling tumor extracellular matrix is characterized in that the macromolecule nanometer medicine is obtained by self-assembling a medicine I, a medicine II and a carrier III;
the drug I comprises a Linker which is a tumor microenvironment response unit, and two ends of the Linker are respectively connected with an anti-angiogenesis drug and an extracellular matrix normalization drug;
the medicine II is a photo-thermal imaging molecular medicine, a photodynamic imaging molecular medicine or a near-infrared imaging molecular medicine;
the carrier III is a high molecular carrier.
2. The macromolecular nano-drug according to claim 1, wherein the Linker is a GSH response unit, a ROS response unit or an enzyme response unit, and both ends of the Linker are respectively connected with the drug through hydroxyl, aldehyde, amino or sulfhydryl functional groups.
3. The polymeric nano-drug according to claim 1, wherein the anti-angiogenic drug is one or more of bevacizumab, combretacept, dexamethasone, ranibizumab, and avastin, the extracellular matrix normalization drug is one or more of verteporfin, papain, tranilast, and hyaluronidase, the drug II is one or more of dihydroporphin, indocyanine green, near infrared dye IR780, and polydopamine, and the carrier III is mPEG-DSPE or mPEG-b-PLA.
4. The polymeric nano-drug according to claim 1, wherein the polymeric nano-drug has a particle size of 50 to 300nm.
5. The polymeric nano-drug according to claim 1, wherein the anti-angiogenic drug is dexamethasone, the extracellular matrix normalization drug is tranilast, the drug II is indocyanine green, the carrier III is mPEG-DSPE, and the respective corresponding structural formulas are as follows:
the structural formula of the medicine I is shown as the formula (I):
Figure FDA0004034812810000011
the structural formula of the medicine II is shown as the formula (II):
Figure FDA0004034812810000021
the structure of the carrier III is shown as the formula (III):
Figure FDA0004034812810000022
6. the method for preparing a polymeric nano-drug for enhancing the tumor treatment effect by regulating the tumor extracellular matrix according to any one of claims 1 to 5, comprising the following steps:
1) Connecting the anti-angiogenesis medicine and the extracellular matrix normalization medicine through a linker responding to a microenvironment to obtain a medicine I;
2) Self-assembling the medicine I, the medicine II and the carrier III to obtain the macromolecular nano-medicine containing various medicines.
7. The method according to claim 6, wherein one embodiment of step 1) in the method is as follows:
1-1) mixing tranilast, a micro-environment response linker and an anhydrous solvent for reaction to obtain an intermediate IV, wherein the intermediate IV has a structure shown in a formula (IV);
Figure FDA0004034812810000023
1-2) mixing the intermediate IV, dexamethasone and an anhydrous solvent for reaction to obtain the drug I.
8. The method according to claim 6, wherein the reaction temperature in the step 1) is 10 to 150 ℃, the reaction temperature in the step 2) is 10 to 50 ℃, and the ratio of the drug I: and (2) medicine II: the mass ratio of the carrier III is (1-100): (1-5): (100-500).
9. The method according to claim 7, wherein the temperature of the reaction in the step 1-1) is 120 to 130 ℃ and the temperature of the reaction in the step 1-2) is 20 to 40 ℃.
10. An antitumor drug comprising the polymeric nano-drug according to any one of claims 1 to 5, a contrast agent for near-infrared fluorescence imaging comprising the polymeric nano-drug according to any one of claims 1 to 5, or an anti-inflammatory drug comprising the polymeric nano-drug according to any one of claims 1 to 5.
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