Triple negative breast cancer has a high local recurrence rate and poor prognosis, which seriously threatens women's health. It is urgent to find a new strategy to effectively prevent progressive disease. The intelligent drug delivery system based on new biomedical materials can play a vital role in the comprehensive and synergistic treatment of the disease. In this study, sunitinib nanoparticles were prepared by solvent precipitation. A new enzyme responsive hydrogel was well prepared after loading the nano-drug into it by Michael addition reaction. Then the novel hydrogel was identified and characterized by transmission electron microscope, stability test, and drug dissolution test. Furthermore, the anti-tumor and anti-recurrence effects of the hydrogel was evaluated by function tests both in vitro and in vivo. Finally, the preliminary biosafety evaluation of the hydrogel was performed. The results indicate that the enzyme responsive hydrogel loading sunitinib nanoparticles was successfully prepared. The physicochemical properties of the new hydrogel showed good stability. The particle size of nano-sunitinib was about 400 nm. The dissolution curves showed that sunitinib nanoparticles could release continuously from the hydrogel, and the release efficiency was higher under the exposing of matrix metalloproteinase-2; functional tests showed that the hydrogel exhibited a good anti-tumor effect in vitro, showing a good biological function to promote apoptosis and prevent recurrence in vivo; the biosafety of the hydrogel in vivo was evaluated and showed no obvious toxicity, mice were well tolerated. Such a therapy strategy may inhibit the local recurrence and improve the clinical benefit of patients.
[1] Vagia E, Mahalingam D, Cristofanilli M. The landscape of targeted therapies in TNBC[J]. Cancers (Basel), 2020, 12(4):916-941.
[2] Zhang L, Fang C, Xu X Q, et al. Androgen receptor, EGFR, and BRCA1 as biomarkers in triple-negative breast cancer:A meta-analysis[J]. Biomed Research International, 2015, 2015:357485.
[3] Voci S, Gagliardi A, Molinaro R, et al. Recent advances of taxol-loaded biocompatible nanocarriers embedded in natural polymer-based hydrogels[J]. Gels, 2021, 7(2):33-61.
[4] Wang H H, Fu Z G, Li W, et al. The synthesis and application of nano doxorubicin-indocyanine green matrix metalloproteinase-responsive hydrogel in chemophototherapy for head and neck squamous cell carcinoma[J]. International Journal of Nanomedicine, 2019, 14:623-638.
[5] Majidpoor J, Mortezaee K. Angiogenesis as a hallmark of solid tumors-clinical perspectives[J]. Cellular oncology (Dordrecht), 2021, 44(4):715-737.
[6] Quereda V, Bayle S, Vena F, et al. Therapeutic targeting of CDK12/CDK13 in triple-negative breast cancer[J]. Cancer Cell, 2019, 36(5):545-558.
[7] Brewster A M, Chavez-MacGregor M, Brown P. Epidemiology, biology, and treatment of triple-negative breast cancer in women of African ancestry[J]. Lancet Oncology, 2014, 15(13):e625-e634.
[8] Acheampong T, Kehm R D, Terry M B, et al. Incidence trends of breast cancer molecular subtypes by age and race/ethnicity in the US from 2010 to 2016[J]. JAMA Network Open, 2020, 3(8):e2013226.
[9] Sui J, Zhao M, Yang Y, et al. Acid-labile polysaccharide prodrug via lapatinib-sensitizing effect substantially prevented metastasis and postoperative recurrence of triplenegative breast cancer[J]. Nanoscale, 2020, 12(25):13567-13581.
[10] Lluch A, Barrios C H, Torrecillas L, et al. Phase III trial of adjuvant capecitabine after standard neo-/adjuvant chemotherapy in patients with early triple-negative breast cancer (GEICAM/2003-11_CIBOMA/2004-01)[J]. Journal of Clinical Oncology, 2020, 38(3):203-213.
[11] Basak S, Nanda J, Banerjee A. Multi-stimuli responsive self-healing metallo-hydrogels:Tuning of the gel recovery property[J]. Chemical Communication (Camb), 2014, 50(18):2356-2359.
[12] Wei Y, Zeng Q, Hu Q, et al. Self-cleaned electrochemical protein imprinting biosensor basing on a thermo-responsive memory hydrogel[J]. Biosens Bioelectron, 2018, 99:136-141.
[13] Tessmar J K, Gopferich A M. Matrices and scaffolds for protein delivery in tissue engineering[J]. Advanced Drug Delivery Reviews, 2007, 59(4/5):274-291.
[14] Pan Y F, Wang J C, Cai P X, et al. Dual-responsive IPN hydrogel based on sugarcane bagasse cellulose as drug carrier[J]. International Journal Of Biological Macromolecules, 2018, 118:132-140.
[15] Shang J, Theato P. Smart composite hydrogel with pH-, ionic strength-and temperature-induced actuation[J]. Soft Matter, 2018, 14(41):8401-8407.
[16] Xue B, Kozlovskaya V, Kharlampieva E. Shaped stimuliresponsive hydrogel particles:Syntheses, properties and biological responses[J]. Journal of Materials Chemistry B, 2017, 5(1):9-35.
[17] Yao Q, Kou L F, Tu Y, et al. MMP-responsive 'smart' drug delivery and tumor targeting[J]. Trends In Pharmacological Sciences, 2018, 39(8):766-781.
[18] Lian G Y, Wang Q M, Mak T S, et al. Inhibition of tumor invasion and metastasis by targeting TGF-betaSmad-MMP2 pathway with Asiatic acid and Naringenin[J]. Molecular Therapy-Oncolytics, 2021, 20:277-289.
[19] Brooks C, Sheu T, Bridges K, et al. Preclinical evaluation of sunitinib, a multi-tyrosine kinase inhibitor, as a radiosensitizer for human prostate cancer[J]. Radiation Oncololgy, 2012, 7:154-163.
[20] Ebos J M, Lee C R, Christensen J G, et al. Multiple circulating proangiogenic factors induced by sunitinib malate are tumor-independent and correlate with antitumor efficacy[J]. Proceedings of the National Academy of Sciences of the United States of America, 2007, 104(43):17069-17074.
[21] Symonds L, Jenkins I, Linden H M, et al. A phase II study evaluating the safety and efficacy of sunitinib malate in combination with weekly paclitaxel followed by doxorubicin and daily oral cyclophosphamide plus GCSF as neoadjuvant chemotherapy for locally advanced or inflammatory breast cancer[J]. Clinical Breast Cancer, 2022, 22(1):32-42.
[22] Ang Y, Ho G F, Soo R A, et al. A randomized phase II trial evaluating the addition of low dose, short course sunitinib to docetaxel in advanced solid tumours[J]. BMC Cancer, 2020, 20(1):1118-1128.
[23] Li H, Kuang X W, Liang L, et al. The beneficial role of sunitinib in tumor immune surveillance by regulating tumor PD-L1[J]. Advancement of Science, 2021, 8(2):2001596.
[24] Grande E, Rodriguez-Antona C, Lopez C, et al. Sunitinib and evofosfamide (TH-302) in systemic treatmentnaive patients with grade 1/2 metastatic pancreatic neuroendocrine tumors:The GETNE-1408 trial[J]. Oncologist, 2021, 26(11):941-949.
[25] Chen L, Xu P, Xiao Q P, et al. Sunitinib malate inhibits intestinal tumor development in male Apc(Min/+) mice by down-regulating inflammation-related factors with suppressing beta-cateinin/c-Myc pathway and re-balancing Bcl-6 and Caspase-3[J]. International Immunopharmacology, 2021, 90:107128.