杨尚沁, 王静暄, 徐琦琦, 彭明杰, 吕亮亮, 涂柯蓉, 刘红梅, 蔡璐璐, 孙强. 超分子铁螯合藤黄酸靶向治疗急性髓系白血病的作用机制研究J. 药学学报, 2025, 60(6): 1920-1929. DOI: 10.16438/j.0513-4870.2025-0392
引用本文: 杨尚沁, 王静暄, 徐琦琦, 彭明杰, 吕亮亮, 涂柯蓉, 刘红梅, 蔡璐璐, 孙强. 超分子铁螯合藤黄酸靶向治疗急性髓系白血病的作用机制研究J. 药学学报, 2025, 60(6): 1920-1929. DOI: 10.16438/j.0513-4870.2025-0392
YANG Shang-qin, WANG Jing-xuan, XU Qi-qi, PENG Ming-jie, LÜ Liang-liang, TU Ke-rong, LIU Hong-mei, CAI Lu-lu, SUN Qiang. Study on the effect and mechanism of targeted therapy acute myeloid leukemia with supramolecular iron nano gambogic acidJ. Acta Pharmaceutica Sinica, 2025, 60(6): 1920-1929. DOI: 10.16438/j.0513-4870.2025-0392
Citation: YANG Shang-qin, WANG Jing-xuan, XU Qi-qi, PENG Ming-jie, LÜ Liang-liang, TU Ke-rong, LIU Hong-mei, CAI Lu-lu, SUN Qiang. Study on the effect and mechanism of targeted therapy acute myeloid leukemia with supramolecular iron nano gambogic acidJ. Acta Pharmaceutica Sinica, 2025, 60(6): 1920-1929. DOI: 10.16438/j.0513-4870.2025-0392

超分子铁螯合藤黄酸靶向治疗急性髓系白血病的作用机制研究

Study on the effect and mechanism of targeted therapy acute myeloid leukemia with supramolecular iron nano gambogic acid

  • 摘要: 急性髓系白血病(acute myeloid leukemia, AML) 具有病情急重、难控制、易复发等特点, 严重危害人们生命安全。由于AML复杂的微环境, 单一治疗方式或者针对单一靶点的治疗往往疗效有限。基于微环境特征和多机制协同的药物联合递送有望发挥更好的AML治疗作用。本文基于同源靶向和金属多酚配位策略构建了一种负载抗癌活性分子藤黄酸(gambogic acid, GA) 的超分子铁纳米粒(Fe-GA@CM), 并对其粒径、电位、释放性能进行了表征。进一步研究了该体系治疗AML的效果和作用机制。结果表明, 该体系平均粒径约270 nm, 表面呈正电荷; 其被AML细胞特异性摄取后, 可被肿瘤微环境中高浓度谷胱甘肽还原, 响应性释放出Fe2+和GA; Fe2+诱导AML细胞铁死亡, GA抑制AML细胞糖酵解, 从而实现对AML的联合治疗。综上所述, 本研究制备的Fe-GA@CM为AML的靶向联合治疗提供了新思路。

     

    Abstract: Acute myeloid leukemia (AML), characterized by rapid progression, therapeutic resistance, and high relapse rates, remains a critical threat to patient survival. The complex leukemic microenvironment often diminishes the efficacy of conventional monotherapies and single-target approaches. Drug delivery strategies based on microenvironment characteristics and multi-mechanism synergy are expected to have better therapeutic effects on AML. Therefore, we developed a biomimetic supramolecular nanoparticle (Fe-GA@CM) through homologous targeting strategy and metal-polyphenol coordination for co-delivery of gambogic acid (GA) and Fe3+. The particle size, zeta potential, and release performance of the system were characterized. Furthermore, the efficacy and mechanism of action of this system in treating AML was explored. The results showed that the particle size of the nano system was approximately 270 nm and positively charged. After being specifically taken up by AML cells, it is reduced by high concentrations of glutathione in the tumor microenvironment and released Fe2+ and GA in a responsive manner. The combination therapy for AML is achieved by inducing ferroptosis with Fe2+ and inhibiting glycolysis in AML cells with GA. In summary, the formulated Fe-GA@CM provides novel ideas for targeted therapy and combination therapy for AML.

     

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