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Sensitizing Triple Negative Breast Cancer to Tamoxifen Chemotherapy via a Redox-Responsive Vorinostat-containing Polymeric Prodrug Nanocarrier
Journal article   Open access   Peer reviewed

Sensitizing Triple Negative Breast Cancer to Tamoxifen Chemotherapy via a Redox-Responsive Vorinostat-containing Polymeric Prodrug Nanocarrier

Weina Ma, Jingjing Sun, Jieni Xu, Zhangyi Luo, Dingwei Diao, Ziqian Zhang, Patrick J Oberly, Margaret Beth Minnigh, Wen Xie, Samuel M Poloyac, …
Theranostics, Vol.10(6), pp.2463-2478
01/01/2020
DOI: 10.7150/thno.38973
PMCID: PMC7052901
PMID: 32194813
url
https://doi.org/10.7150/thno.38973View
Published (Version of record) Open Access

Abstract

There is an urgent and unmet need to develop effective therapies for triple negative breast cancers (TNBCs) which are much more aggressive and have poor prognosis due to lack of receptor targets for Her2-targeted and endocrine therapy. In this study we systematically evaluated the effect of Vorinostat (SAHA, a pan-HDAC inhibitor) in reactivating the expression of functional estrogen receptor α (ERα) and synergizing with tamoxifen (TAM, a selective estrogen-receptor modulator) in antitumor activity. In addition, a SAHA prodrug-based dual functional nanocarrier was developed for codelivery of SAHA and TAM for effective combination therapy. : A SAHA-containing polymeric nanocarrier, POEG- -PVDSAHA was developed via reversible addition-fragmentation transfer (RAFT) polymerization with SAHA incorporated into the polymer through a redox-responsive disulfide linkage. The effect of both free SAHA and POEG- -PVDSAHA on reactivating the expression of functional ERα was investigated in several human and murine TNBC cell lines via examining the mRNA and protein expression of ERα target genes. The cytotoxicity of free SAHA and TAM combination and TAM-loaded POEG- -PVDSAHA micelles was examined via MTT assay. The antitumor activity of TAM-loaded POEG- -PVDSAHA was investigated in a murine breast cancer model (4T1.2). : Both free SAHA and POEG- -PVDSAHA were effective in inducing the reexpression of functional estrogen receptor α (ERα), which may have helped to sensitize TNBCs to TAM. More importantly, POEG- -PVDSAHA self-assembled to form small-sized micellar carrier that is effective in formulating and codelivery of TAM. TAM-loaded POEG- -PVDSAHA micelles exhibited enhanced and synergistic cytotoxicity against TNBC cell lines compared with free SAHA, free TAM and TAM loaded into a pharmacologically inert control carrier (POEG- -PVMA). In addition, codelivery of TAM via POEG- -PVDSAHA micelles led to significantly improved antitumor efficacy in 4T1.2 tumor model compared with other groups such as combination of free SAHA and TAM and TAM-loaded POEG- -PVMA micelles. : Our prodrug-based co-delivery system may provide an effective and simple strategy to re-sensitize TNBCs to TAM-based hormone therapy.
Animals Antineoplastic Combined Chemotherapy Protocols - administration & dosage Antineoplastic Combined Chemotherapy Protocols - pharmacology Cell Line, Tumor Drug Carriers - administration & dosage Drug Carriers - pharmacology Drug Combinations Drug Synergism Estrogen Receptor alpha - metabolism Female Glutathione - metabolism Histone Deacetylase Inhibitors - administration & dosage Histone Deacetylase Inhibitors - pharmacology Humans Mice Mice, Inbred BALB C Micelles Nanoparticles - administration & dosage Oxidation-Reduction - drug effects Polymers - chemistry Polymers - pharmacology Prodrugs - administration & dosage Prodrugs - pharmacology Tamoxifen - administration & dosage Tamoxifen - pharmacology Triple Negative Breast Neoplasms - drug therapy Triple Negative Breast Neoplasms - pathology Vorinostat - administration & dosage Vorinostat - pharmacology

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