Abstract

Multidrug resistance is a major challenge to cancer chemotherapy. The multidrug resistance phenotype is associated with the overexpression of the adenosine triphosphate (ATP)-driven transmembrane efflux pumps in cancer cells. Here, we report a lipid membrane-coated silica-carbon (LSC) hybrid nanoparticle that targets mitochondria through pyruvate, to specifically produce reactive oxygen species (ROS) in mitochondria under near-infrared (NIR) laser irradiation. The ROS can oxidize the NADH into NAD+ to reduce the amount of ATP available for the efflux pumps. The treatment with LSC nanoparticles and NIR laser irradiation also reduces the expression and increases the intracellular distribution of the efflux pumps. Consequently, multidrug-resistant cancer cells lose their multidrug resistance capability for at least 5 days, creating a therapeutic window for chemotherapy. Our in vivo data show that the drug-laden LSC nanoparticles in combination with NIR laser treatment can effectively inhibit the growth of multidrug-resistant tumors with no evident systemic toxicity.

Highlights

  • Multidrug resistance is a major challenge to cancer chemotherapy

  • To understand the possible molecular mechanisms of the lipid membrane-coated silicacarbon (LSC) + L treatment in sensitizing the drug-resistant cells to cancer therapy, we investigated the expression of two stress-related proteins in the NCI/RES-ADR cells first

  • The expression of heat shock factor-1 (HSF-1) that is commonly thought to be associated with HSP7040, is decreased at 12 h after the LSC + L treatment

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Summary

Introduction

The multidrug resistance phenotype is associated with the overexpression of the adenosine triphosphate (ATP)-driven transmembrane efflux pumps in cancer cells. Our in vivo data show that the drug-laden LSC nanoparticles in combination with NIR laser treatment can effectively inhibit the growth of multidrug-resistant tumors with no evident systemic toxicity. An important advance in the understanding of cancer drug resistance is the identification of P-glycoprotein (P-gp) and other related transporters-based efflux pumps in the plasma membrane of some cancer cells. Inhibiting the function of ABC transporters should be an effective strategy to overcome cancer drug resistance. As ATP is indispensable for the efflux pumps/ transporters to function, cancer drug resistance may be overcome by inhibiting the production of ATP in cancer cells[11].

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