PMID- 33047769 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20210514 IS - 2047-4849 (Electronic) IS - 2047-4830 (Linking) VI - 8 IP - 22 DP - 2020 Nov 21 TI - A cascade dual-targeted nanocarrier for enhanced alectinib delivery to ALK-positive lung cancer. PG - 6404-6413 LID - 10.1039/d0bm00970a [doi] AB - Alectinib is a highly efficacious inhibitor for the treatment of anaplastic lymphoma kinase (ALK)-positive non-small cell lung cancer (NSCLC) in the clinic; however, serious adverse events (AEs) occurred in 44.0% of patients. Herein, we explored magnetic/TAT dual-targeted nanocarriers as delivery systems for alectinib. Magnetic targeting efficiently enhanced the extravasation of alectinib-loaded nanoparticles from vessels into the tumor tissue, while the TAT targeting reactivated in the tumor tissue significantly improved the tumor cellular uptake of the nanocarrier. As a result, this dual-targeted polymeric nanocarrier exhibited superior therapeutic effects and induced tumor shrinkage in vivo. Meanwhile, this dual-targeted nanocarrier also minimized alectinib-induced hepatotoxicity, providing an efficient strategy to extend the application of alectinib for NSCLC patients. FAU - Zeng, Fanjun AU - Zeng F AD - Division of Thoracic Surgery, Guangdong Lung Cancer Institute, Guangdong Provincial People's Hospital & Guangdong Academy of Medical Sciences, The Second School of Clinical Medicine, Southern Medical University, Guangzhou 510080, P. R. China. thoracichaiyu@gmail.com. FAU - Xu, Bin AU - Xu B FAU - Zhu, Hongyuan AU - Zhu H FAU - Wu, Shaowei AU - Wu S FAU - Liao, Guoqing AU - Liao G FAU - Xie, Daipeng AU - Xie D FAU - Huang, Luyu AU - Huang L FAU - Qiao, Guibin AU - Qiao G FAU - Yang, Xianzhu AU - Yang X FAU - Zhou, Haiyu AU - Zhou H LA - eng PT - Journal Article DEP - 20201013 PL - England TA - Biomater Sci JT - Biomaterials science JID - 101593571 RN - 0 (Carbazoles) RN - 0 (Piperidines) RN - 0 (Protein Kinase Inhibitors) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - LIJ4CT1Z3Y (alectinib) SB - IM MH - Anaplastic Lymphoma Kinase/genetics MH - Carbazoles MH - *Carcinoma, Non-Small-Cell Lung/drug therapy MH - Humans MH - *Lung Neoplasms/drug therapy MH - Piperidines MH - Protein Kinase Inhibitors EDAT- 2020/10/14 06:00 MHDA- 2021/05/15 06:00 CRDT- 2020/10/13 09:20 PHST- 2020/10/14 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2020/10/13 09:20 [entrez] AID - 10.1039/d0bm00970a [doi] PST - ppublish SO - Biomater Sci. 2020 Nov 21;8(22):6404-6413. doi: 10.1039/d0bm00970a. Epub 2020 Oct 13.