PMID- 33961957 OWN - NLM STAT- MEDLINE DCOM- 20210617 LR - 20210617 IS - 1873-3476 (Electronic) IS - 0378-5173 (Linking) VI - 603 DP - 2021 Jun 15 TI - Reduction-responsive dehydroepiandrosterone prodrug nanoparticles loaded with camptothecin for cancer therapy by enhancing oxidation therapy and cell replication inhibition. PG - 120671 LID - S0378-5173(21)00476-2 [pii] LID - 10.1016/j.ijpharm.2021.120671 [doi] AB - The pentose phosphate pathway (PPP) plays a critical role by providing ribulose-5-phosphate (Ru5P) and NADPH for nucleotide synthesis and reduction energy, respectively. Accordingly, blocking the PPP process may be an effective strategy for enhancing oxidation therapy and inhibiting cell replication. Here, we designed a novel reduction-responsive PEGylated prodrug and constructed nanoparticles PsD@CPT to simultaneously deliver a PPP blocker, dehydroepiandrosterone (DHEA), and chemotherapeutic camptothecin (CPT) to integrate amplification of oxidation therapy and enhance cell replication inhibition. Following cellular uptake, DHEA and CPT were released from PsD@CPT in the presence of high glutathione (GSH) levels. As expected, DHEA-mediated reduction level decreases and CPT-induced oxidation level increases synergistically, breaking the redox balance to aggravate cancer oxidative stress. In addition, suppressing nucleotide synthesis by DHEA through the reduction of Ru5P and blocking DNA replication by CPT further motivates a synergistic inhibition effect on tumor cell proliferation. The results showed that PsD@CPT featuring multimodal treatment has satisfactory antitumor activity both in vitro and in vivo. This study provides a new tumor treatment strategy, which combines the amplification of oxidative stress and enhancement of inhibition of cell proliferation based on inhibition of the PPP process. CI - Copyright (c) 2021 Elsevier B.V. All rights reserved. FAU - Xu, Congjun AU - Xu C AD - School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou 510006, People's Republic of China. FAU - Yang, Haolan AU - Yang H AD - School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou 510006, People's Republic of China. FAU - Xiao, Zhanghong AU - Xiao Z AD - School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou 510006, People's Republic of China. FAU - Zhang, Tao AU - Zhang T AD - School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou 510006, People's Republic of China. FAU - Guan, Zilin AU - Guan Z AD - School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou 510006, People's Republic of China. FAU - Chen, Jie AU - Chen J AD - School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou 510006, People's Republic of China. FAU - Lai, Hualu AU - Lai H AD - School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou 510006, People's Republic of China. FAU - Xu, Xiaoyu AU - Xu X AD - School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou 510006, People's Republic of China. FAU - Huang, Yanjuan AU - Huang Y AD - School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou 510006, People's Republic of China. FAU - Huang, Zeqian AU - Huang Z AD - School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou 510006, People's Republic of China. FAU - Zhao, Chunshun AU - Zhao C AD - School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou 510006, People's Republic of China. Electronic address: zhaocs@mail.sysu.edu.cn. LA - eng PT - Journal Article DEP - 20210505 PL - Netherlands TA - Int J Pharm JT - International journal of pharmaceutics JID - 7804127 RN - 0 (Prodrugs) RN - 459AG36T1B (Dehydroepiandrosterone) RN - XT3Z54Z28A (Camptothecin) SB - IM MH - Camptothecin MH - Cell Line, Tumor MH - DNA Replication MH - Dehydroepiandrosterone/therapeutic use MH - Drug Delivery Systems MH - Humans MH - *Nanoparticles MH - *Neoplasms/drug therapy MH - Oxidation-Reduction MH - *Prodrugs/therapeutic use OTO - NOTNLM OT - Cell cycle arrest OT - GSH-responsive OT - Oxidation therapy OT - PEGylated prodrug OT - Pentose phosphate pathway EDAT- 2021/05/08 06:00 MHDA- 2021/06/22 06:00 CRDT- 2021/05/07 20:21 PHST- 2021/01/10 00:00 [received] PHST- 2021/04/18 00:00 [revised] PHST- 2021/05/01 00:00 [accepted] PHST- 2021/05/08 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2021/05/07 20:21 [entrez] AID - S0378-5173(21)00476-2 [pii] AID - 10.1016/j.ijpharm.2021.120671 [doi] PST - ppublish SO - Int J Pharm. 2021 Jun 15;603:120671. doi: 10.1016/j.ijpharm.2021.120671. Epub 2021 May 5.