PMID- 34119887 OWN - NLM STAT- MEDLINE DCOM- 20210826 LR - 20220531 IS - 1878-5905 (Electronic) IS - 0142-9612 (Linking) VI - 275 DP - 2021 Aug TI - Self-preparation system using glucose oxidase-inspired nitroreductase amplification for cascade-responsive drug release and multidrug resistance reversion. PG - 120927 LID - S0142-9612(21)00283-0 [pii] LID - 10.1016/j.biomaterials.2021.120927 [doi] AB - Early antitumor therapy is an important determinant of survival in patients with cancer. Utilization of specific pathological states, such as hypoxia, greatly promotes the development of intelligent drug delivery systems (DDSs) for targeted antitumor therapy. However, a slight decrease in oxygen levels in early-stage tumors is not sufficient to trigger hypoxia-responsive drug release. Nitroreductase (NTR) is overexpressed in bioreductive hypoxic cancers, and its expression level has been verified to be directly related to hypoxic status. Herein, using glucose oxidase (GOx) as an O(2)-consuming agent to exacerbate hypoxia, a cascade strategy of GOx-induced overexpression of NTR and amplified NTR-catalyzed release was proposed for early antitumor therapy. Briefly, NTR-sensitive p-nitrobenzyl chloroformate (PNZ-Cl) was adopted to conjugate with the polysaccharide chitosan (CS) and self-assemble into CS-PNZ-Cl micelles. These polymer micelles possess the dual abilities to specifically immobilize GOx and load mitoxantrone (MIT) to form the NTR-responsive nanocascade reactor GOx/MIT@CS-PNZ-Cl. First, as a "key", tumor hypoxia triggers the initial release of GOx, which serves as the O(2)-consuming agent when catalyzing its reaction with glucose, which is accompanied by H(2)O(2) production. Depleted oxygen levels facilitate the expression of NTR, which in turn amplifies the capacity of the nanocascade reactor to decompose into secondary micelles for enhanced intratumoral permeation. GOx-inspired NTR amplification further elicits MIT release, realizing a synergistic "domino effect" cascade. In addition, upregulated H(2)O(2) has been shown to effectively reverse GSH-mediated MIT resistance, reaching the superior tumor inhibition rate of 93.08%. This GOx-based NTR-responsive nanocascade reactor provides amplification of the bioreductive hypoxic tumor microenvironment for early antitumor therapy. CI - Copyright (c) 2021 Elsevier Ltd. All rights reserved. FAU - Yu, Fangying AU - Yu F AD - College of Pharmaceutical Science, Zhejiang University, 866 Yuhangtang Road, Hangzhou, 310058, People's Republic of China. FAU - Shang, Xuwei AU - Shang X AD - College of Pharmaceutical Science, Zhejiang University, 866 Yuhangtang Road, Hangzhou, 310058, People's Republic of China. FAU - Zhu, Yun AU - Zhu Y AD - Department of Pharmacy, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu, 210008, China. FAU - Lou, Haiya AU - Lou H AD - Department of Diagnostic Ultrasound and Echocardiography, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, 310058, China. FAU - Liu, Yupeng AU - Liu Y AD - College of Pharmaceutical Science, Zhejiang University, 866 Yuhangtang Road, Hangzhou, 310058, People's Republic of China. FAU - Meng, Tingting AU - Meng T AD - College of Pharmaceutical Science, Zhejiang University, 866 Yuhangtang Road, Hangzhou, 310058, People's Republic of China. FAU - Hong, Yun AU - Hong Y AD - The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, 310006, China. FAU - Yuan, Hong AU - Yuan H AD - College of Pharmaceutical Science, Zhejiang University, 866 Yuhangtang Road, Hangzhou, 310058, People's Republic of China. FAU - Hu, Fuqiang AU - Hu F AD - College of Pharmaceutical Science, Zhejiang University, 866 Yuhangtang Road, Hangzhou, 310058, People's Republic of China. Electronic address: hufq@zju.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210601 PL - Netherlands TA - Biomaterials JT - Biomaterials JID - 8100316 RN - BBX060AN9V (Hydrogen Peroxide) RN - EC 1.1.3.4 (Glucose Oxidase) RN - EC 1.7.- (Nitroreductases) SB - IM MH - Drug Liberation MH - Drug Resistance, Multiple MH - Drug Resistance, Neoplasm MH - *Glucose Oxidase/metabolism MH - Humans MH - *Hydrogen Peroxide MH - Neoplasms/*drug therapy MH - Nitroreductases/genetics OTO - NOTNLM OT - Bioreductive hypoxic tumor microenvironment OT - Cascade nitroreductase-responsive release OT - Glucose oxidase OT - Mitoxantrone EDAT- 2021/06/14 06:00 MHDA- 2021/08/27 06:00 CRDT- 2021/06/13 20:50 PHST- 2020/12/21 00:00 [received] PHST- 2021/05/10 00:00 [revised] PHST- 2021/05/25 00:00 [accepted] PHST- 2021/06/14 06:00 [pubmed] PHST- 2021/08/27 06:00 [medline] PHST- 2021/06/13 20:50 [entrez] AID - S0142-9612(21)00283-0 [pii] AID - 10.1016/j.biomaterials.2021.120927 [doi] PST - ppublish SO - Biomaterials. 2021 Aug;275:120927. doi: 10.1016/j.biomaterials.2021.120927. Epub 2021 Jun 1.