The development of specific tyrosine kinase inhibitors (TKIs) revolutionized the treatment of chronic myeloid leukemia (CML). However, chemoresistance of tumor cells to TKIs has already been described, and several mechanisms account for the multidrug resistance (MDR) phenotypes, including the overexpression of P-glycoprotein (P-gp). This decreases the rate of healing and complete tumor remission. Nanotechnological tools have been studied to allow advances in this field. Poloxamers (Pluronics(®)) have been proposed as drug carriers to improve therapeutic efficacy and decrease side effects, even in cancer therapy, due to their ability to inhibit P-gp. Antipsychotic phenothiazines have been described as potent cytotoxic drugs against several types of tumor cells in vitro. Here, we show that nanostructured micellar systems containing the phenothiazine derivative chlorpromazine (CPZ) potentiated the cytotoxicity of free CPZ and increased the selectivity against CML tumor cells, demonstrating the pharmacological potential of these poloxamer-based nanostructured systems containing CPZ in cancer therapy.

译文

特异性酪氨酸激酶抑制剂 (TKIs) 的发展彻底改变了慢性粒细胞白血病 (CML) 的治疗方法。然而,已经描述了肿瘤细胞对TKIs的化学耐药性,并且几种机制解释了多药耐药性 (MDR) 表型,包括P-糖蛋白 (P-gp) 的过表达。这降低了治愈率和肿瘤完全缓解。已经研究了纳米技术工具,以使该领域取得进步。泊洛沙姆 (Pluronics (®)) 已被提议作为药物载体,以提高治疗功效并减少副作用,即使在癌症治疗中也是如此,因为它们具有抑制P-gp的能力。抗精神病药吩噻嗪已被描述为体外针对几种类型肿瘤细胞的有效细胞毒性药物。在这里,我们显示包含吩噻嗪衍生物氯丙嗪 (CPZ) 的纳米结构胶束系统增强了游离CPZ的细胞毒性,并增加了对CML肿瘤细胞的选择性,证明了这些基于泊洛沙姆的包含CPZ的纳米结构系统在癌症治疗中的药理潜力。

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