局所的な磁場で乳がん治療の化学療法の効果を高める研究(NUS researchers boost chemotherapy uptake in breast cancer treatment with localised magnetic fields)

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2025-01-06 シンガポール国立大学 (NUS)

シンガポール国立大学(NUS)の研究チームは、局所的な磁場パルスを使用して、乳がん治療の化学療法薬ドキソルビシン(DOX)の細胞内取り込みを増加させる新しい非侵襲的治療法を開発しました。この方法は、健康な組織への影響を最小限に抑えつつ、腫瘍細胞への薬剤送達を高精度化。カルシウムイオンチャネルTRPC1が重要な役割を果たし、低用量でも効果が期待されます。このアプローチは治療成績と患者の生活の質向上に寄与する可能性があります。

<関連情報>

短時間の磁場曝露はTRPC1発現に関連して乳癌細胞へのドキソルビシン取り込みを刺激する: 化学療法効果を高める精密腫瘍学的手法 Brief Magnetic Field Exposure Stimulates Doxorubicin Uptake into Breast Cancer Cells in Association with TRPC1 Expression: A Precision Oncology Methodology to Enhance Chemotherapeutic Outcome

Viresh Krishnan Sukumar,Yee Kit Tai,Ching Wan Chan,Jan Nikolas Iversen,Kwan Yu Wu,Charlene Hui Hua Fong,Joline Si Jing Lim andAlfredo Franco-Obregón
Cancers  Published: 18 November 2024
DOI:https://doi.org/10.3390/cancers16223860

局所的な磁場で乳がん治療の化学療法の効果を高める研究(NUS researchers boost chemotherapy uptake in breast cancer treatment with localised magnetic fields)
Graphical Abstract

Simple Summary

Doxorubicin is a widely used chemotherapeutic agent for breast cancer but is accompanied by significant side effects due to its systemic delivery. The expression of the transient receptor potential canonical 1 (TRPC1) cation channel subunit correlates with breast cancer progression. This study showed that brief magnetic exposure (10 min) increased doxorubicin uptake into breast cancer cells without harming healthy cells. Heightened TRPC1 expression was correlated with more advanced breast cancer grades as well as with greater doxorubicin uptake. Pharmacologically or genetically silencing TRPC1 activity reduced magnetically induced doxorubicin uptake, whereas overexpression of TRPC1 amplified doxorubicin uptake and increased cancer cell death. This study described a localized and non-invasive magnetic therapy paradigm that could potentially improve breast cancer chemotherapeutic efficacy with less systemically delivered doxorubicin. The loading of TRPC1-enriched cell-derived vesicles with doxorubicin upon magnetic exposure underscored the contribution of TRPC1 in the stimulated uptake of doxorubicin in a minimalized model system.

Abstract

Background/Objectives: Doxorubicin (DOX) is commonly used as a chemotherapeutic agent for the treatment of breast cancer. Nonetheless, its systemic delivery via intravenous injection and toxicity towards healthy tissues commonly result in a broad range of detrimental side effects. Breast cancer severity was previously shown to be correlated with TRPC1 channel expression that conferred upon it enhanced vulnerability to pulsed electromagnetic field (PEMF) therapy. PEMF therapy was also previously shown to enhance breast cancer cell vulnerability to DOX in vitro and in vivo that correlated with TRPC1 expression and mitochondrial respiratory rates. Methods: DOX uptake was assessed by measuring its innate autofluorescence within murine 4T1 or human MCF7 breast cancer cells following magnetic exposure. Cellular vulnerability to doxorubicin uptake was assessed by monitoring mitochondrial activity and cellular DNA content. Results: Here, we demonstrate that 10 min of PEMF exposure could augment DOX uptake into 4T1 and MCF7 breast cancer cells. DOX uptake could be increased by TRPC1 overexpression, whereas inhibiting the activity of TRPC1 channels with SKF-96356 or genetic knockdown, precluded DOX uptake. PEMF exposure enhances DOX-mediated killing of breast cancer cells, reducing the IC50 value of DOX by half, whereas muscle cells, representative of collateral tissues, were less sensitive to PEMF-enhanced DOX-mediated cytotoxicity. Vesicular loading of DOX correlated with TRPC1 expression. Conclusions: This study presents a novel TRPC1-mediated mechanism through which PEMF therapy may enhance DOX cytotoxicity in breast cancer cells, paving the way for the development of localized non-invasive PEMF platforms to improve cancer outcomes with lower systemic levels of DOX.

医療・健康
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