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Theranostics 2022; 12(7):3503-3517. doi:10.7150/thno.69795 This issue Cite

Research Paper

Biodegradable electrospun nanofibrous platform integrating antiplatelet therapy-chemotherapy for preventing postoperative tumor recurrence and metastasis

Jianye Li^1*, Jiaojiao Li^1*, Yuzhu Yao^1*, Tuying Yong¹, Nana Bie¹, Zhaohan Wei¹, Xin Li¹, Shiyu Li¹, Jiaqi Qin¹, Haibo Jia², Qing Du^1,2,3,4✉, Xiangliang Yang^1,2,3,4✉, Lu Gan^1,2,3,4✉

1. National Engineering Research Center for Nanomedicine, College of Life Science and Technology, Huazhong University of Science and Technology, Wuhan 430074, China.
2. Key Laboratory of Molecular Biophysics of the Ministry of Education, College of Life Science and Technology, Huazhong University of Science and Technology, Wuhan 430074, China.
3. Hubei Key Laboratory of Bioinorganic Chemistry and Materia Medica, Huazhong University of Science and Technology, Wuhan 430074, China.
4. Hubei Engineering Research Center for Biomaterials and Medical Protective Materials, Huazhong University of Science and Technology, Wuhan 430074, China.
*These authors contributed equally to this work.

✉ Corresponding authors: E-mail: luganhust.edu.cn (L. Gan), yangxlhust.edu.cn (X. Yang), qing_du hust.edu.cn (Q. Du).

Abstract

The perioperative trauma-related platelet recruitment and activation severely affect tumor recurrence and metastasis. Therefore, efficiently killing residual tumor cells and simultaneously inhibiting platelet activation to block platelet-cancer cell interaction might be a promising strategy to prevent postoperative tumor recurrence and metastasis.

Methods: Biodegradable PLGA electrospun nanofibrous films co-delivering doxorubicin-loaded tumor repopulating cell-derived microparticles (DOX-MPs) and aspirin (ASA) were developed as the implant materials (DOX-MPs/ASA@NF) for postoperative in-situ treatment. The characterization, cytotoxicity against tumor cells, inhibition in platelet activation-triggered proliferation, migration and metastasis of tumor cells and in vivo anti-recurrence and anti-metastasis activity induced by DOX-MPs/ASA@NF were systematically evaluated.

Results: PLGA nanofibrous films facilitate the enhanced distribution of DOX-MPs as well as DOX-MPs and ASA release in a time-programmed manner within the tumor resection cavity. The released DOX-MPs efficiently kill the residual tumor cells, while ASA decreases platelet activation and inhibits platelet-promoted proliferation, migration and metastasis of tumor cells, resulting in the remarkable inhibition of postoperative tumor recurrence and metastasis.

Conclusions: DOX-MPs/ASA@NF may be a promising candidate to prevent the recurrence and metastasis of resectable tumors.

Keywords: Antiplatelet therapy, Doxorubicin-loaded tumor repopulating cell-derived microparticles, Electrospun nanofibrous films, In situ implantation, Tumor recurrence and metastasis

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