Abstract
Developing novel approaches to reverse the drug resistance of tumor-repopulating cells (TRCs) or stem cell-like cancer cells is an urgent clinical need to improve outcomes of cancer patients. Here we show an innovative approach that reverses drug resistance of TRCs using tumor cell-derived microparticles (T-MPs) containing anti-tumor drugs. TRCs, by virtue of being more deformable than differentiated cancer cells, preferentially take up T-MPs that release anti-tumor drugs after entering cells, which in turn lead to death of TRCs. The underlying mechanisms include interfering with drug efflux and promoting nuclear entry of the drugs. Our findings demonstrate the importance of tumor cell softness in uptake of T-MPs and effectiveness of a novel approach in reversing drug resistance of TRCs with promising clinical applications.
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Acknowledgements
This work was supported by the National Basic Research Program of China (2014CB542100 and 2012CB932500), the National Science Fund for Distinguished Young Scholars of China (81225021), the National Natural Science Foundation of China (81472653 and 81530080), the Special Fund of Health Public Welfare Profession of China (201302018), and funds from Huazhong University of Science and Technology.
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( Supplementary information is linked to the online version of the paper on the Cell Research website.)
Supplementary information
Supplementary information, Figure S1
The primary lung tumor cells were drug resistant compared with A549 cell line (Related to Figure 1). (PDF 345 kb)
Supplementary information, Figure S2
Characterization of A549 tumor cell-derived MPs (Related to Figure 1). (PDF 329 kb)
Supplementary information, Figure S3
The size, sterility and drug concentration of A549 derived MPs (Related to Figure 1). (PDF 433 kb)
Supplementary information, Figure S4
The uptake of MPs by immune cells in vitro (Related to Figure 1). (PDF 223 kb)
Supplementary information, Figure S5
Drug-packaging MPs are capable of partially reversing the drug resistance of TRCs (Related to Figure 2). (PDF 432 kb)
Supplementary information, Figure S6
MPs entered the cytoplasm of TRC in an intact form without being packaged into the recipient cellular membrane (Related to Figure 3). (PDF 381 kb)
Supplementary information, Figure S7
MPs facilitate retention of drugs and inhibit drug effluxin TRCs (Related to Figure 4). (PDF 354 kb)
Supplementary information, Figure S8
The relations among the MP membranes, drugs, and lysosomes (Related to Figure 5). (PDF 180 kb)
Supplementary information, Figure S9
MPs facilitate the entry of DOX into the nucleus (Related to Figure 5). (PDF 266 kb)
Supplementary information, Figure S10
Drug-packaging MPs facilitate the entry of DOX into the nucleus (Related to Figure 5). (PDF 161 kb)
Supplementary information, Figure S11
Microtubules butnot centrosome were involved in the MP-mediated entry of drugs into the nucleus of TRCs (Related to Figure 6). (PDF 292 kb)
Supplementary information, Figure S12
The distribution and fate of MPs were detected in mice bearing H22 malignant ascites (Related to Figure 7). (PDF 386 kb)
Supplementary information, Figure S13
(Related to Figure 7). (PDF 292 kb)
Supplementary information, Table S1
Outcomes of clinical treatment (Related to Figure 1). (PDF 272 kb)
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Ma, J., Zhang, Y., Tang, K. et al. Reversing drug resistance of soft tumor-repopulating cells by tumor cell-derived chemotherapeutic microparticles. Cell Res 26, 713–727 (2016). https://doi.org/10.1038/cr.2016.53
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DOI: https://doi.org/10.1038/cr.2016.53
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