<p>Limited therapeutic options are available for patients with platinum-resistant ovarian cancer (OC). Herein, we developed gallium sulfide-embedded bovine serum albumin nanoformulations (Ga<sub>2</sub>S<sub>3</sub>-BSA NMs) with a size of ~ 11&#xa0;nm via a self-assembly approach. As the nanoformulations degraded in an acidic cancer microenvironment, Ga<sup>3+</sup> and H<sub>2</sub>S gas were simultaneously released to exert their combined anticancer effects. In A2780-CIS and SKOV3-CIS platinum-resistant OC cells, Ga<sup>3+</sup> and H<sub>2</sub>S released from Ga<sub>2</sub>S<sub>3</sub>-BSA NMs synergistically enhanced DNA damage, which arrested the cell cycle at S and G2/M phases and suppressed cell proliferation. Meanwhile, Ga<sub>2</sub>S<sub>3</sub>-BSA NMs significantly inhibited NF-κB signaling and Bcl2 protein expression, leading to cell apoptosis. Furthermore, Ga<sub>2</sub>S<sub>3</sub>-BSA NMs increased cellular lipid peroxidation and triggered ferroptosis. RNA-seq analysis further clarified the comprehensive antitumor mechanisms of Ga<sub>2</sub>S<sub>3</sub>-BSA NMs. More importantly, the therapeutic efficacy of Ga<sub>2</sub>S<sub>3</sub>-BSA NMs and their ability to enhance the sensitivity to carboplatin and fluzoparib with negligible toxicity were further confirmed in a platinum-resistant OC animal model. Altogether, our results demonstrated a potentially safe and practical strategy by using Ga<sub>2</sub>S<sub>3</sub>-BSA NMs to combat drug resistance in platinum-resistant OC.</p> Graphical Abstract <p></p>

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Simultaneously delivery of functional gallium ions and hydrogen sulfide to endow potentiated treatment efficacy in chemo- and PARPi-resistant ovarian cancer

  • Sangsang Tang,
  • Yangyang Li,
  • Yifeng Fang,
  • Mengyan Tu,
  • Shenglong Wu,
  • Yixuan Cen,
  • Junfen Xu

摘要

Limited therapeutic options are available for patients with platinum-resistant ovarian cancer (OC). Herein, we developed gallium sulfide-embedded bovine serum albumin nanoformulations (Ga2S3-BSA NMs) with a size of ~ 11 nm via a self-assembly approach. As the nanoformulations degraded in an acidic cancer microenvironment, Ga3+ and H2S gas were simultaneously released to exert their combined anticancer effects. In A2780-CIS and SKOV3-CIS platinum-resistant OC cells, Ga3+ and H2S released from Ga2S3-BSA NMs synergistically enhanced DNA damage, which arrested the cell cycle at S and G2/M phases and suppressed cell proliferation. Meanwhile, Ga2S3-BSA NMs significantly inhibited NF-κB signaling and Bcl2 protein expression, leading to cell apoptosis. Furthermore, Ga2S3-BSA NMs increased cellular lipid peroxidation and triggered ferroptosis. RNA-seq analysis further clarified the comprehensive antitumor mechanisms of Ga2S3-BSA NMs. More importantly, the therapeutic efficacy of Ga2S3-BSA NMs and their ability to enhance the sensitivity to carboplatin and fluzoparib with negligible toxicity were further confirmed in a platinum-resistant OC animal model. Altogether, our results demonstrated a potentially safe and practical strategy by using Ga2S3-BSA NMs to combat drug resistance in platinum-resistant OC.

Graphical Abstract