CS-1 induces pyroptosis-mediated cytotoxicity throughout various MDR cells
CS-1, the construction of which is depicted in Fig. 1A, demonstrated a wide-ranging anti-tumor exercise [32]. By investigating the cytotoxicity of CS-1 on a number of MDR cell traces (MCF-7/ADR, A2780/DDP, and HepG2/DDP) in addition to their respective parental counterparts, the three resistant cell traces demonstrated important resistance to their corresponding chemotherapeutic brokers (Fig. 1B-C), as beforehand reported [33,34,35]. Quite the opposite, CS-1 exhibited potent cytotoxicity in a dose-dependent method in opposition to these resistant strains and their parental counterparts with IC50 values starting from 1 to five µM (Fig. 1D). The resistance index (RI) of those cell traces was computed to be lower than 5 to CS-1 (Fig. 1E), in line with the system of resistance index (RI) = IC50 of resistant cells/IC50 of parental cells [36]. Microscopic photographs demonstrated typical pyroptotic morphology in CS-1 handled cells, together with cell swelling and the formation of enormous bubbles [37] (Fig. 1F). DCFH-DA probe staining assay visually demonstrated a big improve in inexperienced fluorescence of three MDR cell traces after therapy with CS-1 for 12 h (Fig. 1G), reflecting the flexibility of CS-1 to induce excessive ranges of ROS in MDR tumor cells.
Contemplating the upper RI and sensitivity to CS-1 (RI = 1.425 ± 0.024), we performed RNA-seq assay to totally examine the impact of CS-1 on the gene transcription in MCF-7/ADR cells. The volcano plot confirmed 4520 upregulated genes and 2256 downregulated genes in MCF-7/ADR cells relative to the MCF-7. In distinction, CS-1 therapy precipitated the upregulation of 1386 genes and the downregulation of 2175 genes (p ≤ 0.05, fold change ≥ 2) (Fig. S1A-B). The Venn diagram additionally confirmed 1943 intersecting genes with frequent modifications amongst MCF-7, MCF-7/ADR and CS-1 group (Fig.S1C). Amongst these 1943 genes, 978 genes upregulated in MCF-7/ADR group have been inhibited by CS-1, which have been much like these of MCF-7 group. Conversely, 248 genes downregulated in MCF-7/ADR group have been upregulated by CS-1, which have been much like that of the MCF-7 group. KEGG assay indicated the excessive enrichment of drug resistance protein regulatory pathway of PI3K-AKT and apoptotic pathways of MAPK, NF-κB and JAK-STAT in MCF-7/ADR cells (Fig. 1H). In distinction, CS-1 therapy induced excessive enrichment of pyroptosis-related inflammatory pathways resembling MAPK, NF-κB and TNF (Fig. 1I). GSEA evaluation additionally demonstrated that CS-1 therapy precipitated the activation of pyroptosis-related inflammatory pathways resembling TNF, MAPK, and NF-κB in MCF-7/ADR cells (Fig. 1J-L). Heatmap evaluation of DEGs confirmed downregulation of Multidrug resistance-associated protein ABC transporters (ABCG2) and Bcl-2, an antiapoptotic protein in MCF-7/ADR cells with CS-1 therapy (Fig. 1M). PPI evaluation indicated that TNF, a grasp regulator of irritation, linked NF-κB with Caspase-3 (Fig. 1N). Due to this fact, we additional indicated the associated protein expression degree of pyroptosis by western blot combining with our reported consequence [38]. Then, we detected the modifications of pyroptosis-associated proteins in MCF-7/ADR cells after therapy with totally different concentrations of CS-1. As we anticipated, CS-1 considerably activated Caspase-3 and GSDME-N ranges (Fig. 1O). In conclusion, CS-1 can successfully induce TNF associated Caspase-3-dependent pyroptosis in MCF-7/ADR cells (Fig. 1P), whereas could inhibiting ABCG2 to boost drug focus, which is pressing for successfully killing tumor cells.

CS-1 kill MDR tumor cells by inducing pyroptosis. (A) Chemical system of CS-1. (B) Viability of A2780, A2780/DDP, HepG2, and HepG2/DDP cells following 24 h publicity to various concentrations of cisplatin (DDP). (C) Viability of MCF-7 and MCF-7/ADR cells after 24 h therapy with totally different concentrations of doxorubicin. (D) Cytotoxicity of CS-1 throughout varied cell traces (MCF-7, A2780, HepG2, MCF-7/ADR, A2780/DDP, HepG2/DDP) after 24 h therapy. (E) Drug resistance indexes (RI) to CS-1. (F) Morphological photographs of various cells. (G) Fluorescent photographs of various cells staining with ROS probe of DCFH-DA. (H) Bubble map of MCF-7 vs. MCF-7/ADR enrichment gene in KEGG pathway. (I) Bubble map of MCF-7/ADR vs. CS-1 enrichment gene in KEGG pathway. (J-L) GSEA evaluation. (M) MCF-7/ADR vs. CS-1 heatmap. (N) MCF-7/ADR vs. CS-1 protein interplay community. (O) Western blot evaluation of pyroptosis-associated proteins (GSDME, cleaved caspase-3) in MCF-7/ADR cells. (P) Schematic diagram of pyroptosis brought on by CS-1
Preparation and characterization of HA@Lip-CS-1@PBCO NPs
Our research revealed that CS-1 has manifested important anti-tumor potential in MDR tumors, nevertheless, its medical implementation is proscribed by the cardiotoxic potential of high-dose administration [39]. To protect the antitumor efficacy of CS-1 in opposition to MDR tumors whereas minimizing cardiotoxicity, we adopted a combinational technique of CS-1/CO. MnCO was used as a precursor for producing CO. MTT assay demonstrated MCF-7/ADR cell viability of 48.2% after the combinational therapy of 1 µM CS-1 and 40 µM MnCO (Fig.S2A-B). Nevertheless, the low concentrating on and bioavailability of CS-1 and MnCO restrict their medical software. Thus, we engineered a tumor-targeted “chemo-gas” nanocomplexe (HA@Lip-CS-1@PBCO NPs) to deal with these questions. Determine 2A demonstrated that subsequent to lipid encapsulation and hyaluronic acid modification, a 9.5 nm thick movie coated the floor of PB NPs. DLS evaluation disclosed an increment in particle measurement subsequent to the encapsulation of MnCO by PB NPs (leading to a measurement of 102.7 nm), lipid encapsulation (yielding a measurement of 157.1 nm), and HA modification (leading to a measurement of 160.1 nm), as illustrated in Fig. 2B. Moreover, alterations in potential have been noticed. Ranging from PB NPs with a worth of −28.6 ± 1.6 mV, it modified to PBCO NPs at −25.1 ± 1.2 mV, then to Lip-CS-1@PBCO NPs at −36.9 ± 2.1 mV, and at last to HA@Lip-CS-1@PBCO NPs with a worth of −37.56 ± 1.3 mV (Fig. 2C). Component mapping characterization outcomes indicated that the manganese factor in MnCO shows a excessive diploma of overlap with the iron factor in PB NPs, suggesting the efficient loading of MnCO into PB NPs. Moreover, the detected phosphorus factor sign additional confirmed profitable liposome encapsulation (Fig. 2D and S3A). The UV-vis absorption spectrum demonstrated attribute peaks of MnCO and CS-1 at 340 nm and 290 nm, respectively, as proven in Fig. 2E. The FT-IR spectra of HA@Lip-CS-1@PBCO NPs exhibited attribute absorption peaks similar to lipid elements (C = O at 1740 cm⁻¹, P = O at 1230 cm⁻¹, and CH₂/CH₃ at 2850 cm⁻¹), MnCO (C ≡ O at ~ 2080 cm⁻¹) and the cyanide bridges of PB NPs (C ≡ N at 2080 cm⁻¹) [40], additional confirming the profitable integration of hyaluronic acid-modified Lip-CS-1 with PBCO NPs (Fig. 2F). It’s noteworthy that ultrasonic therapy hardly impacts the discharge of CO from PBCO NPs (Fig.S3B). UV spectroscopy assay knowledge indicated that the encapsulation effectivity of CS-1 and MnCO have been 21.45 ± 4.3% and 69.03 ± 1.13%, respectively (Fig. 2G). Moreover, the fabric remained secure for about three days in water, PBS, and DMEM supplemented with 1% FBS, which is conducive to its in-vivo drug motion (Fig. 2H). Collectively, these outcomes recommend the profitable institution of HA@Lip-CS-1@PBCO NPs.

Synthesis and characterization of HA@Lip-CS-1@PBCO NPs. (A) TEM micrographs illustrating the sequential synthesis phases: PB NPs, PBCO NPs, Lip-CS-1@PBCO NPs, and HA@Lip-CS-1@PBCO NPs. (B) DLS and PDI values for the synthesized NPs at every stage. (C) Evolution of zeta potential all through the synthesis phases. (D) Component mapping of HA@Lip-CS-1@PBCO NPs. (E) UV-vis absorption spectra of the nanocomplexes and their precursors (CS-1, PB NPs, PBCO NPs, Lip-CS-1@PBCO NPs, HA@Lip-CS-1@PBCO NPs), highlighting attribute peaks. (F) FT-IR spectra of PB NPs, PBCO NPs, and HA@Lip-CS-1@PBCO NPs. (G) Encapsulation charges of CS-1 and MnCO at HA@Lip-CS-1@PBCO NPs. (H) The impact of various solvents on HA@Lip-CS-1@PBCO NPs stability
Practical characterization of HA@Lip-CS-1@PBCO NPs
Based on the design options of HA@Lip-CS-1@PBCO NPs, we first investigated the discharge traits of CS-1 and CO (Fig. 3A). As proven in Fig. 3B, the discharge charge of CS-1 from HA@Lip-CS-1@PBCO NPs attained 88.28 ± 1% in 72 h in an acidic setting (pH6.8), which was attributed to the insertion of pH-responsive molecule DSPE-PEOz2K into the lipofilm. Then, utilizing the FL-CO-1/PdCl2 probe (Fig. 3C) [28], we evaluated the CO launch functionality below microenvironment situation (excessive ranges of H2O2). As proven in Fig. 3D, the CO launch profiles of Lip-CS-1@PBCO NPs exhibited important pH-dependent kinetics. Beneath physiological circumstances (pH7.4 + 1 mM H2O2), the NPs demonstrated sustained however restricted CO launch, accumulating 18.5 ± 0.5 µM at 24 h with a near-linear development. In stark distinction, an acidic microenvironment (pH5.4 + 1 mM H2O2) triggers speedy CO liberation, culminating in 70.5 ± 0.5 µM by 24 h – representing a 3.8-fold enhancement in comparison with impartial pH. Subsequently, the FL-CO-1 probe was utilized to additional detect intracellular CO in cells subjected to therapy with HA@Lip-CS-1@PBCO NPs, with intracellular H2O2 serving because the substrate. Whereas cells handled with PBS and CS-1 (1 µM) exhibited no improve in fluorescence, a big enhancement of inexperienced fluorescence was noticed in cells handled with HA@Lip-CS-1@PBCO NPs (1 µM CS-1, 20 µg/mL PBCO NPs). This enhancement was notably greater than that in cells handled with PBCO NPs (20 µg/mL), as illustrated in Fig. 3E-F. This consequence steered that ROS induced by CS-1 can promote CO launch conduct. As well as, the CO fuel launched by MnCO has the potential to type microbubbles throughout the organism. Owing to their comparatively excessive acoustic impedance, these microbubbles can create a definite distinction with the encompassing tissues and fluids [41], which supplies the chance for in vivo ultrasound imaging. As anticipated, an ultrasonic sign was detected within the pattern containing 2 mM H2O2 and HA@Lip-CS-1@PBCO NPs resolution (Fig. 3G). Conversely, no ultrasonic sign was detected within the H2O2 free pattern. This consequence indicated that MnCO could possibly be effectively launched within the high- H2O2 setting, which has similarities to the tumor microenvironment (often containing 100 µM-1 mM H2O2) [42].
Earlier research indicated that HA floor modification enhances nanodrug concentrating on effectivity by CD44 interplay, a receptor extremely expressed on tumor cells [43, 44]. To judge mobile uptake, Ce6-labeled HA@Lip-Ce6@PBCO NPs have been employed. Outcomes revealed a progressive improve in attribute purple fluorescence inside tumor cells over time, peaking at 6 h (Fig. 3H-I). In comparison with free Ce6 or Lip-Ce6@PBCO NPs, HA@Lip-Ce6@PBCO-treated MCF-7/ADR cells exhibited stronger fluorescence depth. Conversely, pretreatment with free HA markedly decreased this fluorescence sign (Fig. 3J), confirming CD44-mediated uptake inhibition. Utilizing MCF-7/ADR multicellular spheroids to imitate stable tumors, the purple fluorescence at depths of 0 ~ 60 μm was considerably greater in HA@Lip-Ce6@PBCO-treated samples than in free Ce6 or Lip-Ce6@PBCO teams (Fig. 3K). In keeping with earlier studies [45], these outcomes additionally demonstrated that HA could facilitate the entry of HA@Lip-Ce6@PBCO NPs into MCF-7/ADR cells through interplay with CD44. In conclusion, HA@Lip-Ce6@PBCO NPs reveal wonderful concentrating on and penetration talents, which maintain nice promise for tumor remedy.

Practical characterization of HA@Lip-CS-1@PBCO NPs. (A) Schematic diagram of CS-1 launch and CO era from HA@Lip-CS-1@PBCO NPs. (B) pH-dependent launch profile of CS-1 from HA@Lip-CS-1@PBCO NPs. (C) The working precept of CO probe (FL-CO-1). (D) The quantity of CO launched from HA@Lip-CS-1@PBCO NPs (1 mg/mL PB NPs) on the presence of 1 mM H2O2 in PBS with totally different pH. (E-F) CLSM photographs (E) and corresponding fluorescence quantification (F) of MCF-7/ADR cells handled with PBS, CS-1, PBCO NPs, or HA@Lip-CS-1@PBCO NPs (1 µM CS-1, 20 µg/mL PB NPs). Inexperienced fluorescence signifies CO launch detected by FL-CO-1. (G) Ultrasound photographs of HA@Lip-CS-1@PBCO NPs within the presence or absence of H2O2 in vitro. (H-I) CLSM photographs (H) and fluorescence quantification (I) of MCF-7/ADR mobile uptake of HA@Lip-Ce6@PBCO NPs over time (2, 4, 6 h). (J) CLSM photographs displaying uptake in MCF-7/ADR cells incubated for six h with Ce6, Lip-Ce6@PBCO NPs, HA@Lip-Ce6@PBCO NPs, or HA@Lip-Ce6@PBCO NPs with free HA pre-treatment. (Ok) Fluorescence photographs demonstrating penetration into MCF-7/ADR 3D tumor spheroids after 24 h incubation with free Ce6, Lip-Ce6@PBCO NPs, or HA@Lip-Ce6@PBCO NPs. Bars are means ± SD (n = 3). **P < 0.01
HA@Lip-CS-1@PBCO NPs successfully kill tumor cells in vitro
The cytotoxicity of HA@Lip-CS-1@PBCO NPs was initially assessed in opposition to MCF-7/ADR cells. As depicted in Fig. 4A, therapy with HA@Lip-CS-1@PBCO NPs decreased cell viability to 50.5 ± 10%, considerably decrease than that achieved with PBCO NPs (95.5 ± 0.69%) or CS-1 alone (68.3 ± 5.5%). In the meantime, this sort of NPs can considerably inhibit the formation of cell colony (Fig.S4A). Moreover, Stay/useless staining equally demonstrated probably the most intense purple fluorescence in MCF-7/ADR cells handled with HA@Lip-CS-1@PBCO NPs, which mirrored the excessive cell loss of life charge. In distinction, tumor cells handled with PBCO NPs and CS-1 exhibited reasonable purple fluorescence in comparison with the group handled with HA@Lip-CS-1@PBCO NPs. As a management group, virtually all cells confirmed inexperienced fluorescence after PBS therapy (Fig. 4B). In keeping with these findings, FACS evaluation demonstrated that the cell loss of life charge in HA@Lip-CS-1@PBCO NPs handled cells was 80.46%, which is considerably greater than that of CS-1 handled cells (60.92%) (Fig. 4C-D). To increase these observations to a extra physiologically related mannequin, 3D spheroids have been employed. Following 5 days of therapy with HA@Lip-CS-1@PBCO NPs, spheroids exhibited unfastened and disintegrated morphology (Fig. 4E), and reside/useless staining confirmed predominant purple fluorescence, confirming low cell viability (Fig. 4F). Collectively, these outcomes spotlight the excellent tumor-killing capability of HA@Lip-CS-1@PBCO NPs in each two-dimensional and three-dimensional fashions.
Contemplating the advance of efficacy of the nanodrug formulation, we additional explored the modifications within the genes of MCF-7/ADR earlier than and after therapy. RNA-seq evaluation revealed profound transcriptomic alterations in MCF-7/ADR cells following HA@Lip-CS-1@PBCO NPs therapy. Venn diagram in Fig.S4B recognized modifications of 12,208 mRNAs following therapy with HA@Lip-CS-1@PBCO NPs. Based on the usual of fold change ≥ 2 fold (p ≤ 0.05), HA@Lip-CS-1@PBCO NPs precipitated 1689 gene upregulation and 2298 gene downregulation in MCF-7/ADR cells (Fig.S4C). In the meantime, KEGG evaluation of those genes with reverse modifications revealed that HA@Lip-CS-1@PBCO NPs performs a big position within the regulation of mitochondrial function-related PI3K-Akt pathway [46], the inflammation-related TNF, NF-κB, and MAPK pathways and oxidative stress-related HIF-1 and FoxO pathways, in addition to the oxidative phosphorylation (OXPHOS) pathway (Fig. 4G). Amongst them, downregulation of OXPHOS-related genes (e.g., COX7C, ATP5F1D, MT-ND1, MT-ND4, and MT-ND6) strongly correlates with mitochondrial electron transport chain impairment, suggesting HA@Lip-CS-1@PBCO NPs induce oxidative stress through mitochondrial harm (Fig. 4H). Concurrent activation of HIF-1 (Fig. 4I) and FoxO pathways (Fig. 4J) additional helps this speculation, as each pathways are redox-sensitive and amplify ROS accumulation below mitochondrial dysfunction. Heatmap evaluation indicated the downregulation of antioxidant genes (NQO1, HSPA8, HSPD1, CAT) and mitochondrial fusion protein MFN1/MFN2, whereas upregulation of mitochondrial oxidative stress-related proteins (TNF, IL-18, IL-1β) in handled MCF-7/ADR cells (Fig. 4K). PPI evaluation signifies the central position of HIF-1α, connecting MFN1/MFN2 with TNF, which is related to Caspase-3-dependent pyroptosis (Fig. 4L). These findings collectively indicated that HA@Lip-CS-1@PBCO NPs can successfully kill MDR breast most cancers cells by inducing mitochondrial oxidative stress.

HA@Lip-CS-1@PBCO NPs successfully kill tumor cells in vitro. (A) MTT assay and of MCF-7/ADR cells after 24 h therapy with totally different therapy. (B) Stay/useless staining CLSM photographs of MCF-7/ADR cells with totally different therapy for 16 h. (C-D) Movement cytometry evaluation of MCF-7/ADR cells with totally different therapy for 16 h. (E) Shiny-field picture of MCF-7/ADR 3D tumor spheres with totally different therapy. (F) Stay/useless staining CLSM photographs of MCF-7/ADR 3D tumor spheres with totally different therapy for twenty-four h. (G) Bubble map of PBS vs. HA@Lip-CS-1@PBCO NPs in KEGG pathway. (H) Heatmap of genes within the oxidative phosphorylation pathway after HA@Lip-CS-1@PBCO NPs therapy. (I-J) GSEA evaluation of HIF-1 and FoxO signaling pathway. (Ok) Heatmap of oxidative stress-related genes after HA@Lip-CS-1@PBCO NPs therapy. (L) Protein interplay community of oxidative stress-related proteins after HA@Lip-CS-1@PBCO NPs therapy. (Ⅰ: PBS, Ⅱ: CS-1 (1 µM), Ⅲ: PBCO NPs (20 µg/mL), and Ⅳ: HA@Lip-CS-1@PBCO NPs (1 µM CS-1 and 40 µM MnCO). Bars are means ± SD (n = 3). **P < 0.01, ***P < 0.001, ****P < 0.0001
HA@Lip-CS-1@PBCO NPs activate pyroptosis through oxidative stress-induced mitochondrial harm
Provided that CS-1 induces pyroptosis in vitro, together with our RNA-seq knowledge following HA@Lip-CS-1@PBCO NPs therapy, we investigated whether or not HA@Lip-CS-1@PBCO NPs may induce pyroptosis in MCF-7/ADR cells. The brilliant subject photographs of cells handled with HA@Lip-CS-1@PBCO NPs revealed the cell swelling attribute of pyroptotic cells (Fig. 5A). Moreover, the staining results of T11 dyes, which may discriminate ruptured cell membrane from regular cell membrane, exhibited apparent membrane harm, cell swelling, and content material leakage in MCF-7/ADR cells handled with HA@Lip-CS-1@PBCO NPs (Fig. 5A). TEM corroborated these findings, demonstrating important plasma membrane harm within the HA@Lip-CS-1@PBCO NPs group (Fig. 5B). In keeping with membrane disruption, PI staining—which selectively labels cells with compromised membranes—confirmed markedly elevated fluorescence depth in HA@Lip-CS-1@PBCO NPs-treated cells in comparison with PBS group (Fig. 5C). As plasma membrane integrity loss facilitates the discharge of cytosolic contents, we quantified lactate dehydrogenase (LDH) launch, an indicator of pyroptotic cytotoxicity. HA@Lip-CS-1@PBCO NPs therapy resulted in a big elevation of LDH launch (10.3 ± 2.3-fold improve relative to PBS group), confirming profitable pyroptosis induction (Fig. 5D). Subsequently, we examined whether or not HA@Lip-CS-1@PBCO NPs-induced pyroptosis was depending on the activation of caspase-3/GSDME pathway. This consequence was much like the Fig. 1 and RNA-seq knowledge displaying that HA@Lip-CS-1@PBCO NPs-activated caspase-3 triggers pyroptosis by cleaving GSDME (Fig. 5E).
Subsequent, we endeavored to disclose the underlying course of by which HA@Lip-CS-1@PBCO NPs induces GSDME-mediated pyroptosis. Mixed with the RNA-seq outcomes, we investigated whether or not pyroptosis triggered by HA@Lip-CS-1@PBCO NPs necessitates mitochondrial dysfunction. Notably, TEM photographs revealed that HA@Lip-CS-1@PBCO NPs considerably enhanced mitochondrial swelling compared to the management cells (Fig. 5F). Moreover, mitochondrial fluorescence staining after therapy with HA@Lip-CS-1@PBCO NPs additionally confirmed extreme mitochondrial harm within the cells (Fig. 5G). Mitochondrial membrane potential (ΔΨm) collapse, typically related to mitochondrial harm, triggers cytochrome c (Cyt C) launch into the cytosol. Western blot evaluation confirmed a big improve in Cyt C launch from mitochondria in HA@Lip-CS-1@PBCO NPs-treated cells (Fig. 5H). Evaluation of ΔΨm utilizing the JC-1 probe demonstrated probably the most intense inexperienced fluorescence (indicative of depolarization) within the HA@Lip-CS-1@PBCO NPs group in comparison with different therapies (Fig. 5I). Given the established position of mitochondrial dysfunction in ROS era and the reported affiliation between ROS and pyroptosis induction in most cancers inhibition [47], we hypothesized that HA@Lip-CS-1@PBCO NPs may elevate mobile ROS ranges. Certainly, each fluorescence imaging and circulation cytometry evaluation confirmed a big upregulation of intracellular ROS in HA@Lip-CS-1@PBCO NPs-treated cells, exceeding ranges noticed with CS-1 or PBCO NPs alone (Fig. 5J).
Contemplating that mitochondria are a significant supply of ROS, we proceeded to research whether or not HA@Lip-CS-1@PBCO NPs induces the era of mitochondrial ROS in MCF-7/ADR cells. As anticipated, HA@Lip-CS-1@PBCO NPs therapy triggered a big upregulation of mitochondrial ROS (Fig. 5K). To evaluate the ensuing oxidative stress and its affect on antioxidant defenses, we measured key biomarkers. First, mobile glutathione (GSH) ranges, a crucial antioxidant important for sustaining mitochondrial structural/useful integrity and defending mitochondrial DNA from oxidative harm, plummeted by 54.9 ± 0.9% in handled cells (Fig. 5L). This extreme depletion signifies a profound disruption of the mobile antioxidant system in MCF-7/ADR cells. Additional proof of mitochondrial harm was noticed: 1) Extracellular ATP launch, a marker of mitochondrial permeability transition, was considerably elevated in HA@Lip-CS-1@PBCO NP-treated cells in comparison with PBCO NP-treated controls (Fig. 5M); 2) Malondialdehyde (MDA) ranges, a well-established biomarker of lipid peroxidation and oxidative stress [48], elevated dramatically (8.7 ± 1.8-fold) within the NPs-treated MCF-7/ADR cells (Fig. 5N), confirming in depth oxidative membrane harm. Given the established hyperlink between oxidative stress sensing and the p62/Nrf2 pathway [49], we investigated their involvement. Western blot evaluation revealed that HA@Lip-CS-1@PBCO NPs considerably suppressed each p62 and Nrf2 protein ranges in MCF-7/ADR cells (Fig. 5O), suggesting impaired activation of the endogenous antioxidant response. Importantly, and critically for overcoming MDR [50, 51], HA@Lip-CS-1@PBCO NPs considerably downregulated key MDR-associated efflux pumps, together with P-glycoprotein (P-gp) and ABCG2 (Fig. 5P). This discount functionally impairs drug efflux, a main MDR mechanism. Collectively, these findings underscore the exceptional potential of HA@Lip-CS-1@PBCO NPs to induce pyroptosis and circumvent drug efflux, thereby facilitating the elimination of multidrug resistant tumor cells (Fig. 5Q).

HA@Lip-CS-1@PBCO NPs activate pyroptosis through oxidative stress-induced mitochondrial harm. (A) Confocal microscopy photographs of T11-stained MCF-7/ADR cells following therapy, assessing membrane integrity. (B) Consultant bio-TEM micrographs of MCF-7/ADR cells after 8 h publicity to therapies. (C) PI fluorescence imaging of membrane integrity in handled MCF-7/ADR cells. (D) Quantification of LDH launch in MCF-7/ADR cells. (E) Western blot evaluation of GSDME and cleaved caspase-3 proteins in cells handled for 12 h. (F) Mitochondrial ultrastructure in MCF-7/ADR cells visualized by bio-TEM after 8 h therapy. (G) Mitochondrial morphology evaluation utilizing MitoTracker® Pink CMXRos in handled cells after 8 h therapy. (H) Cytochrome c launch analyzed by western blot after 12 h therapy. (I) JC-1 staining displaying mitochondrial membrane potential (ΔΨm) modifications after 8 h therapy. (J) Intracellular ROS detection through DCFH-DA fluorescence imaging and circulation cytometry after 12 h therapy. (Ok) MitoSOX™ Pink staining for mitochondrial superoxide manufacturing after 12 h therapy. (L) GSH ranges measured after 24 h therapy. (M) extracellular ATP quantification publish 24 h therapy. (N) MDA launch in MCF-7/ADR cells after 24 h therapy. (O-P) Western blot evaluation of p62, Nrf2, P-gp, and ABCG2 expression (12 h therapy). (Q) Schematic diagram of pyroptosis brought on by HA@Lip-CS-1@PBCO NPs. Bars are means ± SD (n = 3). **P < 0.01, ***P < 0.001, ****P < 0.0001
Pharmacokinetics and biodistribution of HA@Lip-Ce6@PBCO NPs in vivo
The pharmacokinetic profile of HA@Lip-Ce6@PBCO NPs was evaluated by monitoring Ce6 fluorescence depth in blood samples post-injection. As proven in Fig. 6A, blood samples confirmed a gradual lower in fluorescence depth following intravenous injection. The NPs exhibited considerably extended circulation, with a half-life (t₁/₂) of three.4 h in BALB/c nude mice – 2.3-fold longer than free Ce6 (1.5 h) (Fig. 6B). Actual-time fluorescence imaging revealed distinct biodistribution patterns. HA@Lip-Ce6@PBCO NPs amassed preferentially at tumor websites, with fluorescence depth of Ce6 and Lip-Ce6@PBCO NPs growing progressively and plateauing at 6 h post-injection. Tumor fluorescence depth within the HA-modified NP group constantly exceeded that of Lip-Ce6@PBCO NPs and free Ce6 at 6, 8, and 12 h (Fig. 6C), demonstrating HA-mediated lively concentrating on. In distinction, free Ce6 exhibited weak, quickly declining fluorescence as a result of non-specific distribution whereas the fluorescent depth of Lip-Ce6@PBCO NPs was greater than that within the free Ce6 group because of the EPR impact, and HA@Lip-Ce6@PBCO NPs exhibited the strongest tumor fluorescent depth. Ex vivo evaluation at 12 h post-injection confirmed fluorescence alerts primarily localized within the liver and lungs (Fig. 6D), attributable to hepatic metabolism and residual circulating NPs [52]. Notably, minimal cardiac fluorescence indicated decreased cardiotoxicity in comparison with free Ce6. Tumor fluorescence depth within the HA@Lip-Ce6@PBCO NPs group was 2.6 ± 0.6-fold greater than within the free Ce6 group, confirming enhanced tumor concentrating on.
We subsequent evaluated the ultrasound imaging potential of HA@Lip-Ce6@PBCO NPs in vivo. Following intravenous injection into tumor-bearing mice, ultrasound imaging revealed a detectable acoustic sign on the tumor web site, which was because of the stimulation of endogenous H2O2 within the tumor microenvironment (TME) triggering the discharge of CO from the NPs. This fuel era considerably amplified the intratumoral acoustic sign in comparison with pre-injection ranges (Fig. 6E). The pronounced sign enhancement demonstrates each profitable tumor-targeted supply of HA@Lip-CS-1@PBCO NPs and H2O2-responsive CO era throughout the TME. Total, these findings spotlight the nanocomplexes’ robust concentrating on potential and extended blood half-life, important for its therapeutic efficacy in animals.

In vivo biodistribution and pharmacokinetics of Ce6-labeled HA@Lip-Ce6@PBCO NPs. (A) Time-dependent blood fluorescence depth (FI) profiles of free Ce6 vs. HA@Lip-Ce6@PBCO NPs. (B) Pharmacokinetic parameters of Ce6 and HA@Lip-Ce6@PBCO NPs. (C) Fluorescence photographs of MCF-7/ADR tumor-bearing mice at varied time factors following administration of free Ce6, Lip-Ce6@PBCO NPs, or HA@Lip-Ce6@PBCO NPs (2.5 mg/kg of equal Ce6). Tumor websites are denoted by yellow dashed line circles. (D) Fluorescence distribution of main organs and tumors after 12 h post-injection. (E) Ultrasound imaging of tumor in nude mice earlier than and after with HA@Lip-CS-1@PBCO NPs injection for 10 min. Bars are means ± SD (n = 3)
HA@Lip-CS-1@PBCO NPs exhibit potent antitumor exercise in opposition to multidrug-resistant most cancers in vivo
Constructing on their in vitro cytotoxicity and in vivo tumor-targeting capabilities, we evaluated the therapeutic efficacy of HA@Lip-CS-1@PBCO NPs in nude mice bearing MCF-7/ADR xenografts in line with the routine in Fig. 7A. In comparison with PBS group, all therapy teams (CS-1, PBCO NPs, HA@Lip-CS-1@PBCO NPs) confirmed considerably decreased tumor volumes (Fig. 7B). Ex vivo evaluation confirmed putting tumor progress inhibition by HA@Lip-CS-1@PBCO NPs. Imaging and gravimetric quantification revealed a ultimate tumor weight of 20.2 ± 9.4 mg within the HA@Lip-CS-1@PBCO NP group versus 112.8 ± 58.6 mg in PBS group (Fig. 7C-D), translating to a tumor inhibition charge (TIR) of 82.2% ± 5.4%. This efficacy considerably surpassed each free CS-1 (TIR: 54.3% ± 5.2%) and PBCO NPs (TIR: 49.5% ± 15.2%) (Fig. 7E). Critically, no important physique weight reduction was noticed throughout any group, supporting the biocompatibility of the nanomaterials (Fig. 7F). Furthermore, H&E staining demonstrated in depth, demarcated tissue necrosis in all therapy teams (CS-1, PBCO NPs, HA@Lip-CS-1@PBCO NPs), contrasting sharply with the intact morphology and nuclear density of PBS-treated tumors (Fig. 7G). HA@Lip-CS-1@PBCO NPs therapy induced probably the most pronounced discount in mobile proliferation, evidenced by the bottom Ki67 expression (Fig. 7G). Moreover, important upregulation of the pyroptosis executioner GSDME and the apoptosis-to-pyroptosis swap marker cleaved caspase-3 was detected through immunofluorescence in HA@Lip-CS-1@PBCO NP-treated tumors (Fig. 7H-I). These outcomes reveal that HA@Lip-CS-1@PBCO NPs exhibit potent antitumor exercise in opposition to MDR breast most cancers in vivo.
We additional assessed therapeutic exercise in an A2780/DDP (cisplatin-resistant) xenograft mannequin utilizing the identical routine (Fig. 7J). HA@Lip-CS-1@PBCO NPs achieved a ultimate tumor quantity of 38.0 ± 24.5 mm³, markedly smaller than these of PBS group (236.8 ± 59.5 mm³; Fig. 7K). Ex vivo tumor imaging and weight quantification corroborated this potent efficacy: HA@Lip-CS-1@PBCO NP-treated tumors weighed 42.3 ± 12.5 mg, representing a 67.1% discount in comparison with PBS group (128.7 ± 57.9 mg) (Fig. 7L-M). The corresponding TIR was 67.2% ± 6.0% (Fig. 7N). Physique weight remained secure (Fig. 7O), and histological analysis recapitulated the MCF-7/ADR findings: HA@Lip-CS-1@PBCO NP-treated A2780/DDP tumors exhibited important necrosis (Fig. 7P), minimal Ki67 staining (Fig. 7P), and powerful induction of cleaved caspase-3 and GSDME attribute of pyroptosis (Fig. 7Q). These outcomes robustly reveal that HA@Lip-CS-1@PBCO NPs effectively inhibit the expansion of MDR breast tumors and exhibit potent, broad-spectrum exercise in opposition to various MDR cancers in vivo.

In vivo anti-MDR tumor efficacy of HA@Lip-CS-1@PBCO NPs. (A) Schematic illustration of MCF-7/ADR tumor implantation and the dosage routine (I: PBS; II: CS-1; III: PBCO NPs; IV: HA@Lip-CS-1@PBCO NPs). (B) Tumor progress curves. (C) The morphological photographs of tumors in numerous group. (D) Tumor weights in numerous group. (E) Tumor inhibitory charges (TIR) within the mice with totally different therapy. (F) Physique weight change of mice. (G) H&E and Ki67 staining of tumor sections. (H-I) Immunofluorescence staining of cleaved caspase-3 and GSDME in tumor tissues. (J) Diagrammatic illustration of A2780/DDP tumor implantation and the dosing schedule. (I: PBS group; II: HA@Lip-CS-1@PBCO NPs group). (Ok) Tumor progress curves. (L) Excised tumor morphology. (M) Adjustments of tumor weight with totally different therapy. (N) TIR of HA@Lip-CS-1@PBCO NPs therapy. (O) Physique weight monitoring. (P) H&E and Ki67-stained tumor sections. (Q) Immunofluorescence of cleaved caspase-3&GSDME in numerous tumor sections. Bars are means ± SD (n = 5). *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001
Biocompatibility and biosafety analysis of HA@Lip-CS-1@PBCO NPs
Given the crucial significance of biocompatibility for medical translation, we rigorously evaluated the security profile of HA@Lip-CS-1@PBCO NPs by a number of assays: hemolysis, platelet aggregation, cytotoxicity in regular cells, zebrafish embryo toxicity, and systemic toxicity in tumor-bearing mice. As proven in Fig.S5A-B, all examined formulations (PBS, CS-1, PBCO NPs, HA@Lip-CS-1@PBCO NPs) exhibited wonderful blood compatibility, with hemolysis charges under the 5% security threshold after 6 h incubation with purple blood cells (RBCs). Moreover, HA@Lip-CS-1@PBCO NPs considerably suppressed platelet aggregation, as evidenced by an optical density (OD650 nm) worth of 94.8% in comparison with 48.6% for thrombin (Fig.S5C). MTT assays confirmed low cytotoxicity of HA@Lip-CS-1@PBCO NPs. Cell viability in VSMC, NIH/3T3, and H9c2 cells remained above 95% after 24 h publicity, considerably greater than free CS-1 and PBCO NPs in NIH/3T3 and H9c2 cells (Fig.S5D). As well as, zebrafish embryotoxicity testing revealed no important variations in physique size throughout therapy teams (Fig. 8A-B). Notably, HA@Lip-CS-1@PBCO NPs (122 beats per minute) mitigated the cardiotoxic impact noticed with free CS-1 (130 beats per minute), demonstrating a considerably decrease coronary heart charge (Fig. 8C). This means the nanoformulation successfully reduces inherent cardiac hostile results.
In vivo biosafety evaluation was important for evaluating the medical feasibility of nanomedicines. We investigated the impact of HA@Lip-CS-1@PBCO NPs by performing entire blood cell depend and liver and renal operate evaluation. In MCF-7/ADR-bearing mice, HA@Lip-CS-1@PBCO NPs confirmed good systemic security profile. Full blood counts revealed no hostile results on RBC, PLT, or HGB ranges. Importantly, handled mice exhibited a big lower in white blood cell (WBC) depend in contrast with PBS, suggesting attenuation of the tumor-associated inflammatory response (Fig. 8D). Liver and kidney operate markers (ALT, AST, CRE, URE) remained inside regular ranges, confirming no hepatorenal toxicity (Fig. 8E). H&E staining of key organs (coronary heart, liver, spleen, lung, kidney) confirmed no notable lesions or morphological modifications (Fig. 8F). Collectively, these outcomes reveal that HA@Lip-CS-1@PBCO NPs possess wonderful biocompatibility, successfully decreased cardiotoxicity in comparison with the free drug, and low systemic toxicity, supporting their potential for additional medical growth.

Biosafety analysis of HA@Lip-CS-1@PBCO NPs. (A) The microscopic photographs of zebrafish have been handled with PBS, CS-1 (1 µM), PBCO NPs (40 µM), and HA@Lip-CS-1@PBCO NPs (n = 5). (B-C) Physique size and coronary heart charge of zebrafish with totally different therapies. (D) Full blood depend of every MCF-7/ADR tumor bearing mice group, together with WBC, RBC, PLT, and HGB (I: PBS; II: CS-1; III: PBCO NPs; IV: HA@Lip-CS-1@PBCO NPs). (E) Evaluation of blood biochemistry in every group of MCF-7/ADR tumor-bearing mice, specializing in liver operate indicators resembling AST and ALT, in addition to kidney operate markers like CRE and UREA. (F) H&E stained photographs of main organs in every group. Bars are means ± SD (n = 5). *P < 0.05, **P < 0.01, ***P < 0.001

