Hyperbaric Oxygen Regulates Tumor pH to Boost Copper‐Doped Hydroxyethyl Starch Conjugate Nanoparticles Against Cancer Stem Cells

ABSTRACT An extracellular acidic environment and an intracellular mildly alkaline environment induced by carbonic anhydrase 9 (CA9) play a critical role in self‐renewal, invasion, migration, and drug resistance of cancer stem cells (CSCs) within hypoxic solid tumors. Here, we report an antitumor str...

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Main Authors: Qingyuan Deng, Ao Hua, Shiyou Li, Zhijie Zhang, Xiang Chen, Qiang Wang, Xing Wang, Zhiqin Chu, Xiangliang Yang, Zifu Li
Format: Article
Language:English
Published: Wiley 2025-08-01
Series:Exploration
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Online Access:https://doi.org/10.1002/EXP.20240080
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author Qingyuan Deng
Ao Hua
Shiyou Li
Zhijie Zhang
Xiang Chen
Qiang Wang
Xing Wang
Zhiqin Chu
Xiangliang Yang
Zifu Li
author_facet Qingyuan Deng
Ao Hua
Shiyou Li
Zhijie Zhang
Xiang Chen
Qiang Wang
Xing Wang
Zhiqin Chu
Xiangliang Yang
Zifu Li
author_sort Qingyuan Deng
collection DOAJ
description ABSTRACT An extracellular acidic environment and an intracellular mildly alkaline environment induced by carbonic anhydrase 9 (CA9) play a critical role in self‐renewal, invasion, migration, and drug resistance of cancer stem cells (CSCs) within hypoxic solid tumors. Here, we report an antitumor strategy leveraging hyperbaric oxygen therapy (HBO) to regulate tumor pH and boost hydroxyethyl starch‐doxorubicin‐copper nanoparticles (HHD‐Cu NPs) against CSCs. HBO overcomes tumor hypoxia, downregulates pH‐regulatory proteins such as CA9, and leads to intracellular accumulation of acidic metabolites. As a result, HBO promotes intracellular acidification of both tumor cells and CSCs, triggering efficient doxorubicin release and the potent copper‐mediated chemical dynamic effect of subsequently administered dual‐acid‐responsive HHD‐Cu NPs. The combination of HBO with HHD‐Cu NPs not only eliminates tumor cells but also inhibits CSCs, altogether leading to potent tumor inhibition. This study explores a new function of clinical‐widely used HBO and establishes a novel combination therapy for treating CSCs abundant hypoxic solid tumors.
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id doaj-art-c345bcb8501f4749ae885b574df396d0
institution Kabale University
issn 2766-8509
2766-2098
language English
publishDate 2025-08-01
publisher Wiley
record_format Article
series Exploration
spelling doaj-art-c345bcb8501f4749ae885b574df396d02025-08-26T10:32:53ZengWileyExploration2766-85092766-20982025-08-0154n/an/a10.1002/EXP.20240080Hyperbaric Oxygen Regulates Tumor pH to Boost Copper‐Doped Hydroxyethyl Starch Conjugate Nanoparticles Against Cancer Stem CellsQingyuan Deng0Ao Hua1Shiyou Li2Zhijie Zhang3Xiang Chen4Qiang Wang5Xing Wang6Zhiqin Chu7Xiangliang Yang8Zifu Li9Department of Nanomedicine and Biopharmaceuticals College of Life Science and Technology Huazhong University of Science and Technology Wuhan P. R. ChinaDepartment of Nanomedicine and Biopharmaceuticals College of Life Science and Technology Huazhong University of Science and Technology Wuhan P. R. ChinaDepartment of Nanomedicine and Biopharmaceuticals College of Life Science and Technology Huazhong University of Science and Technology Wuhan P. R. ChinaDepartment of Nanomedicine and Biopharmaceuticals College of Life Science and Technology Huazhong University of Science and Technology Wuhan P. R. ChinaDepartment of Nanomedicine and Biopharmaceuticals College of Life Science and Technology Huazhong University of Science and Technology Wuhan P. R. ChinaDepartment of Nanomedicine and Biopharmaceuticals College of Life Science and Technology Huazhong University of Science and Technology Wuhan P. R. ChinaDepartment of Nanomedicine and Biopharmaceuticals College of Life Science and Technology Huazhong University of Science and Technology Wuhan P. R. ChinaDepartment of Electrical and Electronic Engineering The University of Hong Kong Hong Kong P. R. ChinaDepartment of Nanomedicine and Biopharmaceuticals College of Life Science and Technology Huazhong University of Science and Technology Wuhan P. R. ChinaDepartment of Nanomedicine and Biopharmaceuticals College of Life Science and Technology Huazhong University of Science and Technology Wuhan P. R. ChinaABSTRACT An extracellular acidic environment and an intracellular mildly alkaline environment induced by carbonic anhydrase 9 (CA9) play a critical role in self‐renewal, invasion, migration, and drug resistance of cancer stem cells (CSCs) within hypoxic solid tumors. Here, we report an antitumor strategy leveraging hyperbaric oxygen therapy (HBO) to regulate tumor pH and boost hydroxyethyl starch‐doxorubicin‐copper nanoparticles (HHD‐Cu NPs) against CSCs. HBO overcomes tumor hypoxia, downregulates pH‐regulatory proteins such as CA9, and leads to intracellular accumulation of acidic metabolites. As a result, HBO promotes intracellular acidification of both tumor cells and CSCs, triggering efficient doxorubicin release and the potent copper‐mediated chemical dynamic effect of subsequently administered dual‐acid‐responsive HHD‐Cu NPs. The combination of HBO with HHD‐Cu NPs not only eliminates tumor cells but also inhibits CSCs, altogether leading to potent tumor inhibition. This study explores a new function of clinical‐widely used HBO and establishes a novel combination therapy for treating CSCs abundant hypoxic solid tumors.https://doi.org/10.1002/EXP.20240080cancer stem cellscarbonic anhydrase 9hyperbaric oxygennanomedicinetumor pH
spellingShingle Qingyuan Deng
Ao Hua
Shiyou Li
Zhijie Zhang
Xiang Chen
Qiang Wang
Xing Wang
Zhiqin Chu
Xiangliang Yang
Zifu Li
Hyperbaric Oxygen Regulates Tumor pH to Boost Copper‐Doped Hydroxyethyl Starch Conjugate Nanoparticles Against Cancer Stem Cells
Exploration
cancer stem cells
carbonic anhydrase 9
hyperbaric oxygen
nanomedicine
tumor pH
title Hyperbaric Oxygen Regulates Tumor pH to Boost Copper‐Doped Hydroxyethyl Starch Conjugate Nanoparticles Against Cancer Stem Cells
title_full Hyperbaric Oxygen Regulates Tumor pH to Boost Copper‐Doped Hydroxyethyl Starch Conjugate Nanoparticles Against Cancer Stem Cells
title_fullStr Hyperbaric Oxygen Regulates Tumor pH to Boost Copper‐Doped Hydroxyethyl Starch Conjugate Nanoparticles Against Cancer Stem Cells
title_full_unstemmed Hyperbaric Oxygen Regulates Tumor pH to Boost Copper‐Doped Hydroxyethyl Starch Conjugate Nanoparticles Against Cancer Stem Cells
title_short Hyperbaric Oxygen Regulates Tumor pH to Boost Copper‐Doped Hydroxyethyl Starch Conjugate Nanoparticles Against Cancer Stem Cells
title_sort hyperbaric oxygen regulates tumor ph to boost copper doped hydroxyethyl starch conjugate nanoparticles against cancer stem cells
topic cancer stem cells
carbonic anhydrase 9
hyperbaric oxygen
nanomedicine
tumor pH
url https://doi.org/10.1002/EXP.20240080
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