Combined Oxaliplatin with 5-Fluorouracil for Effective Chemotherapy Against Gastric Cancer in Animal Model

Jiannan Ren,1,* Menglin Song,1,* Dongbing Ding,1,* Tianyun Lan,2 Yiquan Li,1 Rongpu Liang,1 Shengxin Huang,1 Guangchun Jiang,1 Jiarong You,1 Jianming Yang,1 Chi Chen,1 Weiyi Luan,3 Bekhzod Abdullaev,4 He Huang,1 Yang Zhao,1 Bo Wei1 1Department of Gastrointestinal...

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Main Authors: Ren J, Song M, Ding D, Lan T, Li Y, Liang R, Huang S, Jiang G, You J, Yang J, Chen C, Luan W, Abdullaev B, Huang H, Zhao Y, Wei B
Format: Article
Language:English
Published: Dove Medical Press 2025-06-01
Series:International Journal of Nanomedicine
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Online Access:https://www.dovepress.com/combined-oxaliplatin-with-5-fluorouracil-for-effective-chemotherapy-ag-peer-reviewed-fulltext-article-IJN
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author Ren J
Song M
Ding D
Lan T
Li Y
Liang R
Huang S
Jiang G
You J
Yang J
Chen C
Luan W
Abdullaev B
Huang H
Zhao Y
Wei B
author_facet Ren J
Song M
Ding D
Lan T
Li Y
Liang R
Huang S
Jiang G
You J
Yang J
Chen C
Luan W
Abdullaev B
Huang H
Zhao Y
Wei B
author_sort Ren J
collection DOAJ
description Jiannan Ren,1,* Menglin Song,1,* Dongbing Ding,1,* Tianyun Lan,2 Yiquan Li,1 Rongpu Liang,1 Shengxin Huang,1 Guangchun Jiang,1 Jiarong You,1 Jianming Yang,1 Chi Chen,1 Weiyi Luan,3 Bekhzod Abdullaev,4 He Huang,1 Yang Zhao,1 Bo Wei1 1Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, People’s Republic of China; 2Central Laboratory, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, People’s Republic of China; 3Shaoguan University, Shaoguan, 512005, People’s Republic of China; 4Research Department of Biotechnology, New Uzbekistan University, Tashkent, Uzbekistan*These authors contributed equally to this workCorrespondence: Bo Wei, Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, People’s Republic of China, Tel +86 20 85252228, Email weibo3@mail.sysu.edu.cnIntroduction: Oxaliplatin (OXA) and 5-fluorouracil (5-Fu) are standard chemotherapy agents used to treat advanced gastric cancer (GC). However, their clinical efficacy is often limited by systemic toxicity, poor tumor selectivity, and suboptimal therapeutic outcomes when administered as monotherapy. These limitations underscore the need for innovative approaches to improve chemotherapy sensitivity and treatment efficacy.Methods: We developed a glucose-responsive, RGD peptide-functionalized biporous silica nanocarrier (R-BSN). This system integrates hollow glucose oxidase (hGOx)-modified micelles onto hollow mesoporous silica nanoparticles functionalized with RGD peptides, enabling targeted, sustained drug release and inducing a starvation effect in tumor cells.Results: The glucose-triggered biporous release strategy significantly prolongs the drug release profile, ensuring sustained chemotherapy delivery while simultaneously depleting intratumoral glucose to enhance therapeutic efficacy. This strategy not only increases chemotherapy potency but also exacerbates oxidative stress in tumor cells, leading to the induction of immunogenic cell death (ICD). Furthermore, R-BSN exhibits robust anti-tumor activity in both subcutaneous tumor models and peritoneal metastasis models, supporting its potential for multi-pathway tumor eradication.Conclusion: The glucose-triggered biporous silica nanocarrier offers a promising strategy to enhance chemotherapy outcomes in advanced gastric cancer, integrating sustained drug release, starvation therapy, and amplification of oxidative stress. This approach holds significant potential for clinical translation in gastric cancer treatment.Keywords: biporous silica nanocarrier, glucose-responsive, sequential sustained chemotherapy, starvation therapy, advanced gastric cancer
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spelling doaj-art-ca67ff4d8d8e45f1965f8c4cec702b4f2025-08-20T03:32:33ZengDove Medical PressInternational Journal of Nanomedicine1178-20132025-06-01Volume 20Issue 177637780103960Combined Oxaliplatin with 5-Fluorouracil for Effective Chemotherapy Against Gastric Cancer in Animal ModelRen J0Song MDing D1Lan T2Li Y3Liang RHuang S4Jiang G5You JYang J6Chen CLuan WAbdullaev B7Huang H8Zhao YWei B9Department of Gastrointestinal SurgeryDepartment of gastrointestinal surgeryCentral LaboratoryDepartment of Gastrointestinal SurgeryGastrointestinal SurgeryGastrointestinal surgeryGastrointestinal SurgeryCentral Asian Center for Development StudiesDepartment of Gastrointestinal SurgeryDepartment of Gastrointestinal SurgeryJiannan Ren,1,* Menglin Song,1,* Dongbing Ding,1,* Tianyun Lan,2 Yiquan Li,1 Rongpu Liang,1 Shengxin Huang,1 Guangchun Jiang,1 Jiarong You,1 Jianming Yang,1 Chi Chen,1 Weiyi Luan,3 Bekhzod Abdullaev,4 He Huang,1 Yang Zhao,1 Bo Wei1 1Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, People’s Republic of China; 2Central Laboratory, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, People’s Republic of China; 3Shaoguan University, Shaoguan, 512005, People’s Republic of China; 4Research Department of Biotechnology, New Uzbekistan University, Tashkent, Uzbekistan*These authors contributed equally to this workCorrespondence: Bo Wei, Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, People’s Republic of China, Tel +86 20 85252228, Email weibo3@mail.sysu.edu.cnIntroduction: Oxaliplatin (OXA) and 5-fluorouracil (5-Fu) are standard chemotherapy agents used to treat advanced gastric cancer (GC). However, their clinical efficacy is often limited by systemic toxicity, poor tumor selectivity, and suboptimal therapeutic outcomes when administered as monotherapy. These limitations underscore the need for innovative approaches to improve chemotherapy sensitivity and treatment efficacy.Methods: We developed a glucose-responsive, RGD peptide-functionalized biporous silica nanocarrier (R-BSN). This system integrates hollow glucose oxidase (hGOx)-modified micelles onto hollow mesoporous silica nanoparticles functionalized with RGD peptides, enabling targeted, sustained drug release and inducing a starvation effect in tumor cells.Results: The glucose-triggered biporous release strategy significantly prolongs the drug release profile, ensuring sustained chemotherapy delivery while simultaneously depleting intratumoral glucose to enhance therapeutic efficacy. This strategy not only increases chemotherapy potency but also exacerbates oxidative stress in tumor cells, leading to the induction of immunogenic cell death (ICD). Furthermore, R-BSN exhibits robust anti-tumor activity in both subcutaneous tumor models and peritoneal metastasis models, supporting its potential for multi-pathway tumor eradication.Conclusion: The glucose-triggered biporous silica nanocarrier offers a promising strategy to enhance chemotherapy outcomes in advanced gastric cancer, integrating sustained drug release, starvation therapy, and amplification of oxidative stress. This approach holds significant potential for clinical translation in gastric cancer treatment.Keywords: biporous silica nanocarrier, glucose-responsive, sequential sustained chemotherapy, starvation therapy, advanced gastric cancerhttps://www.dovepress.com/combined-oxaliplatin-with-5-fluorouracil-for-effective-chemotherapy-ag-peer-reviewed-fulltext-article-IJNBiporous silica nanocarrierGlucose-responsiveSequential sustained chemotherapyStarvation therapyAdvanced gastric cancer
spellingShingle Ren J
Song M
Ding D
Lan T
Li Y
Liang R
Huang S
Jiang G
You J
Yang J
Chen C
Luan W
Abdullaev B
Huang H
Zhao Y
Wei B
Combined Oxaliplatin with 5-Fluorouracil for Effective Chemotherapy Against Gastric Cancer in Animal Model
International Journal of Nanomedicine
Biporous silica nanocarrier
Glucose-responsive
Sequential sustained chemotherapy
Starvation therapy
Advanced gastric cancer
title Combined Oxaliplatin with 5-Fluorouracil for Effective Chemotherapy Against Gastric Cancer in Animal Model
title_full Combined Oxaliplatin with 5-Fluorouracil for Effective Chemotherapy Against Gastric Cancer in Animal Model
title_fullStr Combined Oxaliplatin with 5-Fluorouracil for Effective Chemotherapy Against Gastric Cancer in Animal Model
title_full_unstemmed Combined Oxaliplatin with 5-Fluorouracil for Effective Chemotherapy Against Gastric Cancer in Animal Model
title_short Combined Oxaliplatin with 5-Fluorouracil for Effective Chemotherapy Against Gastric Cancer in Animal Model
title_sort combined oxaliplatin with 5 fluorouracil for effective chemotherapy against gastric cancer in animal model
topic Biporous silica nanocarrier
Glucose-responsive
Sequential sustained chemotherapy
Starvation therapy
Advanced gastric cancer
url https://www.dovepress.com/combined-oxaliplatin-with-5-fluorouracil-for-effective-chemotherapy-ag-peer-reviewed-fulltext-article-IJN
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