<p>Compared with apoptosis, ferroptosis has attracted extensive interest owing to its highly efficient anti-tumor activity. However, ferroptosis is strictly dependent on the accumulation of lipid peroxides (LPOs), which requires the excessive production of reactive oxygen species (ROS) and downregulation of glutathione (GSH) levels in tumor cells. Therefore, enhancing intracellular lipid peroxidation represents a promising strategy to potentiate ferroptosis against tumors. Herein, we report a nitric oxide (NO)-releasing nanodevice with dual functions to synergistically induce ferroptosis and apoptosis for tumor elimination. Mesoporous Fe<sub>3</sub>O<sub>4</sub> nanoparticles were modified with arginine (Arg), a natural amino acid that not only facilitates tumor-targeted homing of the nanosystem but also serves as an endogenous NO donor. Notably, NO can simultaneously enhance both apoptosis and ferroptosis through distinct molecular mechanisms. The doxorubicin (DOX)-loaded Arg-modified mesoporous Fe<sub>3</sub>O<sub>4</sub> nanosystem (Arg-AFe<sub>3</sub>O<sub>4</sub>@DOX) was systematically evaluated, and results demonstrated that it efficiently induced apoptosis and ferroptosis in tumor cells. In vivo studies further confirmed that Arg-AFe<sub>3</sub>O<sub>4</sub>@DOX administration significantly improved anti-tumor efficacy compared with monotherapy, with no obvious systemic toxicity observed.</p>

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Nitric oxide dual-enhanced nanosystem boosts ferroptosis-chemotherapy synergy for tumor therapy

  • Xiaoyu Ding,
  • Jinjin Ren,
  • Dongyun Li,
  • Huijuan Zhou,
  • Songchao Duan,
  • Xiaobao Gong,
  • Hanchun Yao

摘要

Compared with apoptosis, ferroptosis has attracted extensive interest owing to its highly efficient anti-tumor activity. However, ferroptosis is strictly dependent on the accumulation of lipid peroxides (LPOs), which requires the excessive production of reactive oxygen species (ROS) and downregulation of glutathione (GSH) levels in tumor cells. Therefore, enhancing intracellular lipid peroxidation represents a promising strategy to potentiate ferroptosis against tumors. Herein, we report a nitric oxide (NO)-releasing nanodevice with dual functions to synergistically induce ferroptosis and apoptosis for tumor elimination. Mesoporous Fe3O4 nanoparticles were modified with arginine (Arg), a natural amino acid that not only facilitates tumor-targeted homing of the nanosystem but also serves as an endogenous NO donor. Notably, NO can simultaneously enhance both apoptosis and ferroptosis through distinct molecular mechanisms. The doxorubicin (DOX)-loaded Arg-modified mesoporous Fe3O4 nanosystem (Arg-AFe3O4@DOX) was systematically evaluated, and results demonstrated that it efficiently induced apoptosis and ferroptosis in tumor cells. In vivo studies further confirmed that Arg-AFe3O4@DOX administration significantly improved anti-tumor efficacy compared with monotherapy, with no obvious systemic toxicity observed.