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Table 4 Nanomedicines targeting cuproptosis for breast cancer treatment

From: Cuproptosis: a promising new target for breast cancer therapy

Nanomaterials composition

Type

Cancer

Tested model

Effects OR Involved mechanism

Ref.

Cu@cLAs

CDT

BC

MCF-7/R nude mice

Cu@cLAs were dissociated into LA and dihydrolipoic acid (DHLA), thereby releasing Cu2+ and Cu+ ions. This process facilitated the efficient elimination of cancer cells by delaying metabolic depletion and elevating the ROS levels within tumor cells.

[127]

Cu-siMDR-CDDP

CDT

BC

MCF-7/CDDP cells

Upon release from Cu-siMDR-CDDP, CDDP initiates a cascade of bioreactions involving NADPH oxidase (NOX) and superoxide dismutase (SOD) in the acidic tumor microenvironment (TME), resulting in the production of H2O2. This H2O2 undergoes a Cu2+-catalyzed Fenton-like reaction, converting it into hydroxyl radicals (HO•) and causing a depletion of glutathione (GSH). This depletion disrupts the redox adaptation mechanism of drug-resistant cancer cells. Furthermore, HO•-induced lysosome destruction facilitates the delivery of MDR1 siRNA, which subsequently inhibits the expression of P-glycoprotein (P-gp) and reduces the efflux of CDDP.

[129, 130]

NH2-MIL-101(Fe)/D-pen

CDT

BC

MCF-7 cells

The released d-pen chelated Cu, which is highly abundant in cancer environments, leads to the production of excess H2O2. This H2O2 is then decomposed by the Fe present in NH2-MIL-101(Fe), generating hydroxyl radicals •OH. Consequently, the cytotoxicity of NH2-MIL-101(Fe)/d-pen was observed in cancer cells.

[128]

NH2-MIL-101(Fe)/CPT-11

CDT

BC

MCF-7R-bearing BALB/c nude mice

Among all the tested formulations, the combined formulation demonstrated the most significant anticancer effects, attributed to the synergistic interaction between CDT and chemotherapy.

[128]

Cu-Cys NPs

CDT

BC

MCF-7R-bearing NOD SCID mice

In situ glutathione-activated CDT, reinforced by H2O2, induces tumor cell apoptosis. Cu-Cys NPs effectively inhibited drug-resistant breast cancer in vivo without causing notable systemic toxicity.

[132]

Hollow Cu9S8 NPs

CDT

BC

4T1 tumor-bearing mice

Compared to solid Cu9S8 NPs, the increased number of active sites and enhanced photothermal performance result in enhanced CDT.

[156]

Vk3 @MOF-199

CDT

BC

4T1 tumor-bearing mice

NQO1 catalyzes Vk3 to generate sufficient H2O2, which amplifies the effect of CDT.

[134]

DOX@BSA-Cu

CDT

BC

4T1 cells and MCF-7 cells

DOX enhances the H2O2 content and promotes the generation of hydroxyl radicals, thereby amplifying the effectiveness of CDT.

[157]

mCMSN

CDT

BC

MCF-7tumor-bearing mice

Target-cell-specific GSH depletion enhances CDT, while simultaneously relieving hypoxia to improve PDT.

[133]

Au-CuS YSNPs

CDT/PDT/PTT

BC

4T1 tumor-bearing mice

Au-CuS YSNPs enhance the efficacy of PDT/PTT due to their localized surface plasmon resonance effect.

[155]

FA-HMCu2-xS/BLM/LM

CDT/PDT/PTT/CT

BC

MCF-7 tumor-bearing mice

NIR-responsive drug release triggers further activation of BLM, leading to DNA cleavage.

[158]

Dox@Cu-Met NPs

CDT/CT

BC

Breast-tumor-bearing mice

In the TME, dual-stimuli responsive drug release triggered by both pH and GSH levels mutually enhances the efficacy of CT and CDT.

[159]

Cu3BiS3 NCs

PDT

BC

MCF-7 tumor xenograft-bearing mice

Cu3BiS3 nanocrystals achieve complete tumor regression using an ultra-low dose of NIR laser irradiation.

[148]

BP-CuS-FA

PDT/PTT

BC

4T1 tumor-bearing mice

A biocompatible and photodegradable CuS carrier enables a single laser-activated process for both PDT and PTT.

[160]

CuxS/Au-PEG NPs

PTT

BC

EMT-6 tumor-bearing mice

Upon irradiation with a 1064 nm laser, the tumors experience an enhancement in their oxygenation status. Subsequently, the combination of photothermal therapy and radiotherapy yields remarkable synergistic therapeutic effects. This study introduces a novel concept for the design of a new-generation nanomedicine aimed at tumor thermoradiotherapy.

[141, 142]

[(64)Cu]CuS NPs

PTT

BC

BT474 breast tumor

RT/PTT significantly delayed tumor growth in the subcutaneous BT474 breast cancer model and markedly extended the survival of mice harboring orthotopic 4T1 breast tumors. Furthermore, RT/PTT decreased the number of lung tumor nodules and inhibited the formation of tumor mammospheres from treated 4T1 tumors.

[145, 146]

CuCo(O)/GOx@PCNs

PTT/IMT/ST

BC

4T1 tumor-bearing mice

CuCo(O)/GOx@PCNs can achieve oxygen supply, glucose consumption, and photothermal ablation. Additionally, the immune response effect can further suppress tumor metastasis and recurrence.

[27, 135, 136]

MSN-DNA-CuS

PTT/CT

BC

HeLa and MCF-7 cells

Photothermal controllable and GSH-responsive drug release.

[161]

CuPd TNP-1

PTT

BC

4T1;MCF7/MDR

The inhibition of autophagy through the use of 3-methyladenine or chloroquine exhibits a notable synergistic effect when combined with TNP-1-mediated PTT in triple-negative (4T1), drug-resistant (MCF7/MDR), and patient-derived breast cancer models.

[143, 144]

Cyclodextrin DDC-Cu inclusion complexes

CT

BC

MDA-MB-231 cells

Cyclodextrin enhances the solubility of DDC-Cu while also increasing its toxic effect.

[152]

DSF@PVP/Cu-HMPB

CT

BC

4T1 tumor-bearing mice

TME-triggered release of Cu2+ facilitates the generation of the in situ anti-cancer complex CuL2, and NIR irradiation further enhances its anti-cancer activity.

[162]

  1. CT, chemotherapy; CDT, chemodynamic therapy; Vk3 @MOF-199, Cu-based metal-organic framework-199 nanoplatform integrating vitamin k3; Cu@cLAs, copper on cross-linked lipoic acid nanoparticles; SOD, superoxide dismutase; PTT, photothermal therapy; NOX, NADPH oxidases