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Pancreatic ductal adenocarcinoma (PDAC) is a highly malignant tumor of the digestive tract, with an incidence rate nearly equal to its mortality rate, and a 5-year survival rate of only 8%-9%1. A complex tumor microenvironment (TME) is the hallmark feature of PDAC2. It is primarily composed of an abnormal extracellular matrix (ECM), activated cancer-associated fibroblasts (CAFs), and a profoundly immunosuppressive cellular milieu. The PDAC ECM is rich in type I collagen. Both its altered content and abnormal architecture promote tumor progression and are associated with poor prognosis3. CAFs are the most abundant stromal cells and consist of functionally distinct subtypes, such as matrix-producing myCAFs and inflammatory iCAFs, which exhibit phenotypic plasticity4.
Immunologically, the PDAC TME is dominated by pro-tumor myeloid cells. Anti-tumor lymphocytes are scarce or dysfunctional. Mature B lymphocytes also contribute to immunosuppression3,4. Collectively, these components establish multiple therapeutic barriers. The dense stroma, characterized by high interstitial fluid pressure, creates a significant penetration barrier that severely impedes the delivery of therapeutic agents into the deep tumor regions, thereby substantially limiting the clinical efficacy of chemotherapeutic drugs5. Consequently, developing drug delivery systems capable of overcoming this stromal barrier and penetrating deeply into pancreatic tumor tissue is critically important.
In recent years, squalene (SQ), a natural precursor for cholesterol biosynthesis, has attracted considerable attention due to its excellent biosafety and biocompatibility6. Being highly hydrophobic, SQ can be conjugated with hydrophilic drugs to form amphiphilic prodrugs, thereby improving the biocompatibility of hydrophilic small-molecule drugs with cell membranes and enhancing their cellular uptake efficiency7. Previous studies have demonstrated that SQ can be covalently conjugated with various chemotherapeutic agents, such as cisplatin, paclitaxel, and gemcitabine, forming prodrug nanoparticles with high drug loading capacity, which improves drug delivery to solid tumors8,9. These properties underscore the broad application potential of SQ in drug delivery system development.
To enhance tumor targeting, this study employs folic acid (FA) as a targeting ligand. FA is a water-soluble vitamin crucial for one-carbon metabolism, biosynthesis10, redox homeostasis11, and methylation reactions12. Conjugation of FA via its carboxyl groups to the nanocarrier enables specific recognition and binding to the folate receptor (FR), followed by receptor-mediated endocytosis13. By leveraging the enhanced permeability and retention effect of tumor cells, Zheng et al.14 evaluated folate receptor α (FRα) expression in pancreatic cancer, normal pancreas, adjacent tissues, and chronic pancreatitis using Western blotting and immunohistochemistry, and analyzed its correlation with clinicopathological features. FRα was expressed in 94.7% (72/76) of pancreatic cancer cases, correlating with metastasis, but was absent in normal pancreatic tissues. FA-modified nanoparticles can selectively accumulate in FR-positive tissues, enabling molecularly targeted therapy.
Chidamide (CHI) is a novel histone deacetylase inhibitor. Preclinical studies have demonstrated that it also exhibits potent antitumor activity against solid tumors such as pancreatic and breast cancer, and can reverse drug resistance in tumor cells15,16. However, its strong hydrophilicity is associated with low penetration efficiency into the tumor microenvironment and poor distribution within solid tumor tissues, which severely limits its clinical therapeutic potential for pancreatic cancer5. Using chidamide (CHI) as a model drug, this study proposes the preparation of self-assembled nanoparticles via the conjugation of CHI with SQ and subsequent modification with FA. This strategy aims to enhance the antitumor efficacy of CHI against pancreatic cancer by overcoming its poor penetration into the tumor microenvironment and suboptimal distribution within solid tumor tissue. Furthermore, by evaluating the in vitro efficacy of CHI in pancreatic cancer cell lines, this approach is expected to significantly improve the penetration and cytotoxic effects of CHI -- a representative hydrophilic small-molecule drug -- within the pancreatic tumor microenvironment, thereby providing an experimental basis for guiding CHI-based therapy in pancreatic cancer.
Our study elaborates on the experimental procedures for preparing CHI-SQ-PEG-FA self-assembled prodrug nanoparticles for the treatment of pancreatic cancer. Specifically, we describe the optimization and characterization of the preparation process for CHI-SQ-PEG-FA nanoparticles, along with in vitro drug release studies. The process involves: first, optimizing the formulation using a single-factor experimental approach and determining the optimal particle size and drug loading; second, characterizing the nanoparticles using UPLC and MTS assays; and finally, establishing an in vitro co-cultured tumor spheroid model. Using coumarin-6 (C6) as a fluorescent probe in targeted nanoparticles, we further validate the penetration and distribution of the nanoparticles within three-dimensional tumor spheroids and obtain relevant data.