Postoperative Injection of a Triptolide‐Preloaded Hydrogel Prevents the Recurrence of Glioblastoma by Dual‐Pathway Activation of Ferroptosis
Glioblastoma (GBM) recurrence leads to high mortality, which remains a major concern in clinical therapy. Herein, an injectable triptolide (TP)-preloaded hydrogel (TP@DNH) accompanied by a postoperative injection strategy is developed to prevent the recurrence of GBM. With a potential inhibitor of the NRF2/SLC7A11/GPX4 axis, it is demonstrated that TP can deactivate glutathione peroxidase 4 (GPX4) from the source of glutathione (GSH) biosynthesis, thereby activating ferroptosis in GBM cells by blocking the neutralization of intracellular lipid peroxide (LPO). Based on acid-sensitive Fe<sup>3+</sup>/tannic acid (TA) metal-phenolic networks (MPNs), the TP@DNH hydrogel can induce the effective generation of reactive oxygen species (ROS) through Fe<sup>3+</sup>/TA-mediated Fenton reaction and achieve controllable release of TP in resected GBM cavity. Due to ROS generation and GPX4 deactivation, postoperative injection of TP@DNH can achieve high-level ferroptosis through dual-pathway LPO accumulation, remarkably suppressing the growth of recurrent GBM and prolonging the overall survival in orthotopic GBM relapse mouse model. This work provides an alternative paradigm for regulating ferroptosis in the postoperative treatment of GBM.
Authors
- Chaoqun You (ORCID: https://orcid.org/0000-0003-4529-077X)
- Qianghu Wang (ORCID: https://orcid.org/0000-0002-3488-1059)
- Junxia Zhang (ORCID: https://orcid.org/0000-0002-8753-1650)
- Xiuxing Wang (ORCID: https://orcid.org/0000-0001-7115-729X)
- Like Ning (ORCID: https://orcid.org/0000-0002-5127-3127)
- Suisui Yang
- Fan Lin (ORCID: https://orcid.org/0000-0001-9169-9416)
- Yuandong Cao (ORCID: https://orcid.org/0000-0001-7263-8722)
- Wenhong Wang (ORCID: https://orcid.org/0000-0002-0641-3792)
- Hongshuai Wu (ORCID: https://orcid.org/0000-0002-9835-8734)
- Tianqi Shen
- Pingping Cao (ORCID: https://orcid.org/0009-0009-8583-3928)
- Hanyang Yu (ORCID: https://orcid.org/0000-0002-8725-1333)
- Haiyang Wang (ORCID: https://orcid.org/0000-0001-9191-9626)
- Ziyi Hu (ORCID: https://orcid.org/0000-0001-8866-2583)
- Qian Xu (ORCID: https://orcid.org/0000-0002-9267-906X)
- Tingting Zhou (ORCID: https://orcid.org/0000-0003-1331-3981)
- Jing Wang (ORCID: https://orcid.org/0009-0005-3735-734X)
Institutions
- Nanjing Forestry University (CN)
- Xuzhou Medical College (CN)
- Jiangsu Cancer Hospital (CN)
- First Affiliated Hospital of Henan University of Science and Technology (CN)
- Zhejiang University of Technology (CN)
- Nanjing Medical University (CN)
Publication Details
- Journal
- Small
- Published
- 2024-10-07
- DOI
- https://doi.org/10.1002/smll.202406036
- Citations
- 12
- Primary Topic
- Ferroptosis and cancer prognosis
- Type
- article
- Field-Weighted Citation Impact
- 5.03
Funders
- National Natural Science Foundation of China