Abstract
Paclitaxel (PTX) is a broad-spectrum chemotherapy drug employed in the treatment of a variety of tumors. However, the clinical applications of PTX are limited by its poor water solubility. Adjuvants are widely used to overcome this issue. However, these adjuvants often have side effects and poor biodistribution. The smart drug delivery system is a promising strategy for the improvement of solubility, permeability, and stability of drugs, and can promote sustained controlled release, increasing therapeutic efficacy and reducing side effects. Polymeric prodrugs show great advantages for drug delivery due to their high drug loading and stability. There has been some groundbreaking work in the development of PTX-based stimulus-sensitive polymeric prodrug micelles, which is summarized in this study. We consider these in terms of the four main types of stimulus (pH, reduction, enzyme, and reactive oxygen species (ROS)). The design, synthesis, and biomedical applications of stimulus-responsive polymeric prodrugs of PTX are reviewed, and the current research results and future directions of the field are summarized.
Introduction
Paclitaxel (PTX) was first discovered in the late 1960s. It is a natural substance derived from the needles and bark of the Pacific yew tree. It is a mitotic inhibitor used primarily in cancer chemotherapy, which can be used in the treatment of various cancers, including ovarian cancer, esophagus cancer, small and non–small-cell lung cancer, multiple myeloma cancer, bladder cancer, breast cancer, head and neck cancer, colon cancer, and Kaposi’s sarcoma (; ; ; ). PTX is a microtubule stabilizing drug, which can prevent cytoskeletal microtubules from depolymerizing into free tubulin. It can also cause tubulin and tubulin dimer of microtubule to lose dynamic balance, leading to cell cycle arrest and stagnation in the G2/M phase, ultimately inhibiting cell growth (; ; ). The efficacy of PTX is primarily attributable to its side chain functionalities, A ring, oxetane ring, and C2 benzoyl group. The acyl group of the C3’ amide in the C13 chain remains active, and its function is enhanced by the hydroxyl group of C2’ (). PTX is insoluble in water (<0.3 mg/ml), and increasing its solubility by adjusting its pH is difficult. This greatly limits its clinical application. At present, the PTX dosage forms such as Taxol, PTX liposome, and PTX albumin binding are used in clinical treatment of breast cancer and ovarian cancer. However, the adjuvants in current clinical preparations have serious side effects. Moreover, it is difficult to achieve controlled drug release at the tumor site. Therefore, there is an urgent need to develop a novel drug delivery system that can improve the permeability and solubility of PTX and facilitate controlled targeted drug delivery, reducing side effects, and improving therapeutic efficacy.
In recent years, the use of self-assembling nanoparticles of amphiphilic polymers has become common in drug delivery as they are able to act as carriers for the hydrophobic molecules of insoluble drugs (; ). Compared with traditional drug delivery systems, polymeric micelles have many merits such as the well-controlled size distribution, improved solubility, the enhanced permeability and retention (EPR) effect, good stability, and reduced toxicity (; ). In addition, drug-targeting at the lesion site can be achieved by introducing targeted functional groups on the surfaces of the amphiphilic polymers (). Amphiphilic polymers can load hydrophobic drugs through physical interaction or chemical bonding. Loading the drug to the polymers through physical interaction usually includes electrostatic interaction, π–π stacking, hydrogen bonding, and hydrophobic interaction (; ). However, the loading capacity using this approach is low, generally less than 10%, and significantly increases the metabolic burden on the body through the additional adjuvants. In addition, the weak connections between the molecules of the drug and the nanoparticles can lead to the untimely release of the drug after intravenous administration. Direct chemical bonding of the drug with the amphiphilic polymer creates a drug delivery system with high drug loading that has excellent stability in the blood circulation and can inhibit the premature release of the drug (; ). Such polymeric prodrug delivery systems can not only improve drug loading significantly but can also precisely control drug loading and pharmacokinetics through chemical reaction. The construction of endogenous stimulus-sensitive polymeric prodrug nanoparticles allows the development of on-demand or triggered drug delivery.
Chemical groups sensitive to external signals (temperature, light, magnetic field, and ultrasonic wave) and endogenous signals [pH, reduction, enzyme, and reactive oxygen species (ROS)] have been extensively exploited in the design of polymeric prodrug delivery systems for triggered drug release (; ). The pH gradient in the tumor microenvironment (e.g., tumor tissue is around 6.5, endosomes are around 5.5, lysosomes are around 5.0) can act as an endogenous stimulus for controlling the drug release in tumor cells (), whereas acidity is a specific feature of the tumor microenvironment; acid-sensitive coupling linkages are often used to construct polymeric prodrug nanoparticles with efficient transformation in tumors. It is reported that there is a significant difference in the concentration of reduced glutathione (GSH) between the microenvironment inside and outside tumor cells. The differences in GSH between intracellular (2–10 mM) and extracellular environments (2–20 μM) of tumor cells, which are often exploited for reduction-sensitive drug delivery system. Therefore, the prodrug with disulfide bonds releases the parent drug effectively in tumor cells and improves the drug utilization (; ). The design and study of enzyme-triggered polymeric prodrugs have potential clinical applications (; ). Phospholipases, oxidoreductases, and proteases overexpressed by tumor cells can act as selective triggers for enzyme-sensitive drug delivery vehicles. Nanodrug delivery systems with reactive oxygen species (ROS) sensitivity can also promote the drug release as the level of ROS in tumor cells is ten times higher than that in normal cells (; ; ; ). For example, the concentration of H2O2 is 0.001–0.7 μM in healthy cells, while it is 10–100 μM in tumor cells (). ROS-sensitive chemical groups such as alkylene sulfides, borate esters, and thioketals (TKs) have been widely exploited to construct efficient stimulus-sensitive drug delivery systems for tumor therapy. However, due to the heterogeneity of tumor cells, the concentration of endogenous ROS is too low to trigger rapid drug release, and few ROS-sensitive drug delivery systems show sufficient sensitivity to tumor cells. Therefore, a ROS-sensitive drug delivery system with the ability to generate ROS would be a promising strategy that could improve selectivity and accelerate drug release to enhance the efficacy of tumor therapy. The construction of the stimulus-sensitive polymeric prodrug will improve the stability and drug loading of PTX, enable its controlled release at the tumor site, enhance the drug utilization, and reduce side effects.
As far as we know, much of the pioneering work on stimulus-sensitive polymeric PTX prodrug nanomedicine has not been well summarized. As shown in Figure 1, research on this subject can be categorized by the four different types of polymer-PTX prodrug stimuli: 1) pH-sensitive polymer-PTX prodrug, 2) reduction-sensitive polymer-PTX prodrug, 3) enzyme-sensitive polymer-PTX prodrug, and 4) ROS-sensitive polymer-PTX prodrug. This review focuses on the design, synthesis, and biomedical applications of stimulus-sensitive PTX polymer prodrugs and the latest research progress. Finally, the future development directions and prospects of this field were briefly discussed.
FIGURE 1
pH-Sensitive Polymer-PTX Prodrug
Compared with that of normal tissue, the tumor microenvironment is highly acidic, which is due to the high metabolic activity of tumor cells. Therefore, the development of pH-sensitive polymer-PTX prodrugs in which drug release is triggered by the acidity of tumor cells has attracted extensive attention. To achieve this, acid-sensitive organoleptic groups, such as acetals and acyclic ketals, are typically built into polymeric prodrug delivery systems to cause the release of the drug when the delivery system encounters an acidic microenvironment. For instance, Zhai et al. developed pH-sensitive polymer-PTX prodrug micelles by grafting PTX onto the main chain of poly (ethylene glycol) (PEG)-polycarbonate through an acetal-linker to accelerate drug release in tumor cells. The drug loading of PTX reached up to 33% (). mPEG-PCL-Ace-PTX is a pH-sensitive PTX prodrug micelle with the PTX content as high as 23.5 wt%. This was constructed using functionalized poly (ethyleneglycol)-poly (ε-caprolactone) (mPEG-PCL) diblock polymer with an acid-cleavable acetal (Ace) linkage (). Another pH-sensitive amphiphilic polymeric prodrug, PEG-acetal-PTX, has been constructed for the inhibition of tumor cell proliferation.
This self-assembled prodrug has excellent stability with drug loading up to 60.3% (). Acyclic ketals are generally more acid-sensitive than acetals, so the development of pH-sensitive polymeric prodrug micelles based on acyclic ketal–coupled linkers are more desirable (). Guo et al. constructed acyclic-ketal–based acid-sensitive PTX prodrug micelles using PEG with different lengths. They found that the length of PEG affects the hydrolysis kinetics, pharmacokinetics, biodistribution, and antitumor activity of the prodrug nanoparticles ().
Reduction-Sensitive Polymer-PTX Prodrug
Due to the high expression of GSH in tumor cells, polymeric prodrugs with reduction-sensitive properties can achieve controlled intracellular drug release. Li et al. constructed a folate-targeted reduction-sensitive polymeric prodrug micelle by coupling PTX with dextrin through disulfide bond and embedded mitochondrial inhibitor of adjudin to overcome any multi-drug resistance of tumor cells (Figure 2A) (). Liu et al. demonstrated that the reduction-sensitive PTX prodrug modified with maleimide functional groups was able to rapidly bind the circulating albumin immediately after intravenous administration (). The albumin-bound PTX–maleimide prodrug nanoparticles exhibited longer circulation time and excellent anti-tumor efficacy in vivo. This disulfide-bridged prodrug exhibited selective cytotoxicity toward tumor cells and enhanced tumor suppression in BALB/C mice bearing 4T1 tumor. Xie et al. reported a reduction-sensitive prodrug of PTX (PTX-S-BDP) by linking PTX and BODIPY (BDP-OH) using a reduction-sensitive linker for fluorescence imaging–guided chemotherapy (). PTX-S-BDP nanoparticles display excellent cellular imaging and good cellular selectivity, with free PTX reserving its cytotoxic effects for cancerous cells. Other studies have endeavored to produce synergistic therapeutic effects by combining two or more agents with different target signaling pathways (). Gu et al. synthesized an amphiphilic reduction-sensitive prodrug of PTX-SS-TMP to deliver both PTX and the antiangiogenic agent of tetramethylpyrazine (TMP) to realize the synergistic treatment of A2780 tumor-bearing mice ().
FIGURE 2
In addition, chemo-photodynamic therapy is an advanced treatment method that researchers are more concerned about (
Enzyme-Sensitive Polymer-PTX Prodrug
Enzymes have been used extensively as prodrug release triggers for stimulus-sensitive materials due to their high selectivity toward tumor cells (
FIGURE 3

(A) Structure and synthesis of enzyme-sensitive amphiphilic Janus PEGylated dendrimer-GFLG-PTX prodrug and its released PTX from prodrug through intracellular enzymolysis after endocytosis (
ROS-Sensitive Polymer-PTX Prodrug
It is well known that benzylboronic ester can trigger an elimination response through the high levels of ROS in tumor cells, while the benzylboronic ester linkers have demonstrated excellent stability during blood circulation. For example, Shen et al. constructed the novel ROS-sensitive prodrug micelles based on p-(borate ester)benzyl by introducing the benzylboronic ester linker between the PTX and the PEG (PEG-B-PTX) (
Summary and Future Perspectives
The presence of the polymer shell stabilizes the polymer-based drug delivery system. Thus, they have the advantages of controlled PTX release, reduced dosage, and reduced systemic side effects. However, polymer-based drug delivery systems have some limitations. Organic solvents or surfactants, such as those often used in the preparation of polymer nanoparticles, can disrupt biological membranes and have significant interaction with certain proteins. At the cellular level, polymer-based nanodrug delivery systems are not as biocompatible as liposomes. The structure of polymeric nanoparticles is unstable, and the encapsulation of a large amount of PTX can lead to colloidal transformation. There is a main disadvantage that polymer nanoparticles lack selectivity toward tumor cells. Although nanoparticles can passively target solid tumors through the EPR effect, the majority of polymer prodrugs nanoparticles with the size range from 100 to 500 nm will still be cleared by the reticuloendothelial system. Active targeting can achieve specific uptake of tumor cells, further improve drug utilization, and reduce side effects. Polymers are generally modified targeting functional groups by chemical reaction to achieve active targeting.
From the reviewed studies, it can be seen that a number of biocompatible polymers have been used and characterized for PTX prodrug formulation (Table 1). Amphiphilic polymer is the most widely studied material, but in fact, proteins are biodegradable, nonantigenic, and metabolizable, which provide a variety of possibilities for drug delivery and is a promising material for adjuvants. Many types of nanoscale drug delivery systems have been used to deliver PTX, including micelles, polysomes, liposomes, and fibers. From these studies, it can be concluded that tumor microenvironment stimulus-responsive polymeric prodrugs not only show outstanding stability and solubility but also have a controlled PTX release profile and biocompatibility. Therefore, prodrug nanoparticles hold exciting promise as a potential PTX delivery tool.
TABLE 1
| Type | Sensitive group | Material | Cancer type | References |
|---|---|---|---|---|
| pH | Acetal | APPMs | A549 | |
| mPEG-PCL-Ace-PTX5 | MCF-7 | |||
| PEG-acetal-PTX (PAP) | HeLa and MDA-MB-231 | |||
| Acyclic-ketal | PEGylated acetone- acyclic-ketal-PTX (PKPs) | A2780 tumor-bearing mice | ||
| Reduction | Thioether and disulfide | PSMAL and PSSMAL | 4T1 tumor-bearing mice | |
| Thioether | PTX-S-BDP. | HeLa and L929 | ||
| Disulfide | PTX-ss-TMP | A2780 tumor-bearing mice | ||
| TB@PMP | HeLa tumor-bearing mice | |||
| TB@PMPT | HeLa tumor-bearing mice | |||
| diPTX@Fe&TA | HeLa tumor-bearing mice | |||
| diPTX@CPGC | NOD/SCID IL2-R-gamma mice | |||
| PTX-SS-CIT | 4T1 tumor-bearing mice | |||
| PTX-SS-Val, PTX-SS-COOH | MCF-7 | |||
| FA-DEX-ss-PTX | HCT-8/PTX tumor-bearing mice | |||
| Azo | Ce6/PTX2-Azo | HeLa tumor-bearing mice | ||
| Enzyme | GFLG | PEGylated dendrimer-GFLG-PTX | 4T1 tumor-bearing mice | |
| pGAEMA-PTX-Ppa-Gd | 4T1 tumor-bearing mice | |||
| dendritic- [(GFLG-polyPTX)-block-polyOEGMA] | 4T1 tumor-bearing mice | |||
| poly (OEGMA)-PTX@Ce6 | PDX tumor bearing mice | |||
| Borate ester)benzyl | PEG-B-PTX | MCF-7 tumor-bearing mice | ||
| ROS | Thioketal | RBC(M(TPC-PTX)) | HeLa tumor-bearing mice | |
| PEG-b-P(LL-g-TK-PTX)-(LL-g-DMA) | PC-3 tumor-bearing mice | |||
| DEX-TK-PTX | HCT-8/PTX tumor-bearing mice | |||
| RLPA-NPs | 4T1 cells tumor-bearing mice | |||
| Thioether | LPC/PTX-S-LA PMs | 4T1 tumor-bearing mice | ||
| PPa-S-PTX | KB and 4T1 tumor-bearing mice |
Summary of representative systems for PTX prodrugs.
Conclusion
The application of nanotechnology to cancer treatment has led to several breakthroughs previously and continues to flourish as a key component of the health care system. Abraxane is the only nano-PTX formulation approved by the FDA and EMEA for the treatment of cancer, and is the most successful PTX formulation in clinical research. In this review, we have focused on amphiphilic polymer-PTX prodrug delivery systems and their ability to provide stimulus-sensitive therapeutic nanoplatforms for intracellular on-demand drug release. Polymeric prodrug nanoparticles can not only greatly improve the drug loading and solubility of PTX but can reduce its toxicity. In the future development of more promising nano-prodrug PTX formulations, some challenges will need to be overcome. Among them, there is the need to improve the efficiency of drug enrichment and the specificity of its release at the lesion site.
Despite this, the efficacy remains low for the prodrugs developed thus far. This may be due to the multilevel and complex biological issues inherent in attempting to eliminate cancerous tissues with minimum harm to the human body. Achieving this end requires targeted nanocarriers with strong specificity. To sum up, the research discussed in this review has made advances but there are still limitations to overcome. We hope that this overview will provide some ideas for future nano-prodrug delivery systems.
Statements
Author contributions
MZ, LW, and CW wrote the manuscript. LQ, YL, and XY reviewed and edited the manuscript. All authors revised the manuscript.
Funding
This work was financially supported by the Research Fund of Gannan Medical University (No. QD201903) and the Science and Technology Project of the Education Department of Jiangxi Province (No. GJJ211537) the National Natural Science Foundation of China (51864033, 21978127) and the National Key Research Development Program of China (2019YFC0605000).
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Publisher’s note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.
References
1
AshrafizadehM.MirzaeiS.HashemiF.ZarrabiA.ZabolianA.SalekiH.et al (2021). New Insight towards Development of Paclitaxel and Docetaxel Resistance in Cancer Cells: EMT as a Novel Molecular Mechanism and Therapeutic Possibilities. Biomed. Pharmacother.141, 111824. 10.1016/j.biopha.2021.111824
2
CabralH.KataokaK. (2014). Progress of Drug-Loaded Polymeric Micelles into Clinical Studies. J. Controlled Release190, 465–476. 10.1016/j.jconrel.2014.06.042
3
ChangN.ZhaoY.GeN.QianL. (2020). A pH/ROS cascade-responsive and Self-Accelerating Drug Release Nanosystem for the Targeted Treatment of Multi-Drug-Resistant colon Cancer. Drug Deliv.27, 1073–1086. 10.1080/10717544.2020.1797238
4
ChenD.GeS.ZuoL.WangS.LiuM.LiS. (2020). Adjudin-loaded Redox-Sensitive Paclitaxel-Prodrug Micelles for Overcoming Multidrug Resistance with Efficient Targeted colon Cancer Therapy. Drug Deliv.27, 1094–1105. 10.1080/10717544.2020.1797245
5
ChenD.ZhangG.LiR.GuanM.WangX.ZouT.et al (2018). Biodegradable, Hydrogen Peroxide, and Glutathione Dual Responsive Nanoparticles for Potential Programmable Paclitaxel Release. J. Am. Chem. Soc.140, 7373–7376. 10.1021/jacs.7b12025
6
ChenE.WangT.ZhangJ.ZhouX.NiuY.LiuF.et al (2021). Mitochondrial Targeting and pH-Responsive Nanogels for Co-delivery of Lonidamine and Paclitaxel to Conquer Drug Resistance. Front. Bioeng. Biotechnol.9, 787320. 10.3389/fbioe.2021.787320
7
ChengY. J.QinS. Y.LiuW. L.MaY. H.ChenX. S.ZhangA. Q.et al (2020). Dual‐Targeting Photosensitizer‐Peptide Amphiphile Conjugate for Enzyme‐Triggered Drug Delivery and Synergistic Chemo‐Photodynamic Tumor Therapy. Adv. Mater. Inter.7 (19), 2000935. 10.1002/admi.202000935
8
ChowdhuryN.SinghM. (2020). Current Development of Oral Taxane Formulations: a Review. Crit. Rev. Ther. Drug Carrier Syst.37 (3), 205–227. 10.1615/CritRevTherDrugCarrierSyst.2020029699
9
DaiY.ChenX.ZhangX. (2019). Recent Advances in Stimuli-Responsive Polymeric Micelles via Click Chemistry. Polym. Chem.10 (1), 34–44. 10.1039/c8py01174e
10
DengC.ZhangQ.GuoJ.ZhaoX.ZhongZ. (2020). Robust and Smart Polypeptide-Based Nanomedicines for Targeted Tumor Therapy. Adv. Drug Deliv. Rev.160, 199–211. 10.1016/j.addr.2020.10.019
11
DengZ.LiuS. (2020). Controlled Drug Delivery with Nanoassemblies of Redox-Responsive Prodrug and Polyprodrug Amphiphiles. J. Controlled Release326, 276–296. 10.1016/j.jconrel.2020.07.010
12
DongC.ZhouQ.XiangJ.LiuF.ZhouZ.ShenY. (2020). Self-assembly of Oxidation-Responsive Polyethylene Glycol-Paclitaxel Prodrug for Cancer Chemotherapy. J. Controlled Release321, 529–539. 10.1016/j.jconrel.2020.02.038
13
DuX.YinS.XuL.MaJ.YuH.WangG.et al (2020). Polylysine and Cysteine Functionalized Chitosan Nanoparticle as an Efficient Platform for Oral Delivery of Paclitaxel. Carbohydr. Polym.229, 115484. 10.1016/j.carbpol.2019.115484
14
GaoC.WangY.YeZ.LinZ.MaX.HeQ. (2021a). Biomedical Micro‐/Nanomotors: From Overcoming Biological Barriers to In Vivo Imaging. Adv. Mater.33 (6), 2000512. 10.1002/adma.202000512
15
GaoY.ZuoS.LiL.LiuT.DongF.WangX.et al (2021b). The Length of Disulfide Bond-Containing Linkages Impacts the Oral Absorption and Antitumor Activity of Paclitaxel Prodrug-Loaded Nanoemulsions. Nanoscale13 (23), 10536–10543. 10.1039/d1nr01359a
16
HongS.LeeY.ShinH.KimT.JungE.LeeD. (2021). Nanoassemblies of Disulfide-Bridged Bile Acid Dimers as Therapeutics Agents for Hepatic Ischemia/reperfusion Injury. Acs Appl. Bio Mater.4 (4), 3145–3154. 10.1021/acsabm.0c01554
17
HuangD.ZhuangY.ShenH.YangF.WangX.WuD. (2018). Acetal-linked PEGylated Paclitaxel Prodrugs Forming Free-Paclitaxel-Loaded pH-Responsive Micelles with High Drug Loading Capacity and Improved Drug Delivery. Mater. Sci. Eng. C82, 60–68. 10.1016/j.msec.2017.08.063
18
JinX.ZhangJ.JinX.LiuL.TianX. (2020). Folate Receptor Targeting and Cathepsin B-Sensitive Drug Delivery System for Selective Cancer Cell Death and Imaging. Acs Med. Chem. Lett.11 (8), 1514–1520. 10.1021/acsmedchemlett.0c00031
19
KhalifaA. M.ElsheikhM. A.KhalifaA. M.ElnaggarY. S. R. (2019). Current Strategies for Different Paclitaxel-Loaded Nano-Delivery Systems towards Therapeutic Applications for Ovarian Carcinoma: A Review Article. J. Controlled Release311-312, 125–137. 10.1016/j.jconrel.2019.08.034
20
LiC.WangY.ZhangS.ZhangJ.WangF.SunY.et al (2021a). pH and ROS Sequentially Responsive Podophyllotoxin Prodrug Micelles with Surface Charge-Switchable and Self-Amplification Drug Release for Combating Multidrug Resistance Cancer. Drug Deliv.28 (1), 680–691. 10.1080/10717544.2021.1905750
21
LiJ.KeW.LiH.ZhaZ.HanY.GeZ. (2015). Endogenous Stimuli-Sensitive Multistage Polymeric Micelleplex Anticancer Drug Delivery System for Efficient Tumor Penetration and Cellular Internalization. Adv. Healthc. Mater.4 (15), 2206–2219. 10.1002/adhm.201500379
22
LiN.CaiH.JiangL.HuJ.BainsA.HuJ.et al (2017). Enzyme-sensitive and Amphiphilic PEGylated Dendrimer-Paclitaxel Prodrug-Based Nanoparticles for Enhanced Stability and Anticancer Efficacy. ACS Appl. Mater. Inter.9 (8), 6865–6877. 10.1021/acsami.6b15505
23
LiY.ChenM.YaoB.LuX.SongB.VasilatosS. N.et al (2020). Dual pH/ROS‐Responsive Nanoplatform with Deep Tumor Penetration and Self‐Amplified Drug Release for Enhancing Tumor Chemotherapeutic Efficacy. Small16 (32), 2002188. 10.1002/smll.202002188
24
LiY.YangM.ZhaoY.LiL.XuW. (2021b). Preparation and In Vitro Evaluation of Amphiphilic Paclitaxel Small Molecule Prodrugs and Enhancement of Oral Absorption. Eur. J. Med. Chem.215, 113276. 10.1016/j.ejmech.2021.113276
25
LiuN.ChenQ.ZhangQ.WangJ.SiR.ZhangJ.et al (2021). The Application of Prodrug-Based Drug Delivery Strategy in Anticancer Drugs. Ctmc21 (24), 2184–2204. 10.2174/1568026621666210909163108
26
LouX.ZhangD.LingH.HeZ.SunJ.SunM.et al (2021). Pure Redox-Sensitive Paclitaxel-Maleimide Prodrug Nanoparticles: Endogenous Albumin-Induced Size Switching and Improved Antitumor Efficiency. Acta Pharmaceutica Sinica B11 (7), 2048–2058. 10.1016/j.apsb.2020.12.001
27
LuoC.SunB.WangC.ZhangX.ChenY.ChenQ.et al (2019). Self-facilitated ROS-Responsive Nanoassembly of Heterotypic Dimer for Synergistic Chemo-Photodynamic Therapy. J. Controlled Release302, 79–89. 10.1016/j.jconrel.2019.04.001
28
LuoL.YinZ.QiY.LiuS.YiY.TianX.et al (2021). An Intracellular Enzyme-Responsive Polymeric Prodrug with Synergistic Effect of Chemotherapy and Two-Photon Photodynamic Therapy. Appl. Mater. Today23, 2002188. 10.1016/j.apmt.2021.100996
29
MajumderN.G DasN.DasS. K. (2020). Polymeric Micelles for Anticancer Drug Delivery. Ther. Deliv.11 (10), 613–635. 10.4155/tde-2020-0008
30
MoscaL.IlariA.FaziF.AssarafY. G.ColottiG. (2021). Taxanes in Cancer Treatment: Activity, Chemoresistance and its Overcoming. Drug Resist. Updates54, 2002188. 10.1016/j.drup.2020.100742
31
MuJ.ZhongH.ZouH.LiuT.YuN.ZhangX.et al (2020). Acid-sensitive PEGylated Paclitaxel Prodrug Nanoparticles for Cancer Therapy: Effect of PEG Length on Antitumor Efficacy. J. Controlled Release326, 265–275. 10.1016/j.jconrel.2020.07.022
32
PeiQ.HuX.ZhengX.LiuS.LiY.JingX.et al (2018). Light-activatable Red Blood Cell Membrane-Camouflaged Dimeric Prodrug Nanoparticles for Synergistic Photodynamic/chemotherapy. Acs Nano12 (2), 1630–1641. 10.1021/acsnano.7b08219
33
PeiQ.LuS.ZhouJ.JiangB.LiC.XieZ.et al (2021). Intracellular Enzyme-Responsive Profluorophore and Prodrug Nanoparticles for Tumor-specific Imaging and Precise Chemotherapy. ACS Appl. Mater. Inter.13 (50), 59708–59719. 10.1021/acsami.1c19058
34
PengJ.YinY.LiangH.LuY.ZhengH.WuG.et al (2021). Tumor Microenvironment Responsive Pepper Mild Mottle Virus-Based Nanotubes for Targeted Delivery and Controlled Release of Paclitaxel. Front. Bioeng. Biotechnol.9, 763661. 10.3389/fbioe.2021.763661
35
Roacho-PérezJ. A.Garza-TreviñoE. N.Delgado-GonzalezP.G-BuentelloZ.Delgado-GallegosJ. L.et al (2021). Target Nanoparticles against Pancreatic Cancer: Fewer Side Effects in Therapy. Life11 (11), 1187. 10.3390/life11111187
36
SaravanakumarG.KimJ.KimW. J. (2017). Reactive-oxygen-species-responsive Drug Delivery Systems: Promises and Challenges. Adv. Sci.4 (1), 1600124. 10.1002/advs.201600124
37
SrinivasanS.RoyD.ChavasT. E. J.VlaskinV.HoD.-K.PottengerA.et al (2021). Liver-targeted Polymeric Prodrugs of 8-aminoquinolines for Malaria Radical Cure. J. Controlled Release331, 213–227. 10.1016/j.jconrel.2020.12.046
38
SuL.LiR.KhanS.ClantonR.ZhangF.LinY.-N.et al (2018). Chemical Design of Both a Glutathione-Sensitive Dimeric Drug Guest and a Glucose-Derived Nanocarrier Host to Achieve Enhanced Osteosarcoma Lung Metastatic Anticancer Selectivity. J. Am. Chem. Soc.140 (4), 1438–1446. 10.1021/jacs.7b11462
39
TanP.CaiH.WeiQ.TangX.ZhangQ.KopytynskiM.et al (2021). Enhanced Chemo-Photodynamic Therapy of an Enzyme-Responsive Prodrug in Bladder Cancer Patient-Derived Xenograft Models. Biomaterials277, 121061. 10.1016/j.biomaterials.2021.121061
40
UlbrichK.HoláK.ŠubrV.BakandritsosA.TučekJ.ZbořilR. (2016). Targeted Drug Delivery with Polymers and Magnetic Nanoparticles: Covalent and Noncovalent Approaches, Release Control, and Clinical Studies. Chem. Rev.116 (9), 5338–5431. 10.1021/acs.chemrev.5b00589
41
WangB.LvP.CaiH.LiY.ZhuH.LuiS.et al (2019a). Enzyme-responsive Copolymer as a Theranostic Prodrug for Tumor In Vivo Imaging and Efficient Chemotherapy. J. Biomed. Nanotechnol.15 (9), 1897–1908. 10.1166/jbn.2019.2833
42
WangJ.PeiQ.XiaR.LiuS.HuX.XieZ.et al (2020). Comparison of Redox Responsiveness and Antitumor Capability of Paclitaxel Dimeric Nanoparticles with Different Linkers. Chem. Mater.32 (24), 10719–10727. 10.1021/acs.chemmater.0c04080
43
WangK.YangB.YeH.ZhangX.SongH.WangX.et al (2019b). Self-strengthened Oxidation-Responsive Bioactivating Prodrug Nanosystem with Sequential and Synergistically Facilitated Drug Release for Treatment of Breast Cancer. ACS Appl. Mater. Inter.11 (21), 18914–18922. 10.1021/acsami.9b03056
44
XiaJ.PeiQ.ZhengM.XieZ. (2021). An Activatable Fluorescent Prodrug of Paclitaxel and BODIPY. J. Mater. Chem. B9 (9), 2308–2313. 10.1039/d0tb02510k
45
XuC.SongR.LuP.ChenJ.ZhouY.ShenG.et al (2020). A pH-Responsive Charge-Reversal Drug Delivery System with Tumor-specific Drug Release and ROS Generation for Cancer Therapy. IjnVol. 15, 65–80. 10.2147/IJN.S230237
46
YangG.-G.ZhangH.ZhangD.-Y.CaoQ.YangJ.JiL.-N.et al (2018). Cancer-specific Chemotherapeutic Strategy Based on the Vitamin K3 Mediated ROS Regenerative Feedback and Visualized Drug Release In Vivo. Biomaterials185, 73–85. 10.1016/j.biomaterials.2018.08.065
47
YiX.DaiJ.HanY.XuM.ZhangX.ZhenS.et al (2018). A High Therapeutic Efficacy of Polymeric Prodrug Nano-Assembly for a Combination of Photodynamic Therapy and Chemotherapy. Commun. Biol.1, 202. 10.1038/s42003-018-0204-6
48
YiX.HuJ.-J.DaiJ.LouX.ZhaoZ.XiaF.et al (2021). Self-guiding Polymeric Prodrug Micelles with Two Aggregation-Induced Emission Photosensitizers for Enhanced Chemo-Photodynamic Therapy. Acs Nano15 (2), 3026–3037. 10.1021/acsnano.0c09407
49
YiX.ZengW.WangC.ChenY.ZhengL.ZhuX.et al (2022). A Step-by-step Multiple Stimuli-Responsive Metal-Phenolic Network Prodrug Nanoparticles for Chemotherapy. Nano Res.15 (2), 1205–1212. 10.1007/s12274-021-3626-2
50
ZengS.OuH.GaoZ.ZhangJ.LiC.LiuQ.et al (2021). HCPT-peptide Prodrug with Tumor Microenvironment -responsive Morphology Transformable Characteristic for Boosted Bladder Tumor Chemotherapy. J. Controlled Release330, 715–725. 10.1016/j.jconrel.2020.12.042
51
ZhaiS.HuX.HuY.WuB.XingD. (2017a). Visible Light-Induced Crosslinking and Physiological Stabilization of Diselenide-Rich Nanoparticles for Redox-Responsive Drug Release and Combination Chemotherapy. Biomaterials121, 41–54. 10.1016/j.biomaterials.2017.01.002
52
ZhaiY.ZhouX.JiaL.MaC.SongR.DengY.et al (2017b). Acetal-linked Paclitaxel Polymeric Prodrug Based on Functionalized mPEG-PCL Diblock Polymer for pH-Triggered Drug Delivery. Polymers9 (12), 698. 10.3390/polym9120698
53
ZhangZ.MeiL.FengS.-S. (2013). Paclitaxel Drug Delivery Systems. Expert Opin. Drug Deliv.10, 325–340. 10.1517/17425247.2013.752354
54
ZhouS.FuS.WangH.DengY.ZhouX.SunW.et al (2020a). Acetal-linked Polymeric Prodrug Micelles Based on Aliphatic Polycarbonates for Paclitaxel Delivery: Preparation, Characterization, In vitro Release and Anti-proliferation Effects. J. Biomater. Sci. Polym. Ed.31 (15), 2007–2023. 10.1080/09205063.2020.1792046
55
ZhouS.HuX.XiaR.LiuS.PeiQ.ChenG.et al (2020b). A Paclitaxel Prodrug Activatable by Irradiation in a Hypoxic Microenvironment. Angew. Chem. Int. Ed.59 (51), 23198–23205. 10.1002/anie.202008732
56
ZouL.LiuX.LiJ.LiW.ZhangL.FuC.et al (2021). Redox-sensitive Carrier-free Nanoparticles Self-Assembled by Disulfide-Linked Paclitaxel-Tetramethylpyrazine Conjugate for Combination Cancer Chemotherapy. Theranostics11 (9), 4171–4186. 10.7150/thno.42260
57
ZuoS.SunB.YangY.ZhouS.ZhangY.GuoM.et al (2020). Probing the Superiority of Diselenium Bond on Docetaxel Dimeric Prodrug Nanoassemblies: Small Roles Taking Big Responsibilities. Small16 (45), 2005039. 10.1002/smll.202005039
58
ZuoS.WangZ.AnX.WangJ.ZhengX.ShaoD.et al (2021). Self-assembly Engineering Nanodrugs Composed of Paclitaxel and Curcumin for the Combined Treatment of Triple Negative Breast Cancer. Front. Bioeng. Biotechnol.9, 121061. 10.3389/fbioe.2021.747637
Summary
Keywords
paclitaxel, polymer prodrug, stimuli-sensitive, drug delivery, cancer
Citation
Zhou M, Wen L, Wang C, Lei Q, Li Y and Yi X (2022) Recent Advances in Stimuli-Sensitive Amphiphilic Polymer-Paclitaxel Prodrugs. Front. Bioeng. Biotechnol. 10:875034. doi: 10.3389/fbioe.2022.875034
Received
13 February 2022
Accepted
11 March 2022
Published
06 April 2022
Volume
10 - 2022
Edited by
Ziqiang Xu, Hubei University, China
Reviewed by
Cheng-Xiong Yang, Nankai University, China
Jinjin Chen, Tufts University, United States
Yinlong Zhang, National Center for Nanoscience and Technology (CAS), China
Updates

Check for updates
Copyright
© 2022 Zhou, Wen, Wang, Lei, Li and Yi.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Qiao Lei, qiaolei@ahmu.edu.cn; Yongxiu Li, yxli@ncu.edu.cn; Xiaoqing Yi, keyi0115@126.com
This article was submitted to Nanobiotechnology, a section of the journal Frontiers in Bioengineering and Biotechnology
Disclaimer
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.