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Table 1 Nanodrugs targeting mitochondria for breast cancer treatment

From: A review of the pathogenesis of mitochondria in breast cancer and progress of targeting mitochondria for breast cancer treatment

Drugs

Formation

Targets

Methods

engineered mitochondrial targeted delivery system

Co-delivery of a natural K-channel agonist (Dinitrogen oxide, DZX) and an artificial K-channel molecule (5F8) via an amphiphilic mitochondria-targeted polymer (TMP)

potassium ion (K) channels

Selective delivery of drugs to cancer cell mitochondria specifically activates natural potassium channels and assembles artificial K-selective ion channels, thereby causing K influx to disrupt intracellular ion homeostasis

TNBC-specific targeted nano delivery agents

cRGD-labelled magnetic liposomes (T-LMD) with oleic acid-coated iron oxide nanoparticles (MN-OA) and doxorubicin (Dox)

iron/lipid metabolism pathway

Iron death nano-inducer (T-LMD) leads to membrane damage through enhanced ROS production, LDH and HMGB1 release while inducing mitochondrial alterations and enhanced DNA double-strand breaks

ATO/SRF@BSA

Developed by loading sorafenib and atovaquone into bovine serum albumin

inhibiting the glutathione peroxidase 4 (GPX4)-GSH pathway and downregulating the DHODH-coenzyme Q (CoQH2) defense mechanism

Promotes accumulation of lipid peroxides in mitochondria and inhibits adenosine triphosphate (ATP) and pyrimidine nucleotide synthesis to inhibit cancer cell self-repair and enhance cell death.

LND-PLGA/TPS/DSSR NPs

Clonidamine (LND) was encapsulated in PLGA nanoparticles (NPs) encapsulated with mitochondria-targeted short chains (TPP-TPGS, TPS) and tumour-targeted long chains (DSPE-S-S-PEG2000-R6RGD, DSSR)

amaging mitochondria and releasing apoptosis-related proteins

Improving efficacy and bioavailability and reducing hepatotoxicity of LND

Ru-TPE-PPh3

Synthesis via copper-catalysed cycloaddition of ruthenium nitride with alkynyl groups (CuAAC)

Excessive generation of reactive oxygen species (ROS)

Loss of mitochondrial membrane potential (MMP) and reduced adenosine triphosphate (ATP) production and onset of mitochondrial autophagy with autophagic flux blockage

COMET

Mitochondrial network disruption (MiND) nanoparticles (NPs) loaded with anti-MFN2 peptide, clindamycin and Bam7

Manipulation of intracellular communication and organelle fusion

Lowering the apoptotic threshold of MDR cells with MiND NPs, then inducing endoplasmic reticulum-mediated unfolded protein response (UPR) by stressing MDR cells with clindamycin, and finally inducing mitochondrial apoptosis with Bam7, a specific bcl-2 Bax activator.

9S1R nullomer peptide

9S1R peptide using alginate as a carrier

Mitochondrial TCA cycle/oxidative phosphorylation

Induction of mitochondrial structural and functional changes leading to deceleration of tumor metabolism

RP7

An antagonist peptide of the receptor for advanced glycosylation end products (RAGE)

RAGE

Inhibited the phosphorylation of ERK1/2, IKKα/β, IKBα and p65, blocked the NF-κB pathway, decreased the protein expression of Bcl-2 and HMGB1, and promoted the release of cytochrome C from mitochondria into the cytoplasm. Activated apoptosis in TNBC cells and inhibited epithelial-mesenchymal transition (EMT).