Self-Assembling Nanotubes Overcome Chemotherapy Resistance in Cancer Cells

Researchers have developed a novel drug delivery system using self-assembling nanotubes that can overcome chemotherapy resistance in cancer cells, a major obstacle in treating the disease. The new technique employs cyclic peptides, small rings of amino acids, that form hollow tubes to carry established anticancer drugs directly into the nucleus of resistant tumor cells. This approach effectively bypasses the defense mechanisms that cancer cells typically use to expel therapeutic agents, allowing the drugs to execute their function and destroy the cell.

The study, led by scientists at the University of Santiago de Compostela’s Center for Research in Biological Chemistry and Molecular Materials (CiQUS), focused on doxorubicin, a widely used chemotherapy drug. While effective, its long-term use is often hampered by the emergence of drug-resistant tumors. The new strategy conjugates doxorubicin to specially designed peptides that selectively target cancer cells and assemble into nanotubes on the cell surface. This creates an alternative entryway that circumvents the cellular pumps responsible for drug efflux, renewing the efficacy of a proven cancer treatment. The work, detailed in ACS Applied Materials & Interfaces, represents a significant advance in molecular engineering for oncology.

A Novel Cellular Transport System

The core of the innovation lies in the use of synthetic cyclic peptides designed with alternating chirality. This structural feature causes the small, ring-like molecules to stack on top of one another, spontaneously self-assembling into stable, hollow nanotubes. These structures function as molecular conduits, creating a new pathway for drug delivery. The peptides are both amphipathic and cationic, characteristics that are key to their function. The cationic, or positively charged, nature drives their attraction to cancer cell membranes.

This targeting is not random. Cancer cell membranes are known to contain a higher concentration of negatively charged lipids, specifically anionic phospholipids, compared to the membranes of healthy cells. The peptides’ strong affinity for these anionic surfaces ensures they preferentially interact with and accumulate on tumor cells. Once at the target, they assemble into the nanotube structures, which are capable of destabilizing the cell membrane. This disruption creates a direct route for the attached doxorubicin to enter the cell, a crucial step in bypassing the tumor’s defenses.

Targeting the Cancer Cell Nucleus

The primary goal of this delivery system is to get the chemotherapeutic agent to its site of action: the cell nucleus. Doxorubicin functions by intercalating with the cell’s DNA, a process that disrupts replication and ultimately triggers programmed cell death, or apoptosis. In resistant cells, this process is blocked because the drug is ejected before it can ever reach the nucleus. The peptide nanotube system overcomes this by fundamentally changing how the drug enters and travels within the cell.

Bypassing Efflux Pump Defenses

The most common form of chemotherapy resistance involves efflux pumps, which are proteins on the cell surface that actively pump foreign substances, including drugs like doxorubicin, out of the cell. The peptide nanotubes evade this defense entirely. By creating a novel entry point and destabilizing the membranes of internal cellular compartments called endosomes, the system releases the doxorubicin deep inside the cell. This ensures the drug is not intercepted by the efflux pumps, allowing it to accumulate to a therapeutic concentration and travel onward to the nucleus.

A Dual Therapeutic Function

Beyond simply acting as a delivery vehicle, the peptide nanotubes have their own inherent therapeutic properties. The antimicrobial peptides are designed to disrupt cell membranes, a function that contributes to the overall cytotoxicity of the hybrid drug-peptide conjugate. This dual-action approach means the treatment is not solely reliant on the doxorubicin. The peptide component itself compromises the integrity of the cancer cell, making the combined effect more potent than the drug alone and creating a synergistic therapeutic strategy.

The Broader Challenge of Drug Resistance

Acquired drug resistance is one of the most significant challenges in modern cancer care. Many patients initially respond well to chemotherapy, only for the cancer to return in a more aggressive, non-responsive form. Tumors are biologically heterogeneous, and a small subpopulation of cells may survive initial treatment and proliferate, passing on the traits that allowed them to withstand the drug. This leads to treatments failing and is a primary driver of cancer mortality.

Strategies to overcome this challenge are a major focus of oncology research. The field of nanotechnology, which involves engineering materials at the 1 to 100 nanometer scale, offers sophisticated solutions. Nanocarriers, such as the peptide nanotubes used in this study, can be engineered to exploit the unique biological properties of tumors for targeted drug delivery. By developing systems that attack cancer cells through novel mechanisms or deliver drugs in ways that bypass resistance, scientists aim to make existing therapies effective again and develop more durable treatments for the future.

Future Research and Clinical Potential

The successful demonstration of this cyclic peptide nanotube system in preclinical models is a promising step forward. Experimental studies confirmed that the specific chemical structure of the peptides was essential for the formation of stable nanotubes and their ability to penetrate malignant cells. The research, conducted at CiQUS, a research center supported by the European Union, highlights the potential of bioinspired materials in medicine. The next steps will involve further preclinical testing to evaluate the safety and efficacy of the system in more complex biological models before it can be considered for human clinical trials.

This strategy could potentially be adapted for other types of chemotherapy drugs that face similar resistance issues. The fundamental principle of using self-assembling peptides to selectively target cancer cells and create a novel delivery pathway could be broadly applicable. If proven successful in further studies, this approach could one day help restore the power of established chemotherapies, providing a much-needed solution for patients with drug-resistant cancers.

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