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Aliphatic alcohols-based modification strategy to balance efficacy and safety of cabazitaxel prodrug nanoassemblies
Nano Research 2025, 18(11): 94907933
Published: 22 September 2025
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Prodrug-based nanoassemblies have emerged as advanced carrier-free nanomedicines. These prodrugs typically consist of drug modules, response modules, and modification modules. The general role of modification modules is to modulate the self-assembly ability of the prodrugs. How to optimize the structure of modification modules for balanced efficacy and safety of high-toxicity chemotherapeutic drugs deserves to be further investigated. In this study, a modification strategy of aliphatic alcohols with various chain lengths (SC4, SC8, SC12, SC16 and SC20) was carried out to design five cabazitaxel (CBZ) prodrugs. Among them, CBZ-SC NPs with shorter chain length (SC4 and SC8) showed poor self-assembly stability. CBZ-SC12 NPs also failed to remain stable while the other two CBZ-SC NPs exhibited good stability. In turn, the drug release rate was hindered by the increasing chain length. CBZ-SC12 NPs caused kidney damage due to their high redox-sensitivity and rapid release rate during circulation. By contrast, CBZ-SC NPs with longer chain length (SC16 and SC20) not only demonstrated superior stability with improved pharmacokinetic behavior, but also might solve the dilemma of dose-related toxicity caused by CBZ. Overall, these findings emphasized the importance of chain length in modification module to modulate the efficacy and safety of CBZ prodrug nanoassemblies.

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