The perioperative
trauma-related platelet recruitment and activation severely affect
tumor recurrence and
metastasis. Therefore, efficiently killing
residual tumor cells and simultaneously inhibiting platelet activation to block platelet-
cancer cell interaction might be a promising strategy to prevent postoperative
tumor recurrence and
metastasis. Methods: Biodegradable PLGA electrospun nanofibrous films co-delivering
doxorubicin-loaded
tumor repopulating cell-derived microparticles (DOX-MPs) and
aspirin (ASA) were developed as the implant materials (DOX-MPs/ASA@NF) for postoperative in-situ treatment. The characterization, cytotoxicity against
tumor cells, inhibition in platelet activation-triggered proliferation, migration and
metastasis of
tumor cells and in vivo anti-recurrence and anti-
metastasis activity induced by DOX-MPs/ASA@NF were systematically evaluated. Results: PLGA nanofibrous films facilitate the enhanced distribution of DOX-MPs as well as DOX-MPs and ASA release in a time-programmed manner within the
tumor resection cavity. The released DOX-MPs efficiently kill the
residual tumor cells, while ASA decreases platelet activation and inhibits platelet-promoted proliferation, migration and
metastasis of
tumor cells, resulting in the remarkable inhibition of postoperative
tumor recurrence and
metastasis. Conclusions: DOX-MPs/ASA@NF may be a promising candidate to prevent the recurrence and
metastasis of resectable
tumors.