Mattern Ralph-Heiko, Read Susana B, Pierschbacher Michael D, Sze Chun-I, Eliceiri Brian P, Kruse Carol A
Cancer Ther. 2005;3A:325-340.
A panel of human glioma cell explants was screened for integrin expression by flow cytometry using α(ν)β-specific antibodies. A lower percentage of the glioma cells were positive for the α(ν)β3 (mean % positive = 20.8%) integrin, whereas higher percentages were positive for the ανβ5 (mean % positive = 72.7%), VLA5α (mean % positive = 87%) and VLAβ1 (mean % positive = 41.7%) integrins. A series of RGD peptides was designed, synthesized and tested for binding to integrin receptors. Based on the results of the binding to the isolated integrin receptors and the expression of integrins on glioma cell lines, a peptide that binds potently to the α(ν)β3, α(ν)β5 and α(5)β(1) was selected for further investigations with regards to its effect on glioma cells. The peptide, Ac-c[(Pen)-Tyr(Me)-Ala-Arg-Gly-Asp-Asn-Tic-Cys]NH(2) (RGD peptide), exhibited high potential for use in clinical intracranial administration since it had good stability in rat brain cell homogenates placed into artificial cerebrospinal fluid. Using an HPLC method for quantification of peptides in rat brain cell homogenates, we could demonstrate the half-life of the RGD peptide approximated 20 hr. Relative to a scrambled peptide control (non-RGD sequence, same amino acids), the experimental RGD peptide significantly decreased glioma cell proliferation of the entire panel of rat and human glioma cells tested. Adhesion of recently passaged glioma cells to glioma-derived extracellular matrix protein-coated plates was inhibited significantly by the RGD peptide. The peptide also reversed attachment of plated glioma cells. The RGD peptide caused some, but not substantial, glioma cell injury, as evidenced by a quantitative in vitro nuclear DNA morphologic assay and by a flow cytometric assay employing 7-amino actinomycin D (7AAD). We histologically monitored for toxicity caused by various doses of the RGD peptide infused repeatedly into normal cannulated rat brain. At safe doses, the experimental RGD peptide-treated brains did not show significant differences from those infused with scrambled peptide or buffer-treated controls. In tumor-bearing brains, slightly smaller tumor areas were measured with a higher necrotic-to-tumor index in the RGD peptide treated relative to the scrambled peptide-treated controls. This was obtained with intracranial peptide administrations or combined intracranial and intraperitoneal injections. From this in vitro work, we conclude that the anti-glioma effects of the RGD peptide tested resulted from lowered glioma proliferation and adhesion/mobility, rather than from significant glioma cell injury in the timeframe analyzed. Although other mechanisms not discerned from our limited histopathological observations may be operational, from our in vivo work, we conclude that repeated administration of RGD peptide into brain is safe but that better delivery of the peptides to infiltrating tumor cells is necessary.
使用α(ν)β特异性抗体通过流式细胞术筛选一组人胶质瘤细胞外植体的整合素表达。胶质瘤细胞中α(ν)β3整合素呈阳性的比例较低(平均阳性百分比 = 20.8%),而α(ν)β5(平均阳性百分比 = 72.7%)、VLA5α(平均阳性百分比 = 87%)和VLAβ1(平均阳性百分比 = 41.7%)整合素呈阳性的比例较高。设计、合成了一系列RGD肽,并测试其与整合素受体的结合情况。基于与分离的整合素受体结合的结果以及整合素在胶质瘤细胞系上的表达情况,选择了一种能有效结合α(ν)β3、α(ν)β5和α(5)β(1)的肽,以进一步研究其对胶质瘤细胞的影响。肽Ac-c[(Pen)-Tyr(Me)-Ala-Arg-Gly-Asp-Asn-Tic-Cys]NH(2)(RGD肽)在临床颅内给药方面具有很高的应用潜力,因为它在置于人工脑脊液中的大鼠脑细胞匀浆中具有良好的稳定性。使用HPLC方法对大鼠脑细胞匀浆中的肽进行定量分析,我们可以证明RGD肽的半衰期约为20小时。相对于随机肽对照(非RGD序列,氨基酸相同),实验性RGD肽显著降低了所测试的大鼠和人胶质瘤细胞全组的增殖。RGD肽显著抑制了近期传代的胶质瘤细胞与胶质瘤来源的细胞外基质蛋白包被平板的黏附。该肽还使平板上的胶质瘤细胞发生脱附。RGD肽导致了一些但并不严重的胶质瘤细胞损伤,这通过定量体外核DNA形态学分析以及使用7-氨基放线菌素D(7AAD)的流式细胞术分析得以证明。我们通过组织学监测反复向正常插管大鼠脑内注入不同剂量的RGD肽所引起的毒性。在安全剂量下,接受实验性RGD肽治疗的脑与注入随机肽或缓冲液治疗对照的脑相比,没有显著差异。在荷瘤脑中,与随机肽治疗对照相比,RGD肽治疗组的肿瘤面积略小,坏死与肿瘤指数更高。这是通过颅内肽给药或颅内与腹腔联合注射获得的。从这项体外研究工作中,我们得出结论,所测试的RGD肽的抗胶质瘤作用是由于胶质瘤增殖以及黏附/迁移能力降低,而不是在所分析的时间范围内导致显著的胶质瘤细胞损伤。尽管从我们有限的组织病理学观察中未发现的其他机制可能也在起作用,但从我们的体内研究工作中,我们得出结论,向脑内反复给药RGD肽是安全的,但需要将肽更好地递送至浸润性肿瘤细胞。