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基于钠碘转运体基因的系统非病毒载体给药后行图像引导的肝癌肿瘤选择性放射性碘治疗。

Image-guided tumor-selective radioiodine therapy of liver cancer after systemic nonviral delivery of the sodium iodide symporter gene.

机构信息

Department of Internal Medicine II, Ludwig-Maximilians-University, 81377 Munich, Germany.

出版信息

Hum Gene Ther. 2011 Dec;22(12):1563-74. doi: 10.1089/hum.2011.041. Epub 2011 Oct 11.

DOI:10.1089/hum.2011.041
PMID:21851208
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3237693/
Abstract

We reported the induction of tumor-selective iodide uptake and therapeutic efficacy of (131)I in a hepatocellular carcinoma (HCC) xenograft mouse model, using novel polyplexes based on linear polyethylenimine (LPEI), shielded by polyethylene glycol (PEG), and coupled with the epidermal growth factor receptor-specific peptide GE11 (LPEI-PEG-GE11). The aim of the current study in the same HCC model was to evaluate the potential of biodegradable nanoparticle vectors based on pseudodendritic oligoamines (G2-HD-OEI) for systemic sodium iodide symporter (NIS) gene delivery and to compare efficiency and tumor specificity with LPEI-PEG-GE11. Transfection of HCC cells with NIS cDNA, using G2-HD-OEI, resulted in a 44-fold increase in iodide uptake in vitro as compared with a 22-fold increase using LPEI-PEG-GE11. After intravenous application of G2-HD-OEI/NIS HCC tumors accumulated 6-11% ID/g (123)I (percentage of the injected dose per gram tumor tissue) with an effective half-life of 10 hr (tumor-absorbed dose, 281 mGy/MBq) as measured by (123)I scintigraphic gamma camera or single-photon emission computed tomography computed tomography (SPECT CT) imaging, as compared with 6.5-9% ID/g with an effective half-life of only 6 hr (tumor-absorbed dose, 47 mGy/MBq) for LPEI-PEG-GE11. After only two cycles of G2-HD-OEI/NIS/(131)I application, a significant delay in tumor growth was observed with markedly improved survival. A similar degree of therapeutic efficacy had been observed after four cycles of LPEI-PEG-GE11/(131)I. These results clearly demonstrate that biodegradable nanoparticles based on OEI-grafted oligoamines show increased efficiency for systemic NIS gene transfer in an HCC model with similar tumor selectivity as compared with LPEI-PEG-GE11, and therefore represent a promising strategy for NIS-mediated radioiodine therapy of HCC.

摘要

我们报道了新型基于线性聚乙烯亚胺(LPEI)的多聚物的诱导肿瘤选择性碘摄取和治疗效果,这些多聚物被聚乙二醇(PEG)屏蔽,并与表皮生长因子受体特异性肽 GE11(LPEI-PEG-GE11)结合。在相同的肝细胞癌(HCC)模型中,本研究的目的是评估基于伪树枝状低聚胺(G2-HD-OEI)的可生物降解纳米载体对系统性钠碘同向转运体(NIS)基因传递的潜力,并与 LPEI-PEG-GE11 进行效率和肿瘤特异性比较。用 G2-HD-OEI 转染 HCC 细胞后,与 LPEI-PEG-GE11 相比,碘摄取增加了 44 倍。静脉应用 G2-HD-OEI/NIS HCC 肿瘤后,通过(123)I 闪烁照相γ相机或单光子发射计算机断层扫描(SPECT CT)成像测量,肿瘤组织吸收剂量为 6-11% ID/g(每克肿瘤组织注射剂量的百分比),有效半衰期为 10 小时(肿瘤吸收剂量为 281 mGy/MBq),而 LPEI-PEG-GE11 的肿瘤组织吸收剂量为 6.5-9% ID/g,有效半衰期仅为 6 小时(肿瘤吸收剂量为 47 mGy/MBq)。仅进行两次 G2-HD-OEI/NIS/(131)I 应用周期后,观察到肿瘤生长明显延迟,生存率显著提高。用 LPEI-PEG-GE11/(131)I 进行四个周期后也观察到类似程度的治疗效果。这些结果清楚地表明,与 LPEI-PEG-GE11 相比,基于 OEI 接枝低聚胺的可生物降解纳米粒子在 HCC 模型中对系统性 NIS 基因转移的效率更高,具有相似的肿瘤选择性,因此代表了 NIS 介导的 HCC 放射性碘治疗的一种有前途的策略。

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