School of Pharmacy, Key Laboratory of Smart Drug Delivery, Ministry of Education and PLA, Fudan University, Shanghai, China.
J Drug Target. 2012 Apr;20(3):264-71. doi: 10.3109/1061186X.2011.645162. Epub 2012 Jan 11.
Effective glioblastoma treatment with low toxicity is one of the most difficult challenges in cancer therapy. The interaction between tumor suppressor protein p53 and its negative regulator murine double minute 2 (MDM2) provides a promising target for specific therapy because an important subtype of glioblastoma harbors wild-type p53 and overexpressed MDM2. Several D-peptides have been previously reported to effectively antagonize MDM2 for binding to p53 with high affinity and unsurpassed specificity. However, poor cell penetration and lack of efficient delivery method hampered the therapeutic applicability of the most potent D-peptide, D-PMIβ. In this study, a novel lipophilic derivate of D-PMIβ (pDP) was developed. Liposome was chosen as a carrier for pDP, and cyclic pentapeptide c(RGDyK) was used as a targeting moiety for the treatment of glioblastoma. D-PMIβ was N-terminally modified with palmitic acid and the resultant c(RGDyK) decorated liposomes (RGD-liposomal pDP) showed almost 100% encapsulation efficiency and 10% loading efficiency. The abilities of palmitylated D-peptide to antagonize MDM2 and reactivate p53 specifically were confirmed by the western blot assay. The IC50 ratio of RGD-liposomal pDP in treating human umbilical vascular endothelial normal cells vs. U87 tumor cells was 10 times higher than that of RGD-liposomal doxorubicin. After intravenous administration, the median survival time of intracranial U87 glioblastoma-bearing nude mice treated with RGD-liposomal pDP (29 days) was significant longer than that of mice treated with blank RGD-liposome (23 days) (p<0.001). These results indicated that palmitylated D-peptide inhibitor of p53-MDM2 combined with RGD modified liposomes provided a potential molecular therapy for glioblastoma.
用低毒性有效治疗胶质母细胞瘤是癌症治疗中最具挑战性的难题之一。肿瘤抑制蛋白 p53 与其负调节因子鼠双微体 2(MDM2)之间的相互作用为特异性治疗提供了一个有前途的靶点,因为胶质母细胞瘤的一个重要亚型具有野生型 p53 和过表达的 MDM2。先前已经报道了几种 D-肽可以有效地拮抗 MDM2 与 p53 的结合,具有高亲和力和无与伦比的特异性。然而,较差的细胞穿透性和缺乏有效的递送方法阻碍了最有效 D-肽 D-PMIβ的治疗应用。在本研究中,开发了一种 D-PMIβ的新型亲脂性衍生物(pDP)。选择脂质体作为 pDP 的载体,并且使用环状五肽 c(RGDyK)作为治疗胶质母细胞瘤的靶向部分。D-PMIβ的 N 末端被棕榈酸修饰,所得的 c(RGDyK)修饰的脂质体(RGD- 脂质体 pDP)显示出几乎 100%的包封效率和 10%的载药效率。棕榈酰化 D-肽拮抗 MDM2 和特异性重新激活 p53 的能力通过 Western blot 分析得到证实。RGD-脂质体 pDP 治疗人脐静脉内皮正常细胞与 U87 肿瘤细胞的 IC50 比值比 RGD-脂质体阿霉素高 10 倍。静脉给药后,用 RGD-脂质体 pDP 治疗的颅内 U87 胶质母细胞瘤荷瘤裸鼠的中位存活时间(29 天)明显长于用空白 RGD-脂质体治疗的小鼠(23 天)(p<0.001)。这些结果表明,p53-MDM2 的棕榈酰化 D-肽抑制剂与 RGD 修饰的脂质体联合提供了胶质母细胞瘤的潜在分子治疗方法。