Parvani Jenny G, Gujrati Maneesh D, Mack Margaret A, Schiemann William P, Lu Zheng-Rong
Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH 44106.
Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH 44106.
Cancer Res. 2015 Jun 1;75(11):2316-2325. doi: 10.1158/0008-5472.CAN-14-3485. Epub 2015 Apr 9.
Metastatic breast cancer is the second leading cause of cancer-related deaths among women. Triple-negative breast cancer (TNBC) is a highly aggressive subcategory of breast cancer and currently lacks well-defined molecular targets for effective targeted therapies. Disease relapse, metastasis, and drug resistance render standard chemotherapy ineffective in the treatment of TNBC. Because previous studies coupled β3 integrin (ITGB3) to epithelial-mesenchymal transition (EMT) and metastasis, we exploited β3 integrin as a therapeutic target to treat TNBC by delivering β3 integrin siRNA via lipid ECO-based nanoparticles (ECO/siβ3). Treatment of TNBC cells with ECO/siβ3 was sufficient to effectively silence β3 integrin expression, attenuate TGFβ-mediated EMT and invasion, restore TGFβ-mediated cytostasis, and inhibit three-dimensional organoid growth. Modification of ECO/siβ3 nanoparticles with an RGD peptide via a PEG spacer enhanced siRNA uptake by post-EMT cells. Intravenous injections of RGD-targeted ECO/siβ3 nanoparticles in vivo alleviated primary tumor burden and, more importantly, significantly inhibited metastasis. In the span of 16 weeks of the experiments and observations, including primary tumor resection at week 9 and release from the treatment for 4 weeks, the mice bearing orthotopic, TGFβ-prestimulated MDA-MB-231 tumors that were treated with RGD-targeted ECO/siβ3 nanoparticles were free of metastases and relapse, in comparison with untreated mice. Collectively, these results highlight ECO/siβ3 nanoparticles as a promising therapeutic regimen to combat TNBC.
转移性乳腺癌是女性癌症相关死亡的第二大主要原因。三阴性乳腺癌(TNBC)是乳腺癌中极具侵袭性的一个亚类,目前缺乏明确的有效靶向治疗分子靶点。疾病复发、转移和耐药性使得标准化化疗对TNBC治疗无效。由于先前的研究将β3整合素(ITGB3)与上皮-间质转化(EMT)和转移联系起来,我们将β3整合素作为治疗靶点,通过基于脂质ECO的纳米颗粒(ECO/siβ3)递送β3整合素小干扰RNA(siRNA)来治疗TNBC。用ECO/siβ3处理TNBC细胞足以有效沉默β3整合素表达,减弱转化生长因子β(TGFβ)介导的EMT和侵袭,恢复TGFβ介导的细胞生长停滞,并抑制三维类器官生长。通过聚乙二醇(PEG)间隔物用RGD肽修饰ECO/siβ3纳米颗粒可增强EMT后细胞对siRNA的摄取。在体内静脉注射RGD靶向的ECO/siβ3纳米颗粒可减轻原发性肿瘤负担,更重要的是,显著抑制转移。在为期16周的实验和观察期间,包括在第9周进行原发性肿瘤切除并停止治疗4周,与未治疗的小鼠相比,接受RGD靶向的ECO/siβ3纳米颗粒治疗的原位、TGFβ预刺激的MDA-MB-231肿瘤小鼠没有发生转移和复发。总体而言,这些结果突出了ECO/siβ3纳米颗粒作为对抗TNBC的一种有前景的治疗方案。