Ramot Yuval, Rotkopf Shay, Gabai Rachel Malka, Zorde Khvalevsky Elina, Muravnik Sofia, Marzoli Gabriela Alejandra, Domb Abraham J, Shemi Amotz, Nyska Abraham
Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Silenseed Ltd, Modiin, Israel.
Toxicol Pathol. 2016 Aug;44(6):856-65. doi: 10.1177/0192623316645860. Epub 2016 May 4.
Conventional chemotherapy treatments for pancreatic cancer are mainly palliative. RNA interference (RNAi)-based drugs present the potential for a new targeted treatment. LOcal Drug EluteR (LODER(TM)) is a novel biodegradable polymeric matrix that shields drugs against enzymatic degradation and releases small interfering RNA (siRNA) against G12D-mutated KRAS (siG12D). siG12D-LODER has successfully passed a phase 1/2a clinical trial. Such a formulation necessitates biocompatibility and safety studies. We describe the safety and toxicity studies with siG12D-LODER in 192 Hsd:Sprague Dawley rats, after repeated subcutaneous administrations (days 1, 14, and 28). Animals were sacrificed on days 29 and 42 (recovery phase). In all groups, no adverse effects were noted, and all animals showed favorable local and systemic tolerability. Histopathologically, LODER implantation resulted in the expected capsule formation, composed of a thin fibrotic tissue. On the interface between the cavity and the capsule, a single layer composed of macrophages and multinucleated giant cells was observed. No difference was noted between the placebo and siG12D-LODER groups. These findings provide valuable information for future preclinical studies with siRNA-bearing biodegradable polymers and for the safety aspects of RNAi-based drugs as a targeted therapy.
胰腺癌的传统化疗主要是姑息性的。基于RNA干扰(RNAi)的药物具有新型靶向治疗的潜力。局部药物洗脱剂(LODER™)是一种新型可生物降解聚合物基质,可保护药物免受酶降解,并释放针对G12D突变KRAS的小干扰RNA(siRNA)(siG12D)。siG12D-LODER已成功通过1/2a期临床试验。这种制剂需要进行生物相容性和安全性研究。我们描述了在192只Hsd:Sprague Dawley大鼠中对siG12D-LODER进行重复皮下给药(第l、14和28天)后的安全性和毒性研究。在第29天和第42天(恢复期)处死动物。在所有组中,均未观察到不良反应,所有动物均表现出良好的局部和全身耐受性。组织病理学上,LODER植入导致预期的包膜形成,由薄的纤维组织组成。在腔与包膜之间的界面上,观察到由巨噬细胞和多核巨细胞组成的单层。安慰剂组和siG12D-LODER组之间未观察到差异。这些发现为未来使用携带siRNA的可生物降解聚合物进行临床前研究以及基于RNAi的药物作为靶向治疗的安全性方面提供了有价值的信息。