Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Room 607, Tel Aviv University, Tel Aviv 69978, Israel.
QBI Enterprises, Ltd., Ness-Ziona 70400, Israel.
J Control Release. 2017 Jul 10;257:132-143. doi: 10.1016/j.jconrel.2016.06.034. Epub 2016 Jun 26.
Small interfering RNA (siRNA) can silence the expression of a targeted gene in a process known as RNA interference (RNAi). As a consequence, RNAi has immense potential as a novel therapeutic approach in cancer targeted therapy. However, successful application of siRNA for therapeutic purposes is challenging due to its rapid renal clearance, degradation by RNases in the bloodstream, poor cellular penetration, immunogenicity and aggregation in the blood. In addition, the few oligonucleotide-based nanomedicines that reached clinical trials either go to the liver following systemic administration or are applied topically. Treatment of solid tumors requires selective distribution of siRNA to the target tissue, hence there is an unmet medical need for an efficacious and safe nano-sized delivery system for their clinical use. To overcome these hurdles, we have designed, synthesized and physico-chemically characterized a novel nanocarrier based on aminated poly(α)glutamate (PGAamine). This cathepsin B-biodegradable polymer interacts electrostatically with the siRNA to form a nano-sized polyplex stable in plasma. Treatment with PGAamine-Rac1 siRNA polyplex (siRac1-polyplex) caused specific gene silencing by 80% in HeLa and SKOV-3 human ovarian adenocarcinoma cells as opposed to PGAamine-control non-targeting siRNA polyplex (siCtrl-polyplex) leading to inhibition of cell migration and wound healing abilities. A stepwise dose escalation was performed in order to determine the in vivo maximum tolerated dose (MTD). This was followed by intraperitoneal administration of siRac1-polyplex to mCherry-labeled ovarian adenocarcinoma-bearing mice leading to preferred tumor accumulation of siRac1 (8-fold) which resulted in 38% Rac1 knockdown. Furthermore, the polyplex was administered intravenously to lung carcinoma-bearing mice in which it caused 33% Rac1 knockdown. These promising results led to efficacy studies administering systemic treatment with an anticancer siRNA, siPlk1-polyplex, which inhibited tumor growth by 73% and 87% compared with siCtrl-polyplex or saline-treated mice, respectively, leading to prolonged overall survival. These findings represent the first time that a polyaminated poly(α)glutamate polymer is used for an efficacious and safe tumor delivery of RNAi following systemic administration.
小干扰 RNA(siRNA)可以通过 RNA 干扰(RNAi)过程沉默靶向基因的表达。因此,RNAi 作为癌症靶向治疗的一种新型治疗方法具有巨大的潜力。然而,由于其在肾脏中的快速清除、血液中核糖核酸酶的降解、细胞通透性差、免疫原性和血液中的聚集,siRNA 成功应用于治疗具有挑战性。此外,少数进入临床试验的基于寡核苷酸的纳米药物在全身给药后会进入肝脏,或者局部应用。实体瘤的治疗需要将 siRNA 选择性递送到靶组织,因此,迫切需要一种有效的和安全的纳米尺寸的输送系统用于其临床应用。为了克服这些障碍,我们设计、合成并物理化学表征了一种基于氨基化聚(α)谷氨酸(PGAamine)的新型纳米载体。这种组织蛋白酶 B 可生物降解的聚合物与 siRNA 静电相互作用形成在血浆中稳定的纳米级聚阳离子。与 PGAamine-对照非靶向 siRNA 聚阳离子(siCtrl-polyplex)相比,用 PGAamine-Rac1 siRNA 聚阳离子(siRac1-polyplex)处理导致 HeLa 和 SKOV-3 人卵巢腺癌细胞中的特定基因沉默 80%,从而抑制细胞迁移和伤口愈合能力。进行了逐步剂量递增以确定体内最大耐受剂量(MTD)。随后,将 siRac1-polyplex 腹腔内给予 mCherry 标记的卵巢腺癌荷瘤小鼠,导致 siRac1 的优先肿瘤积累(8 倍),导致 Rac1 敲低 38%。此外,将该聚阳离子静脉内给予患有肺癌的小鼠,导致 Rac1 敲低 33%。这些有希望的结果导致进行了全身性抗癌 siRNA,即 siPlk1-polyplex 的治疗效果研究,与 siCtrl-polyplex 或盐水处理的小鼠相比,该 siRNA 抑制肿瘤生长 73%和 87%,导致总生存期延长。这些发现代表了首次使用多胺化聚(α)谷氨酸聚合物通过全身给药有效地和安全地递送至肿瘤 RNAi。