Division of Pharmacoengineering and Molecular Pharmaceutics, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Carolina Center for Genome Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Sci Transl Med. 2016 Nov 9;8(364):364ra153. doi: 10.1126/scitranslmed.aag2306.
The liver is the primary site of metastasis for gastrointestinal cancers and is a location highly susceptible to the establishment of metastasis in numerous other primary cancers, including breast, lung, and pancreatic cancers. The current standard of care typically consists of primary tumor resection and systemic administration of potent but toxic chemotherapeutics, yielding a minimal improvement in the median survival rate. CXCL12, a chemokine, is a key factor for activating the migration/survival pathways of CXCR4 cancer cells and for recruiting immunosuppressive cells to areas of inflammation. Therefore, reducing CXCL12 concentrations within the liver has the potential to decrease tumor and immunosuppressive cell activation/migration within the liver. However, because of off-target toxicities associated with systemic administration of anti-CXCL12 therapies, transient and liver-specific expression of a CXCL12 trap is necessary. To address this challenge, we developed a lipid calcium phosphate nanoparticle optimized for delivering plasmid DNA, encoding an engineered CXCL12 protein trap, to the nucleus of liver hepatocytes. This pCXCL12-trap formulation yielded transient (4 days) liver-specific expression, which greatly decreased the occurrence of liver metastasis in two aggressive liver metastasis models, including colorectal [CT-26(FL3)] and breast (4T1) cancers. Subsequent studies in an aggressive human colorectal liver metastasis model (HT-29) decreased the establishment of liver metastasis more effectively than did systemic administration of the CXCL12 protein trap and to a level comparable to a high-dose regimen of a potent CXCR4 antagonist (AMD3100).
肝脏是胃肠道癌症转移的主要部位,也是许多其他原发性癌症(包括乳腺癌、肺癌和胰腺癌)发生转移的高敏部位。目前的治疗标准通常包括原发肿瘤切除和全身应用强效但有毒的化疗药物,中位生存率仅略有改善。趋化因子 CXCL12 是激活 CXCR4 癌细胞迁移/存活途径和招募免疫抑制细胞到炎症部位的关键因素。因此,降低肝脏内的 CXCL12 浓度有可能减少肿瘤和免疫抑制细胞在肝脏内的激活/迁移。然而,由于全身应用抗 CXCL12 疗法存在脱靶毒性,因此需要瞬时和肝脏特异性表达 CXCL12 陷阱。为了解决这一挑战,我们开发了一种优化的脂质磷酸钙纳米颗粒,用于将编码工程化 CXCL12 蛋白陷阱的质粒 DNA 递送到肝实质细胞的细胞核中。这种 pCXCL12-陷阱配方可实现短暂(4 天)的肝脏特异性表达,大大降低了两种侵袭性肝转移模型(包括结直肠癌[CT-26(FL3)]和乳腺癌[4T1])中肝转移的发生。在侵袭性人结直肠癌肝转移模型(HT-29)中的后续研究表明,与全身应用 CXCL12 蛋白陷阱相比,该方法更有效地抑制了肝转移的形成,与高剂量 CXCR4 拮抗剂(AMD3100)的疗效相当。
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