Department of Neurosurgery , Mayo Clinic , Jacksonville , Florida 32224 , United States.
Department of Neurosurgery , Johns Hopkins Hospital , Baltimore , Maryland 21231 , United States.
Mol Pharm. 2019 Apr 1;16(4):1433-1443. doi: 10.1021/acs.molpharmaceut.8b00959. Epub 2019 Mar 11.
Glioblastoma (GBMs) is the most common and aggressive type of primary brain tumor in adults with dismal prognosis despite radical surgical resection coupled with chemo- and radiotherapy. Recent studies have proposed the use of small-molecule inhibitors, including verteporfin (VP), to target oncogenic networks in cancers. Here we report efficient encapsulation of water-insoluble VP in poly(lactic- co-glycolic acid) microparticles (PLGA MP) of ∼1.5 μm in diameter that allows tunable, sustained release. Treatment with naked VP and released VP from PLGA MP decreased cell viability of patient-derived primary GBM cells in vitro by ∼70%. Moreover, naked VP treatment significantly increased radiosensitivity of GBM cells, thereby enhancing overall tumor cell killing ability by nearly 85%. Our in vivo study demonstrated that two intratumoral administrations of sustained slow-releasing VP-loaded PLGA MPs separated by two weeks significantly attenuated tumor growth by ∼67% in tumor volume in a subcutaneous patient-derived GBM xenograft model over 26 d. Additionally, our in vitro data indicate broader utility of VP for treatment for other solid cancers, including chordoma, malignant meningioma, and various noncentral nervous system-derived carcinomas. Collectively, our work suggests that the use of VP-loaded PLGA MP may be an effective local therapeutic strategy for a variety of solid cancers, including unresectable and orphan tumors, which may decrease tumor burden and ultimately improve patient prognosis.
胶质母细胞瘤(GBMs)是成人中最常见且侵袭性最强的原发性脑肿瘤,尽管进行了激进的手术切除,联合化疗和放疗,但其预后仍较差。最近的研究提出了使用小分子抑制剂,包括维替泊芬(VP),来靶向癌症中的致癌网络。在这里,我们报告了将疏水性 VP 高效封装在约 1.5μm 直径的聚(乳酸-共-乙醇酸)微球(PLGA MP)中,使其具有可调节的持续释放能力。裸 VP 和从 PLGA MP 中释放的 VP 处理体外患者来源的原发性 GBM 细胞,使细胞活力降低了约 70%。此外,裸 VP 处理显著提高了 GBM 细胞的放射敏感性,从而使肿瘤细胞杀伤能力提高了近 85%。我们的体内研究表明,在 26 天的时间内,通过两周的间隔进行两次肿瘤内给予持续缓慢释放负载 VP 的 PLGA MPs,在皮下患者来源的 GBM 异种移植模型中,肿瘤体积显著减少了约 67%。此外,我们的体外数据表明,VP 对其他实体瘤的治疗具有更广泛的用途,包括 chordoma、恶性脑膜瘤和各种非中枢神经系统来源的癌。总之,我们的工作表明,负载 VP 的 PLGA MP 的使用可能是各种实体瘤的有效局部治疗策略,包括无法切除和孤儿肿瘤,这可能会减轻肿瘤负担,并最终改善患者的预后。