Department of Pharmacology and Molecular Sciences, Johns Hopkins Medical Institutions, Baltimore, Maryland.
Department of Oncology, The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.
Mol Cancer Ther. 2020 Nov;19(11):2353-2362. doi: 10.1158/1535-7163.MCT-20-0227. Epub 2020 Sep 17.
PRX302 is a highly potent, mutant bacterial pore-forming biologic protoxin engineered for selective activation by PSA, a serine protease expressed by benign and malignant prostate epithelial cells. Although being developed as a local therapy for benign prostatic hyperplasia and localized prostate cancer, PRX302 cannot be administered systemically as a treatment for metastatic disease due to binding to ubiquitously expressed glycosylphosphatidylinositol (GPI)-anchored proteins, which leads to poor accumulation within the tumor microenvironment. To overcome this limitation, poly-lactic-co-glycolic acid (PLGA) microparticles encapsulating the protoxin were developed, which are known to accumulate in the liver, a major site of metastasis for prostate cancer and other solid tumors. A highly sensitive and reproducible sandwich ELISA to quantify PRX302 released from microparticles was developed. Utilizing this assay, PRX302 release from different microparticle formulations was assessed over multiple days. Hemolysis assays documented PSA-dependent pore formation and lytic potential (i.e., function) of the released protoxin. MTT assays demonstrated that conditioned supernatant from PRX302-loaded, but not blank (i.e., unloaded), PLGA microparticles was highly cytotoxic to PC3 and DU145 human prostate cancer cells in the presence of exogenous PSA. Microparticle encapsulation prevented PRX302 from immediately interacting with GPI-anchored proteins as demonstrated in a competition assay, which resulted in an increased therapeutic index and significant antitumor efficacy following a single dose of PRX302-loaded microparticles in a preclinical model of prostate cancer liver metastasis with no obvious toxicity. These results document that PRX302 released from PLGA microparticles demonstrate antitumor efficacy in a clinically relevant preclinical model of metastatic prostate cancer.
PRX302 是一种高效的、突变的细菌形成孔的生物原毒素,经过工程设计,可通过 PSA(一种在良性和恶性前列腺上皮细胞中表达的丝氨酸蛋白酶)选择性激活。虽然 PRX302 被开发为良性前列腺增生和局部前列腺癌的局部治疗方法,但由于与广泛表达的糖基磷脂酰肌醇(GPI)锚定蛋白结合,不能全身给药作为转移性疾病的治疗方法,这导致其在肿瘤微环境中的积累不良。为了克服这一限制,开发了包封原毒素的聚乳酸-共-羟基乙酸(PLGA)微粒,已知这些微粒会在肝脏中积累,而肝脏是前列腺癌和其他实体瘤转移的主要部位。开发了一种高度敏感和可重现的夹心 ELISA 来定量从微粒中释放的 PRX302。利用该测定法,评估了不同微粒制剂在多日时间内释放 PRX302 的情况。溶血试验记录了 PSA 依赖性孔形成和释放原毒素的溶细胞潜力(即功能)。MTT 测定表明,在存在外源性 PSA 的情况下,载有 PRX302 的而非空白(即未载药)PLGA 微粒的条件培养基对 PC3 和 DU145 人前列腺癌细胞具有高度细胞毒性。微粒包封可防止 PRX302 与 GPI 锚定蛋白立即相互作用,如竞争试验所示,这导致在前列腺癌肝转移的临床前模型中单次给予载有 PRX302 的微粒后,治疗指数增加且抗肿瘤疗效显著,且无明显毒性。这些结果表明,从 PLGA 微粒中释放的 PRX302 在具有临床相关性的转移性前列腺癌临床前模型中具有抗肿瘤疗效。