Laboratory of Clinical Chemistry and Haematology, University Medical Center Utrecht, Utrecht, 3584 CX, The Netherlands.
Department of Biochemistry and Molecular Biology, University of British Columbia, Vancouver, BC, V6T 1Z3, Canada.
Small. 2021 Sep;17(37):e2103025. doi: 10.1002/smll.202103025. Epub 2021 Aug 1.
Successfully employing small interfering RNA (siRNA) therapeutics requires the use of nanotechnology for efficient intracellular delivery. Lipid nanoparticles (LNPs) have enabled the approval of various nucleic acid therapeutics. A major advantage of LNPs is the interchangeability of its building blocks and RNA payload, which allow it to be a highly modular system. In addition, drug derivatization approaches can be used to synthesize lipophilic small molecule prodrugs that stably incorporate in LNPs. This provides ample opportunities to develop combination therapies by co-encapsulating multiple therapeutic agents in a single formulation. Here, it is described how the modular LNP platform is applied for combined gene silencing and chemotherapy to induce additive anticancer effects. It is shown that various lipophilic taxane prodrug derivatives and siRNA against the androgen receptor, a prostate cancer driver, can be efficiently and stably co-encapsulated in LNPs without compromising physicochemical properties or gene-silencing ability. Moreover, it is demonstrated that the combination therapy induces additive therapeutic effects in vitro. Using a double-radiolabeling approach, the pharmacokinetic properties and biodistribution of LNPs and prodrugs following systemic administration in tumor-bearing mice are quantitatively determined. These results indicate that co-encapsulating siRNA and lipophilic prodrugs into LNPs is an attractive and straightforward plug-and-play approach for combination therapy development.
成功应用小干扰 RNA(siRNA)治疗需要使用纳米技术进行有效的细胞内递药。脂质纳米粒(LNP)使各种核酸治疗药物获得批准。LNP 的一个主要优势在于其构建模块和 RNA 有效荷载的可互换性,这使其成为一个高度模块化的系统。此外,可以使用药物衍生化方法合成亲脂性小分子前药,这些前药可以稳定地掺入 LNP 中。这为通过将多种治疗剂共同封装在单一制剂中开发联合治疗提供了充足的机会。在这里,描述了如何应用模块化 LNP 平台进行联合基因沉默和化学治疗以诱导相加的抗癌作用。结果表明,各种亲脂性紫杉醇前药衍生物和针对前列腺癌驱动因子雄激素受体的 siRNA 可以有效地、稳定地共同封装在 LNP 中,而不会影响理化性质或基因沉默能力。此外,还证明了联合治疗在体外诱导相加的治疗效果。通过双重放射性标记方法,定量测定了荷瘤小鼠系统给药后 LNP 和前药的药代动力学特性和生物分布。这些结果表明,将 siRNA 和亲脂性前药共同封装到 LNP 中是一种有吸引力且简单的联合治疗开发方法。