Division of Neurosurgery, Beckman Research Institute, City of Hope Medical Center, 1500 E. Duarte Rd, Duarte, CA, 91010, USA.
Celcuity LLC, Minneapolis, MN, 55446, USA.
Sci Rep. 2021 Oct 15;11(1):16866. doi: 10.1038/s41598-021-96351-2.
Prognosis of patients with HER2+ breast-to-brain-metastasis (BBM) is dismal even after current standard-of-care treatments, including surgical resection, whole-brain radiation, and systemic chemotherapy. Radiation and systemic chemotherapies can also induce cytotoxicity, leading to significant side effects. Studies indicate that donor-derived platelets can serve as immune-compatible drug carriers that interact with and deliver drugs to cancer cells with fewer side effects, making them a promising therapeutic option with enhanced antitumor activity. Moreover, human induced pluripotent stem cells (hiPSCs) provide a potentially renewable source of clinical-grade transfusable platelets that can be drug-loaded to complement the supply of donor-derived platelets. Here, we describe methods for ex vivo generation of megakaryocytes (MKs) and functional platelets from hiPSCs (hiPSC-platelets) in a scalable fashion. We then loaded hiPSC-platelets with lapatinib and infused them into BBM tumor-bearing NOD/SCID mouse models. Such treatment significantly increased intracellular lapatinib accumulation in BBMs in vivo, potentially via tumor cell-induced activation/aggregation. Lapatinib-loaded hiPSC-platelets exhibited normal morphology and function and released lapatinib pH-dependently. Importantly, lapatinib delivery to BBM cells via hiPSC-platelets inhibited tumor growth and prolonged survival of tumor-bearing mice. Overall, use of lapatinib-loaded hiPSC-platelets effectively reduced adverse effects of free lapatinib and enhanced its therapeutic efficacy, suggesting that they represent a novel means to deliver chemotherapeutic drugs as treatment for BBM.
HER2+ 乳腺癌脑转移(BBM)患者的预后即使在当前的标准治疗方法(包括手术切除、全脑放疗和全身化疗)后也很糟糕。放疗和全身化疗也会引起细胞毒性,导致明显的副作用。研究表明,供体来源的血小板可以作为免疫兼容的药物载体,与癌细胞相互作用并输送药物,副作用较小,因此成为一种有前途的治疗选择,具有增强的抗肿瘤活性。此外,人诱导多能干细胞(hiPSCs)为临床级可输血的血小板提供了潜在的可再生来源,这些血小板可以负载药物,以补充供体来源的血小板的供应。在这里,我们描述了以可扩展的方式从 hiPSCs 体外生成巨核细胞(MKs)和功能性血小板(hiPSC-血小板)的方法。然后,我们将 lapatinib 加载到 hiPSC-血小板中,并将其输注到 BBM 肿瘤荷瘤 NOD/SCID 小鼠模型中。这种治疗方法显著增加了体内 BBM 中 lapatinib 的细胞内积累,可能是通过肿瘤细胞诱导的激活/聚集。载有 lapatinib 的 hiPSC-血小板表现出正常的形态和功能,并依赖 pH 释放 lapatinib。重要的是,通过 hiPSC-血小板向 BBM 细胞输送 lapatinib 抑制了肿瘤生长并延长了荷瘤小鼠的生存时间。总体而言,使用载有 lapatinib 的 hiPSC-血小板有效降低了游离 lapatinib 的不良反应,并增强了其治疗效果,表明它们是作为治疗 BBM 的化疗药物的新方法。
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