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载有拉帕替尼的人诱导多能干细胞衍生血小板有效地靶向 HER2+ 乳腺癌脑转移。

Human induced pluripotent stem cell-derived platelets loaded with lapatinib effectively target HER2+ breast cancer metastasis to the brain.

机构信息

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.

出版信息

Sci Rep. 2021 Oct 15;11(1):16866. doi: 10.1038/s41598-021-96351-2.


DOI:10.1038/s41598-021-96351-2
PMID:34654856
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8521584/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec67/8521584/9ae3cd15d7c6/41598_2021_96351_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec67/8521584/29629c119854/41598_2021_96351_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec67/8521584/59c82162b9b9/41598_2021_96351_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec67/8521584/dc8917344f33/41598_2021_96351_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec67/8521584/503acbf88664/41598_2021_96351_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec67/8521584/9ae3cd15d7c6/41598_2021_96351_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec67/8521584/29629c119854/41598_2021_96351_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec67/8521584/59c82162b9b9/41598_2021_96351_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec67/8521584/dc8917344f33/41598_2021_96351_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec67/8521584/503acbf88664/41598_2021_96351_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec67/8521584/9ae3cd15d7c6/41598_2021_96351_Fig5_HTML.jpg

相似文献

[1]
Human induced pluripotent stem cell-derived platelets loaded with lapatinib effectively target HER2+ breast cancer metastasis to the brain.

Sci Rep. 2021-10-15

[2]
Effect of lapatinib on the outgrowth of metastatic breast cancer cells to the brain.

J Natl Cancer Inst. 2008-8-6

[3]
Targeting the EphB4 receptor tyrosine kinase sensitizes HER2-positive breast cancer cells to Lapatinib.

Cancer Lett. 2020-1-29

[4]
Lapatinib-incorporated lipoprotein-like nanoparticles: preparation and a proposed breast cancer-targeting mechanism.

Acta Pharmacol Sin. 2014-6

[5]
Lapatinib distribution in HER2 overexpressing experimental brain metastases of breast cancer.

Pharm Res. 2011-10-20

[6]
Combined targeting of HER2 and VEGFR2 for effective treatment of HER2-amplified breast cancer brain metastases.

Proc Natl Acad Sci U S A. 2012-10-15

[7]
Epidermal growth factor-receptor activation modulates Src-dependent resistance to lapatinib in breast cancer models.

Breast Cancer Res. 2014-5-5

[8]
A phase II study of lapatinib for brain metastases in patients with HER2-overexpressing breast cancer following trastuzumab based systemic therapy and cranial radiotherapy: subset analysis of Japanese patients.

Int J Clin Oncol. 2012-7-19

[9]
HER2-positive breast cancer cells resistant to trastuzumab and lapatinib lose reliance upon HER2 and are sensitive to the multitargeted kinase inhibitor sorafenib.

Breast Cancer Res Treat. 2010-12-9

[10]
All-oral combination of lapatinib and capecitabine in patients with brain metastases from HER2-positive breast cancer--a phase II study.

J Egypt Natl Canc Inst. 2014-12

引用本文的文献

[1]
Exploring the promising potential of induced pluripotent stem cells in cancer research and therapy.

Mol Cancer. 2023-11-28

[2]
The Role of Microglia in Brain Metastases: Mechanisms and Strategies.

Aging Dis. 2024-2-1

[3]
Platelet-Released Factors: Their Role in Viral Disease and Applications for Extracellular Vesicle (EV) Therapy.

Int J Mol Sci. 2022-2-19

[4]
Prognostic Biomarkers in Uveal Melanoma: The Status Quo, Recent Advances and Future Directions.

Cancers (Basel). 2021-12-25

本文引用的文献

[1]
Autocrine GMCSF Signaling Contributes to Growth of HER2 Breast Leptomeningeal Carcinomatosis.

Cancer Res. 2021-9-15

[2]
Genome sequencing unveils a regulatory landscape of platelet reactivity.

Nat Commun. 2021-6-15

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HER2-positive breast cancer brain metastasis: A new and exciting landscape.

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