Department of Radiation Oncology, UNC School of Medicine, Chapel Hill, North Carolina.
Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina.
Cancer Res. 2022 Jan 1;82(1):105-113. doi: 10.1158/0008-5472.CAN-21-2269. Epub 2021 Nov 9.
Liver metastasis is a leading cause of cancer morbidity and mortality. Thus, there has been strong interest in the development of therapeutics that can effectively prevent liver metastasis. One potential strategy is to utilize molecules that have broad effects on the liver microenvironment, such as miR-122, a liver-specific miRNA that is a key regulator of diverse hepatic functions. Here we report the development of a nanoformulation miR-122 as a therapeutic agent for preventing liver metastasis. We engineered a galactose-targeted lipid calcium phosphate (Gal-LCP) nanoformulation of miR-122. This nanotherapeutic elicited no significant toxicity and delivered miR-122 into hepatocytes with specificity and high efficiency. Across multiple colorectal cancer liver metastasis models, treatment with Gal-LCP miR-122 treatment effectively prevented colorectal cancer liver metastasis and prolonged survival. Mechanistic studies revealed that delivery of miR-122 was associated with downregulation of key genes involved in metastatic and cancer inflammation pathways, including several proinflammatory factors, matrix metalloproteinases, and other extracellular matrix degradation enzymes. Moreover, Gal-LCP miR-122 treatment was associated with an increased CD8/CD4 T-cell ratio and decreased immunosuppressive cell infiltration, which makes the liver more conducive to antitumor immune response. Collectively, this work presents a strategy to improve cancer prevention and treatment with nanomedicine-based delivery of miRNA. SIGNIFICANCE: Highly specific and efficient delivery of miRNA to hepatocytes using nanomedicine has therapeutic potential for the prevention and treatment of colorectal cancer liver metastasis.
肝转移是癌症发病率和死亡率的主要原因。因此,人们强烈关注开发能够有效预防肝转移的治疗方法。一种潜在的策略是利用对肝微环境有广泛影响的分子,例如 miR-122,它是一种肝脏特异性 miRNA,是多种肝脏功能的关键调节因子。在这里,我们报告了一种将 miR-122 制成纳米制剂作为预防肝转移的治疗剂的方法。我们设计了一种靶向半乳糖的脂质磷酸钙(Gal-LCP)纳米制剂的 miR-122。这种纳米治疗剂没有引起明显的毒性,并特异性和高效地将 miR-122 递送到肝细胞中。在多个结直肠癌肝转移模型中,Gal-LCP miR-122 治疗有效地预防了结直肠癌肝转移并延长了生存期。机制研究表明,miR-122 的递送与参与转移和癌症炎症途径的关键基因的下调有关,包括几种促炎因子、基质金属蛋白酶和其他细胞外基质降解酶。此外,Gal-LCP miR-122 治疗与 CD8/CD4 T 细胞比例的增加和免疫抑制细胞浸润的减少有关,这使得肝脏更有利于抗肿瘤免疫反应。总之,这项工作提出了一种使用纳米医学递送 miRNA 来改善癌症预防和治疗的策略。意义:使用纳米医学对肝细胞进行高度特异性和高效的 miRNA 递送具有预防和治疗结直肠癌肝转移的治疗潜力。