调节血肿瘤屏障转录程序可改善胶质母细胞瘤的瘤内药物递送并增强化疗效果。
Modulation of blood-tumor barrier transcriptional programs improves intra-tumoral drug delivery and potentiates chemotherapy in GBM.
作者信息
Jimenez-Macias Jorge L, Vaughn-Beaucaire Philippa, Bharati Ayush, Xu Zheyun, Forrest Megan, Hong Jason, Sun Michael, Schmidt Andrea, Clark Jasmine, Hawkins William, Mercado Noe, Real Jacqueline, Huntington Kelsey, Zdioruk Mykola, Nowicki Michal O, Cho Choi-Fong, Wu Bin, Li Weiyi, Logan Theresa, Manz Katherine E, Pennell Kurt D, Fedeles Bogdan I, Brodsky Alexander S, Lawler Sean E
机构信息
Legorreta Cancer Center, Department of Pathology and Laboratory Medicine, Brown University, Providence, RI 02903, USA.
Department of Chemistry, Massachusetts Institute of Technology, Cambridge, MA 02139, USA.
出版信息
bioRxiv. 2024 Aug 28:2024.08.26.609797. doi: 10.1101/2024.08.26.609797.
Glioblastoma (GBM) is the most common malignant primary brain tumor. GBM has an extremely poor prognosis and new treatments are badly needed. Efficient drug delivery to GBM is a major obstacle as the blood-brain barrier (BBB) prevents passage of the majority of cancer drugs into the brain. It is also recognized that the blood-brain tumor barrier (BTB) in the growing tumor represents a challenge. The BTB is heterogeneous and poorly characterized, but similar to the BBB it can prevent therapeutics from reaching effective intra-tumoral doses, dramatically hindering their potential. Here, we identified a 12-gene signature associated with the BTB, with functions related to vasculature development, morphogenesis and cell migration. We identified CDH5 as a core molecule in this set and confirmed its over-expression in GBM vasculature using spatial transcriptomics of GBM patient specimens. We found that the indirubin-derivative, 6-bromoindirubin acetoxime (BIA), could downregulate CDH5 and other BTB signature genes, causing endothelial barrier disruption in endothelial monolayers and BBB 3D spheroids . Treatment of tumor-bearing mice with BIA enabled increased intra-tumoral accumulation of the BBB non-penetrant chemotherapeutic drug cisplatin and potentiated cisplatin-mediated DNA damage by targeting DNA repair pathways. Finally, using an injectable BIA nanoparticle formulation, PPRX-1701, we significantly improved the efficacy of cisplatin in patient-derived GBM xenograms and prolonged their survival. Overall, our work reveals potential targets at the BTB for improved chemotherapy delivery and the bifunctional properties of BIA as a BTB modulator and potentiator of chemotherapy, supporting its further development.
胶质母细胞瘤(GBM)是最常见的原发性恶性脑肿瘤。GBM的预后极差,急需新的治疗方法。由于血脑屏障(BBB)阻止大多数抗癌药物进入大脑,因此向GBM进行高效药物递送是一个主要障碍。人们还认识到,正在生长的肿瘤中的血脑肿瘤屏障(BTB)也是一个挑战。BTB具有异质性且特征不明,但与BBB类似,它会阻止治疗药物达到有效的肿瘤内剂量,极大地阻碍了其潜力。在这里,我们鉴定了一个与BTB相关的12个基因的特征,其功能与血管发育、形态发生和细胞迁移有关。我们确定CDH5是该组中的核心分子,并使用GBM患者标本的空间转录组学证实了其在GBM血管中的过表达。我们发现靛玉红衍生物6-溴靛玉红乙肟(BIA)可以下调CDH5和其他BTB特征基因,导致内皮单层和BBB 3D球体中的内皮屏障破坏。用BIA治疗荷瘤小鼠可增加血脑屏障非渗透性化疗药物顺铂在肿瘤内的积累,并通过靶向DNA修复途径增强顺铂介导的DNA损伤。最后,使用可注射的BIA纳米颗粒制剂PPRX-1701,我们显著提高了顺铂在患者来源的GBM异种移植模型中的疗效,并延长了它们的生存期。总体而言,我们的工作揭示了BTB上可改善化疗递送的潜在靶点,以及BIA作为BTB调节剂和化疗增强剂的双功能特性,支持其进一步开发。