Selective enhancer of tumor vascular permeability for optimization of cancer chemotherapy
Yasuo Yoshioka1, Yasuo Tsutsumi, Haruhiko Kamada
1Department of Biopharmaceutics, Graduate School of Pharmaceutical Sciences, Osaka University, Yamadaoka, Suita, Osaka, Japan.
Abstract:
Clinical approach using tumor necrosis factor-alpha (TNF-alpha) as selective destruction against tumor endothelial cells and selective enhancer of tumor vascular permeability for effective accumulation of antitumor chemotherapeutic agents has attracted attention. However, the clinical application of TNF-alpha as a systemic antitumor agent has been limited because of toxic side-effects. To systemically use TNF-alpha as an antitumor agent and the selective enhancer of tumor vascular permeability, we assessed the usefulness of PEGylated TNF-alpha (PEG-TNF-alpha). PEG-TNF-alpha at a dose of 1000 JRU showed marked hemorrhagic necrosis in S-180 tumors without side-effects due to selective destruction of tumor vasculature, whereas wild-type TNF-alpha at a dose of 10,000 JRU showed a little hemorrhagic necrosis with severe side-effects. PEG-TNF-alpha induced the enhancement of tumor vascular permeability. The permeability was increased at 1 h, after an i.v. injection of PEG-TNF-alpha and returned to the basal level at 2 h. In addition, high molecular weight of PEG (molecular weight; 500K) accumulated in tumor tissue as well as low molecular weight of PEG (molecular weight; 12K). On the other hand, PEG-TNF-alpha didn't affect the permeability of normal tissue and inflammation site. This data suggested that PEG-TNF-alpha was useful agent as selective enhancer of tumor vascular permeability with safe.
Insights
PEGylated tumor necrosis factor-alpha (TNF-alpha) effectively targets tumor vasculature, enhancing chemotherapy delivery. This modified TNF-alpha shows reduced side effects compared to the wild-type, offering a safer systemic antitumor approach.
Area of Science:
- Oncology
- Biotechnology
- Pharmacology
Background:
- Tumor necrosis factor-alpha (TNF-alpha) has potential for selective tumor endothelial cell destruction and enhancing vascular permeability for chemotherapy.
- Systemic clinical application of TNF-alpha is limited by severe toxic side effects.
Purpose of the Study:
- To evaluate the efficacy and safety of PEGylated TNF-alpha (PEG-TNF-alpha) as a systemic antitumor agent and selective enhancer of tumor vascular permeability.
Main Methods:
- Comparison of PEG-TNF-alpha and wild-type TNF-alpha in S-180 tumor models.
- Assessment of hemorrhagic necrosis, side effects, and tumor vascular permeability changes.
- Evaluation of PEG accumulation in tumor and normal tissues.
Main Results:
- PEG-TNF-alpha (1000 JRU) induced significant hemorrhagic necrosis in S-180 tumors with no observed side effects.
- Wild-type TNF-alpha (10,000 JRU) showed minimal necrosis and severe side effects.
- PEG-TNF-alpha selectively enhanced tumor vascular permeability within 1-2 hours post-injection without affecting normal tissues.
Conclusions:
- PEG-TNF-alpha demonstrates a favorable safety profile and efficacy in selectively targeting tumor vasculature.
- PEG-TNF-alpha is a promising agent for enhancing the accumulation of chemotherapeutic agents in tumors.
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