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Temporal targeting of tumour cells and neovasculature with a nanoscale delivery system
Shiladitya Sengupta1, David Eavarone, Ishan Capila
1Biological Engineering Division, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA.
Abstract:
In the continuing search for effective treatments for cancer, the emerging model is the combination of traditional chemotherapy with anti-angiogenesis agents that inhibit blood vessel growth. However, the implementation of this strategy has faced two major obstacles. First, the long-term shutdown of tumour blood vessels by the anti-angiogenesis agent can prevent the tumour from receiving a therapeutic concentration of the chemotherapy agent. Second, inhibiting blood supply drives the intra-tumoural accumulation of hypoxia-inducible factor-1alpha (HIF1-alpha); overexpression of HIF1-alpha is correlated with increased tumour invasiveness and resistance to chemotherapy. Here we report the disease-driven engineering of a drug delivery system, a 'nanocell', which overcomes these barriers unique to solid tumours. The nanocell comprises a nuclear nanoparticle within an extranuclear pegylated-lipid envelope, and is preferentially taken up by the tumour. The nanocell enables a temporal release of two drugs: the outer envelope first releases an anti-angiogenesis agent, causing a vascular shutdown; the inner nanoparticle, which is trapped inside the tumour, then releases a chemotherapy agent. This focal release within a tumour results in improved therapeutic index with reduced toxicity. The technology can be extended to additional agents, so as to target multiple signalling pathways or distinct tumour compartments, enabling the model of an 'integrative' approach in cancer therapy.
Insights
This study introduces a novel nanocell drug delivery system for cancer therapy. It overcomes key challenges in combining chemotherapy and anti-angiogenesis agents, improving treatment efficacy and reducing toxicity.
Area of Science:
- Oncology
- Nanotechnology
- Drug Delivery Systems
Background:
- Combination therapy of chemotherapy and anti-angiogenesis agents is a promising cancer treatment strategy.
- Major obstacles include impaired chemotherapy delivery due to vascular shutdown and increased tumor invasiveness from hypoxia-inducible factor-1alpha (HIF1-alpha) overexpression.
- Current strategies struggle to effectively overcome these challenges in solid tumors.
Purpose of the Study:
- To engineer a novel nanocell drug delivery system to overcome barriers in combined cancer therapy.
- To achieve temporal and focal drug release within solid tumors.
- To improve the therapeutic index and reduce systemic toxicity of cancer treatments.
Main Methods:
- Development of a 'nanocell' comprising a nuclear nanoparticle within a pegylated-lipid envelope.
- The nanocell is designed for preferential tumor uptake and sequential drug release.
- An anti-angiogenesis agent is released first from the envelope, followed by a chemotherapy agent from the inner nanoparticle.
Main Results:
- The nanocell successfully overcomes the obstacles of combined chemotherapy and anti-angiogenesis therapy.
- Temporal release leads to initial vascular shutdown followed by localized chemotherapy delivery within the tumor.
- Demonstrated improved therapeutic index with reduced toxicity compared to conventional approaches.
Conclusions:
- The nanocell represents a breakthrough in overcoming solid tumor treatment barriers.
- This technology enables an 'integrative' approach to cancer therapy by allowing for the combination of multiple agents.
- Potential for broader application in targeting diverse signaling pathways and tumor compartments.
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