Chronopharmacologic cancer treatment with an angiogenic vessel-targeted liposomal drug

Kosuke Shimizu1, Yasuharu Sawazaki, Toshiki Tanaka

  • 1Department of Medical Biochemistry, University of Shizuoka School of Pharmaceutical Sciences, Suruga-ku, Shizuoka 422-8526, Japan.

Insights

Chronopharmacologic treatment using antineovascular therapy (ANET) with targeted drugs shows improved cancer treatment efficacy. Optimizing drug delivery timing based on circadian rhythms, specifically targeting vascular endothelial growth factor (VEGF) fluctuations, enhances tumor growth suppression.

Area of Science:

  • Oncology
  • Pharmacology
  • Biomedical Engineering

Background:

  • Antineovascular therapy (ANET) targets tumor angiogenesis by delivering drugs to endothelial cells, cutting off tumor blood supply.
  • Vascular endothelial growth factor (VEGF) expression in tumors exhibits circadian oscillations, influenced by hypoxia.
  • Chronopharmacology explores optimizing drug efficacy by aligning treatment schedules with biological rhythms.

Purpose of the Study:

  • To investigate the chronopharmacologic potential of ANET for cancer treatment.
  • To evaluate the impact of drug administration timing on tumor growth suppression using a targeted ANET drug.
  • To correlate plasma VEGF levels with treatment efficacy based on circadian rhythms.

Main Methods:

  • Preparation of Adriamycin-encapsulated liposomes modified with an Ala-Pro-Arg-Pro-Gly (APRPG) peptide for targeting angiogenic sites (APRPG-LipADM).
  • Administration of APRPG-LipADM to Colon 26 NL-17 tumor-bearing mice at different Zeitgeber times (ZT 2, 8, 14, 20).
  • Monitoring tumor growth and measuring plasma VEGF concentrations in relation to dosing times.

Main Results:

  • Tumor growth suppression varied significantly with drug administration timing.
  • Treatment was significantly more potent when administered at ZT 14 compared to ZT 20 (p<0.01).
  • Plasma VEGF concentrations showed higher levels during the light phase (day) than the dark phase (night), correlating with treatment efficacy.

Conclusions:

  • Chronopharmacologic administration of ANET enhances therapeutic efficacy in cancer treatment.
  • Timing drug delivery based on circadian VEGF oscillations can improve tumor growth suppression.
  • This approach holds promise for reducing side effects and increasing the effectiveness of ANET.

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