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Published on: July 16, 2018
Stem Cell Implants for Cancer Therapy: TRAIL-Expressing Mesenchymal Stem Cells Target Cancer Cells In Situ
Michaela R Reagan1, F Philipp Seib, Douglas W McMillin
1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, USA. ; Department of Medicine, Harvard Medical School, Boston, USA. ; Department of Biomedical Engineering, Tufts University, Medford, USA.
Purpose:
Tumor-specific delivery of tumor necrosis factor-related apoptosis-inducing ligand (TRAIL), an apoptosis-inducing peptide, at effective doses remains challenging. Herein we demonstrate the utility of a scaffold-based delivery system for sustained therapeutic cell release that capitalizes on the tumor-homing properties of mesenchymal stem cells (MSCs) and their ability to express genetically-introduced therapeutic genes.
Methods:
Implants were formed from porous, biocompatible silk scaffolds seeded with full length TRAIL-expressing MSCs (FLT-MSCs). under a doxycycline inducible promoter. In vitro studies with FLT-MSCs demonstrated TRAIL expression and antitumor effects on breast cancer cells. Next, FLT-MSCs were administered to mice using three administration routes (mammary fat pad co-injections, tail vein injections, and subcutaneous implantation on scaffolds).
Results:
In vitro cell-specific bioluminescent imaging measured tumor cell specific growth in the presence of stromal cells and demonstrated FLT-MSC inhibition of breast cancer growth. FLT-MSC implants successfully decreased bone and lung metastasis, whereas liver metastasis decreased only with tail vein and co-injection administration routes. Average tumor burden was decreased when doxycycline was used to induce TRAIL expression for co-injection and scaffold groups, as compared to controls with no induced TRAIL expression.
Conclusion:
This implant-based therapeutic delivery system is an effective and completely novel method of anticancer therapy and holds great potential for clinical applications.
Insights
This study presents a novel scaffold-based system using mesenchymal stem cells (MSCs) to deliver tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) for cancer therapy. The system effectively reduced tumor burden and metastasis in preclinical models.
Area of Science:
- Biomedical Engineering
- Cancer Biology
- Regenerative Medicine
Background:
- Effective delivery of apoptosis-inducing agents like tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) to tumors is a significant challenge in cancer therapy.
- Mesenchymal stem cells (MSCs) possess inherent tumor-homing capabilities and can be engineered to express therapeutic genes, offering a potential platform for targeted drug delivery.
Purpose of the Study:
- To develop and evaluate a scaffold-based delivery system for sustained release of TRAIL-expressing MSCs (FLT-MSCs) for cancer treatment.
- To assess the efficacy of this system in inhibiting tumor growth and metastasis in preclinical models.
Main Methods:
- Porous silk scaffolds were fabricated and seeded with full-length TRAIL-expressing MSCs (FLT-MSCs) under a doxycycline-inducible promoter.
- In vitro studies confirmed TRAIL expression and antitumor effects of FLT-MSCs on breast cancer cells.
- FLT-MSCs were administered to mice via mammary fat pad co-injection, tail vein injection, or subcutaneous scaffold implantation.
Main Results:
- In vitro studies showed FLT-MSC inhibition of breast cancer cell growth.
- Scaffold-based delivery and other routes reduced bone and lung metastasis; liver metastasis reduction varied by administration route.
- Doxycycline-induced TRAIL expression in co-injection and scaffold groups significantly decreased average tumor burden compared to controls.
Conclusions:
- The scaffold-based therapeutic delivery system represents a novel and effective approach for anticancer therapy.
- This system demonstrates significant potential for future clinical applications in cancer treatment.
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