Systemic anticancer neural stem cells in combination with a cardiac glycoside for glioblastoma therapy

Jian Teng1, Seyedali Hejazi, Christian E Badr

  • 1Experimental Therapeutics and Molecular Imaging Laboratory, Neuroscience Center, Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA; Program in Neuroscience, Harvard Medical School, Boston, Massachusetts, USA.

Insights

Engineered neural stem cells (NSCs) deliver tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) across the blood-brain barrier to treat gliomas. Combining TRAIL-secreting NSCs with lanatoside C significantly regressed tumors in mice.

Area of Science:

  • Neuroscience
  • Oncology
  • Biotechnology

Background:

  • Neural stem cells (NSCs) possess inherent tumor-tropic properties, making them promising vectors for targeted cancer therapy.
  • Lanatoside C (Lan C) enhances glioma cell sensitivity to tumor necrosis factor-related apoptosis-inducing ligand (TRAIL), a potent anticancer agent.

Purpose of the Study:

  • To engineer human NSCs for secreting TRAIL and Gaussia luciferase (Gluc) for glioma treatment.
  • To evaluate the efficacy of systemically administered engineered NSCs in targeting and regressing brain tumors, particularly in combination with Lan C.

Main Methods:

  • Engineered an FDA-approved human NSC line to express TRAIL and Gluc.
  • Administered engineered NSCs systemically to mice with brain gliomas.
  • Assessed NSC migration across the blood-brain barrier, tumor targeting, and tumor regression.
  • Quantified NSC survival using Gluc blood assays.

Main Results:

  • Engineered NSCs selectively migrated to brain tumors across the blood-brain barrier and targeted invasive glioma stem-like cells.
  • Combination therapy with TRAIL-secreting NSCs and Lan C induced significant glioma regression in mice.
  • NSC survival rates were 30% at 1 day and approximately 0.5% at 5 weeks post-injection in tumor-bearing mice.

Conclusions:

  • Systemic injection of engineered NSCs is a viable strategy for delivering therapeutic agents like TRAIL to brain tumors.
  • The combination of TRAIL-delivered by NSCs and Lan C shows significant potential for glioma regression.
  • This approach offers a novel therapeutic avenue for treating challenging brain cancers.

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