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Polymalic Acid-based Nano Biopolymers for Targeting of Multiple Tumor Markers: An Opportunity for Personalized Medicine?
Published on: June 13, 2014
Dual tumor targeting with pH-sensitive and bioreducible polymer-complexed oncolytic adenovirus
Chang Yoon Moon1, Joung-Woo Choi1, Dayananda Kasala1
1Department of Bioengineering, College of Engineering, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul, Republic of Korea.
Abstract:
Oncolytic adenoviruses (Ads) have shown great promise in cancer gene therapy but their efficacy has been compromised by potent immunological, biochemical, and specific tumor-targeting limitations. To take full advantage of the innate cancer-specific killing potency of oncolytic Ads but also exploit the subtleties of the tumor microenvironment, we have generated a pH-sensitive and bio-reducible polymer (PPCBA)-coated oncolytic Ad. Ad-PPCBA complexes showed higher cellular uptake at pH 6.0 than pH 7.4 in both high and low coxsackie and adenovirus receptor-(CAR)-expressing cells, thereby demonstrating Ad-PPCBA's ability to target the low pH hypoxic tumor microenvironment and overcome CAR dependence for target cell uptake. Endocytic mechanism studies indicated that Ad-PPCBA internalization is mediated by macropinocytosis instead of the CAR-dependent endocytic pathway that internalizes naked Ad. VEGF-specific shRNA-expressing oncolytic Ad complexed with PPCBA (RdB/shVEGF-PPCBA) elicited much more potent suppression of U87 human brain cancer cell VEGF gene expression in vitro, and human breast cancer MCF7 cell/Matrigel plug vascularization in a mouse model, when cancer cells had been previously infected at pH 6.0 versus pH 7.4. Moreover, intratumorally and intravenously injected RdB/shVEGF-PPCBA nanocomplexes elicited significantly higher therapeutic efficacy than naked virus in U87-tumor mouse xenograft models, reducing IL-6, ALT, and AST serum levels. These data demonstrated PPCBA's biocompatibility and capability to shield the Ad surface to prevent innate immune response against Ad after both intratumoral and systemic administration. Taken together, these results demonstrate that smart, tumor-specific, oncolytic Ad-PPCBA complexes can be exploited to treat both primary and metastatic tumors.
Insights
Novel polymer-coated oncolytic adenoviruses (Ads) enhance tumor targeting and efficacy by exploiting the tumor microenvironment. This smart nanotherapy overcomes limitations of traditional Ads, offering improved cancer treatment potential.
Area of Science:
- Biotechnology
- Nanomedicine
- Cancer Gene Therapy
Background:
- Oncolytic adenoviruses (Ads) show promise for cancer gene therapy but face limitations like immune response and poor tumor targeting.
- The tumor microenvironment presents unique challenges, including low pH and specific receptor dependencies, which can hinder viral efficacy.
Purpose of the Study:
- To develop a pH-sensitive, bio-reducible polymer (PPCBA)-coated oncolytic Ad to improve tumor targeting and therapeutic efficacy.
- To overcome the limitations of naked Ads, including immune recognition and CAR-dependent uptake, by utilizing the tumor microenvironment's characteristics.
Main Methods:
- Generated PPCBA-coated oncolytic Ads (Ad-PPCBA) and evaluated their cellular uptake at different pH levels (6.0 vs. 7.4).
- Investigated the internalization mechanism of Ad-PPCBA complexes, comparing it to naked Ads.
- Assessed the efficacy of VEGF-specific shRNA-expressing oncolytic Ad complexed with PPCBA (RdB/shVEGF-PPCBA) in vitro and in vivo models, including tumor xenografts.
Main Results:
- Ad-PPCBA demonstrated enhanced cellular uptake at pH 6.0, targeting the acidic tumor microenvironment and overcoming CAR dependence.
- Internalization of Ad-PPCBA occurred via macropinocytosis, distinct from the CAR-dependent pathway of naked Ads.
- RdB/shVEGF-PPCBA significantly suppressed VEGF gene expression and vascularization in vitro and in vivo, showing superior therapeutic efficacy compared to naked Ads.
- PPCBA coating shielded Ads from immune response and improved biocompatibility, reducing serum levels of IL-6, ALT, and AST.
Conclusions:
- Smart, tumor-specific, oncolytic Ad-PPCBA complexes represent a promising strategy to enhance cancer gene therapy.
- This nanotherapy effectively targets the tumor microenvironment, overcomes viral limitations, and demonstrates significant therapeutic potential for primary and metastatic tumors.
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