TRAIL delivery by MSC-derived extracellular vesicles is an effective anticancer therapy

ZhengQiang Yuan1, Krishna K Kolluri1, Kate H C Gowers1

  • 1Lungs for Living Research Centre, UCL Respiratory, Division of Medicine, University College London , London , UK.

Insights

Mesenchymal stromal cell-derived extracellular vesicles (EVs) carrying TNF-related apoptosis-inducing ligand (TRAIL) effectively kill cancer cells. This novel EV-mediated drug delivery overcomes TRAIL resistance and enhances cancer therapy.

Area of Science:

  • Biotechnology
  • Cell Biology
  • Cancer Research

Background:

  • Extracellular vesicles (EVs) are nanoparticles mediating intercellular communication and hold promise for drug delivery.
  • TNF-related apoptosis-inducing ligand (TRAIL) induces cancer cell apoptosis but faces clinical challenges like low bioavailability and resistance.
  • Mesenchymal stromal cells (MSCs) are a potential source for therapeutic EV production.

Purpose of the Study:

  • To investigate the expression of TRAIL in MSC-derived EVs.
  • To evaluate the anticancer efficacy of TRAIL-expressing EVs (MSCT-EVs).
  • To explore strategies for enhancing MSCT-EVs' therapeutic potential.

Main Methods:

  • EVs were isolated from MSCs and TRAIL-expressing MSCs (MSCTs) using ultracentrifugation.
  • EV characterization included size analysis (50-70 nm) and surface marker analysis (CD63, CD9, CD81, surface TRAIL).
  • Cytotoxicity assays were performed on 11 cancer cell lines and primary bronchial epithelial cells, with mechanistic studies involving caspase inhibition and TRAIL neutralization.

Main Results:

  • MSCT-EVs successfully expressed surface TRAIL, confirmed by marker analysis.
  • MSCT-EVs demonstrated dose-dependent apoptosis induction in 11 cancer cell lines without harming normal cells.
  • TRAIL-positive EV cytotoxicity was blocked by caspase inhibition or TRAIL neutralization, confirming the mechanism.
  • MSCT-EVs effectively induced apoptosis in TRAIL-resistant cancer cells, with enhanced efficacy upon CDK9 inhibitor treatment.

Conclusions:

  • TRAIL delivery via MSC-derived EVs represents a viable and effective anticancer therapeutic strategy.
  • EV-mediated TRAIL delivery overcomes limitations associated with recombinant TRAIL, including cancer cell resistance.
  • Combining MSCT-EVs with agents like CDK9 inhibitors may further potentiate their anticancer activity.

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