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Tumor Treating Field Therapy in Combination with Bevacizumab for the Treatment of Recurrent Glioblastoma
Published on: October 27, 2014
Efficient VEGF targeting delivery of DOX using Bevacizumab conjugated SiO2@LDH for anti-neuroblastoma therapy
Rongrong Zhu1, Zhaoqi Wang1, Peng Liang1
1Research Center for Translational Medicine at East Hospital, School of Life Science and Technology, Tongji University, Shanghai, PR China.
Abstract:
Vascular endothelial growth factor (VEGF) plays an important role in angiogenesis and is highly expressed in carcinoma, which make it an important target for tumor targeting therapy. Neuroblastoma is the main cause for cancer-related death in children. Like most solid tumors, it is also accompanied with the overexpression of VEGF. Doxorubicin Hydrochloride (DOX), a typical chemotherapeutic agent, exhibits efficient anticancer activities for various cancers. However, DOX, without targeting ability, usually causes severe damage to normal tissues. To overcome the shortages, we designed a novel nano-composite, which is Bevacizumab (Bev) modified SiO2@LDH nanoparticles (SiO2@LDH-Bev), loading with DOX to achieve targeting ability and curative efficiency. SiO2@LDH-DOX and SiO2@LDH-Bev-DOX nanoparticles were synthesized and the physicochemical properties were characterized by TEM detection, Zeta potential analysis, FTIR, Raman and XPS analysis. Then in vitro and in vivo anti-neuroblastoma efficiency, targeting ability and mechanisms of anti-carcinoma and anti-angiogenesis of SiO2@LDH-Bev-DOX were explored. Our results indicated that we obtained the core-shell structure SiO2@LDH-Bev with an average diameter of 253±10nm and the amount of conjugated Bev was 4.59±0.38μg/mg SiO2@LDH-Bev. SiO2@LDH-Bev-DOX could improve the cellular uptake and the targeting effect of DOX to brain and tumor, enhance the anti-neuroblastoma and anti-angiogenesis efficiency both in vitro and in vivo, and alleviate side effects of DOX sharply, especially hepatic injury. In addition, we also demonstrated that angiogenesis inhibitory effect was mediated by DOX and VEGF triggered signal pathways, including PI3K/Akt, Raf/MEK/ERK, and adhesion related pathways. In summary, SiO2@LDH-Bev could be a potential VEGF targeting nanocarrier applied in VEGF positive cancer therapy.
Statement Of Significance:
This paper explored that a novel core-shell structure nanomaterial SiO2@LDH and modified SiO2@LDH with Bevacizumab (Bev) to form a new tumor vasculature targeting nanocarrier SiO2@LDH-Bev as vector of DOX, which was not reported before. The results indicated that SiO2@LDH-Bev could improve the VEGF targeting ability, anti-neuroblastoma and anti-angiogenesis efficiency of DOX. At the same time, SiO2@LDH-Bev-DOX could erase the cardiac toxicity and hepatic injury coming from DOX. Tube formation showed SiO2@LDH-Bev-DOX had the strongest effect on inhibiting angiogenesis among all the four formulations. SiO2@LDH-Bev-DOX could downregulate expression of p-VEGFR and inhibit activation of the Raf/MEK/ERK, p38MAPK, PI3K/Akt and FAK signaling pathways to achieve the goal of anti-angiogenesis. This work provides a novel system for the safe and efficient use of Bev and DOX on Neuroblastoma and explores the mechanism of the function of nano carrier in cancer therapy both in vitro and in vivo.
Insights
This study developed a novel nanocarrier, SiO2@LDH-Bev, loaded with Doxorubicin Hydrochloride (DOX) to target neuroblastoma. This targeted therapy enhances anti-cancer efficacy and reduces side effects like liver damage, offering a promising treatment for VEGF-positive cancers.
Area of Science:
- Biomedical Engineering
- Nanotechnology
- Oncology
Background:
- Vascular endothelial growth factor (VEGF) is crucial for angiogenesis and overexpressed in cancers like neuroblastoma.
- Doxorubicin Hydrochloride (DOX) is an effective chemotherapy drug but lacks tumor targeting, leading to severe side effects.
- Targeted delivery systems are needed to improve DOX efficacy and reduce toxicity in cancer therapy.
Purpose of the Study:
- To develop and characterize a novel VEGF-targeting nanocarrier, SiO2@LDH-Bev, loaded with DOX for neuroblastoma treatment.
- To evaluate the in vitro and in vivo anti-neuroblastoma and anti-angiogenesis efficiency of the developed nanocarrier.
- To investigate the underlying mechanisms of action and assess the reduction in DOX-induced side effects.
Main Methods:
- Synthesis and characterization of SiO2@LDH-Bev nanoparticles using TEM, Zeta potential, FTIR, Raman, and XPS.
- In vitro and in vivo studies to assess cellular uptake, targeting ability, anti-neuroblastoma efficacy, and anti-angiogenesis effects.
- Analysis of signaling pathways (PI3K/Akt, Raf/MEK/ERK, etc.) involved in anti-angiogenesis and assessment of DOX-related toxicity.
Main Results:
- Successfully synthesized SiO2@LDH-Bev nanoparticles with a core-shell structure (253±10nm) and confirmed Bevacizumab conjugation.
- SiO2@LDH-Bev-DOX demonstrated enhanced cellular uptake, improved targeting to brain and tumor sites, and superior anti-neuroblastoma and anti-angiogenesis efficacy.
- Significantly reduced cardiac toxicity and hepatic injury compared to free DOX, with potent inhibition of angiogenesis via downregulation of p-VEGFR and key signaling pathways.
Conclusions:
- SiO2@LDH-Bev serves as an effective VEGF-targeting nanocarrier for DOX delivery in neuroblastoma therapy.
- The developed nanocarrier system improves therapeutic outcomes while mitigating the adverse effects of conventional chemotherapy.
- This novel approach offers a potential strategy for treating VEGF-positive cancers with enhanced safety and efficacy.

