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A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
Cell type-specific pharmacological kinase inhibition for cancer chemoprevention
Manjeet Deshmukh1, Shigeki Nakagawa2, Takaaki Higashi2
1Division of Liver Diseases, Department of Medicine, Tisch Cancer Institute, Graduate School of Biomedical Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Abstract:
Safety is prerequisite for preventive medicine, but non-toxic agents are generally ineffective as clinical chemoprevention. Here we propose a strategy overcoming this challenge by delivering molecular-targeted agent specifically to the effector cell type to achieve sufficient potency, while circumventing toxicity in the context of cancer chemoprevention. Hepatic myofibroblasts drive progressive fibrosis that results in cirrhosis and liver cancer. In a rat model of cirrhosis-driven liver cancer, a small molecule epidermal growth factor receptor inhibitor, erlotinib, was delivered specifically to myofibroblasts by a versatile nanoparticle-based system, targeting platelet-derived growth factor receptor-beta uniquely expressed on their surface in the liver. With systemic administration of erlotinib, tumor burden was reduced to 31%, which was further improved to 21% by myofibroblast-targeted delivery even with reduced erlotinib dose (7.3-fold reduction with equivalent erlotinib dose) and less hepatocyte damage. These findings demonstrate a strategy, cell type-specific kinase inhibition, for more effective and safer precision cancer chemoprevention.
Insights
Targeting cancer-driving cells specifically with drugs enhances effectiveness and reduces toxicity. This novel approach improves precision cancer chemoprevention by delivering molecular-targeted agents directly to effector cells, like hepatic myofibroblasts.
Area of Science:
- Oncology
- Nanomedicine
- Hepatology
Background:
- Non-toxic agents often lack efficacy in chemoprevention.
- Hepatic myofibroblasts contribute to liver fibrosis, cirrhosis, and liver cancer.
- Targeting specific cell types is crucial for effective and safe cancer chemoprevention.
Purpose of the Study:
- To develop a strategy for effective cancer chemoprevention by delivering molecular-targeted agents specifically to effector cells.
- To investigate the efficacy of cell type-specific kinase inhibition in a rat model of cirrhosis-driven liver cancer.
Main Methods:
- Utilized a nanoparticle-based delivery system to target erlotinib (an epidermal growth factor receptor inhibitor) to hepatic myofibroblasts.
- Targeted platelet-derived growth factor receptor-beta, uniquely expressed on hepatic myofibroblasts.
- Administered the targeted agent in a rat model of cirrhosis-driven liver cancer.
Main Results:
- Myofibroblast-targeted delivery of erlotinib reduced tumor burden to 21%.
- Systemic administration of erlotinib alone reduced tumor burden to 31%.
- Targeted delivery achieved greater efficacy with a reduced erlotinib dose and less hepatocyte damage.
Conclusions:
- Cell type-specific kinase inhibition is a viable strategy for precision cancer chemoprevention.
- Nanoparticle-mediated targeted delivery enhances the safety and efficacy of chemopreventive agents.
- This approach offers a promising method for overcoming the challenge of achieving sufficient potency while minimizing toxicity.
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