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Published on: September 27, 2024
All-stage targeted therapy for glioblastoma based on lipid membrane coated cabazitaxel nanocrystals
Sunyi Wu1, Linwei Lu2, Jianfen Zhou1
1Department of Pharmaceutics, School of Pharmacy, & Key Laboratory of Smart Drug Delivery (Fudan University), Ministry of Education and PLA, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Institutes of Brain Science, Fudan University, Shanghai 200032, China.
Abstract:
Glioblastoma (GBM) is the most aggressive brain tumor with poor prognosis and frequent recurrence. The blood-brain barrier (BBB), blood-brain tumor barrier (BBTB) hinder the entry of therapeutics into the glioma region. Vasculogenic mimicry (VM) formed by invasive glioma cells is also related to recurrence of GBM. VAP is a D-peptide ligand of GRP78 protein overexpressed on BBTB, VM, and glioma cells but not on normal tissues. Besides, p-hydroxybenzoic acid (pHA) can effectively traverse the BBB. Herein we developed an all-stage glioma-targeted cabazitaxel (CBZ) nanocrystal loaded liposome modified with a "Y" shaped targeting ligand composed of pHA and VAP (pV-Lip/cNC). The pure drug nanocrystal core provided high drug loading, while lipid membrane promoted the stability and circulation time. pV-Lip/cNC exhibited excellent glioma homing, barriers crossing, and tumor spheroid penetrating capability in vitro. Treatment of pV-Lip/cNC displayed enhanced CBZ accumulation in glioma and anti-glioma effect with a median survival time (53 days) significantly longer than that of cNC loaded liposomes modified with either single ligand (42 days for VAP and 45 days for pHA) in the murine orthotopic GBM model. These results indicated pV-Lip/cNC could traverse the BBB and BBTB, destruct VM, and finally kill glioma cells to realize all-stage glioma therapy.
Insights
This study introduces a novel liposome nanoparticle delivering cabazitaxel (CBZ) that effectively targets glioblastoma (GBM) by crossing the blood-brain barrier (BBB) and blood-brain tumor barrier (BBTB). The targeted therapy significantly improved survival in a preclinical GBM model.
Area of Science:
- Nanomedicine
- Oncology
- Neuroscience
Background:
- Glioblastoma (GBM) is an aggressive brain tumor with high recurrence rates.
- The blood-brain barrier (BBB) and blood-brain tumor barrier (BBTB) impede drug delivery to gliomas.
- Vasculogenic mimicry (VM) in GBM contributes to tumor recurrence.
Purpose of the Study:
- To develop an all-stage glioma-targeted cabazitaxel (CBZ) nanocrystal loaded liposome (pV-Lip/cNC).
- To overcome the BBB, BBTB, and VM challenges for enhanced GBM therapy.
- To evaluate the efficacy of pV-Lip/cNC in a murine orthotopic GBM model.
Main Methods:
- Development of a "Y" shaped targeting ligand using p-hydroxybenzoic acid (pHA) and VAP peptide.
- Formulation of CBZ nanocrystals within a liposome structure.
- In vitro assessment of glioma homing, barrier crossing, and spheroid penetration.
- In vivo evaluation of therapeutic efficacy and survival in a murine GBM model.
Main Results:
- pV-Lip/cNC demonstrated excellent in vitro glioma targeting and penetration capabilities.
- The formulation successfully traversed the BBB and BBTB in vivo.
- Treatment with pV-Lip/cNC significantly increased median survival time (53 days) compared to controls.
- Enhanced CBZ accumulation in the glioma region was observed.
Conclusions:
- The developed pV-Lip/cNC is a promising nanomedicine for overcoming GBM therapeutic barriers.
- This targeted liposomal delivery system effectively targets and treats glioblastoma.
- pV-Lip/cNC holds potential for improving outcomes in all stages of glioma therapy.
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