Simultaneous targeting of peripheral and brain tumors with a therapeutic nanoparticle to disrupt metabolic

Akash Ashokan1,2, Shrita Sarkar1,2, Mohammad Z Kamran1,2

  • 1NanoTherapeutics Research Laboratory, Department of Biochemistry and Molecular Biology, University of Miami Miller School of Medicine, Miami, FL 33136.

Insights

This study introduces dual-targeting nanoparticles to treat breast cancer brain metastases by inhibiting key energy pathways in both primary and secondary tumors, improving therapeutic outcomes.

Area of Science:

  • Oncology
  • Nanotechnology
  • Biochemistry

Background:

  • Brain metastasis from advanced breast cancer presents significant therapeutic challenges due to the blood-brain barrier (BBB).
  • Conventional treatments are often ineffective against brain metastases, necessitating novel delivery strategies.
  • Metabolic plasticity, particularly increased energy demands, is a hallmark of brain metastases.

Purpose of the Study:

  • To develop a nanoparticle (NP) platform capable of targeting both primary breast tumors and secondary brain metastases.
  • To investigate a combination therapy that simultaneously inhibits oxidative phosphorylation (OXPHOS) and glycolysis in tumors.
  • To assess the in vivo safety and efficacy of this dual-targeting nanotherapeutic approach.

Main Methods:

  • Design of mitochondrion-targeted, BBB-penetrating nanoparticles for dual drug delivery.
  • Utilizing a chemotherapeutic prodrug to decrease OXPHOS and a pyruvate dehydrogenase kinase 1 inhibitor to reduce glycolysis.
  • Conducting complementary studies and genomic analyses to evaluate therapeutic effects.
  • Assessing in vivo safety through peripheral neuropathy and neurobehavioral outcome studies.

Main Results:

  • Demonstrated successful dual targeting of primary and brain metastatic breast cancer sites with a single NP platform.
  • Showcased a combination therapy that effectively lowers OXPHOS and glycolysis in both tumor types.
  • Provided proof-of-concept for overcoming metabolic plasticity and chemoresistance mechanisms.
  • Evaluated in vivo safety, indicating potential for clinical translation.

Conclusions:

  • Developed a novel nanotherapeutic strategy for simultaneously targeting primary and brain metastatic breast cancer.
  • This approach effectively combats tumor metabolic plasticity by inhibiting key energy pathways.
  • The dual-targeting NPs offer a promising platform for overcoming chemoresistance and improving treatment outcomes for brain metastases.