Targeted intervention in nerve-cancer crosstalk enhances pancreatic cancer chemotherapy

Jiaqi Qin1, Jingjie Liu1, Zhaohan Wei1

  • 1National Engineering Research Center for Nanomedicine, College of Life Science and Technology, Huazhong University of Science and Technology, Wuhan, China.

Nature Nanotechnology
|November 4, 2024
PubMed

Insights

Researchers developed novel nanoparticles (Lar@NP-OMVs) to target tumor-associated nerves in pancreatic cancer. This approach inhibits nerve growth, enhances chemotherapy, and improves treatment efficacy by disrupting nerve-cancer crosstalk.

Area of Science:

  • Oncology
  • Nanotechnology
  • Cancer Biology

Background:

  • Nerve-cancer crosstalk significantly influences tumor progression, metastasis, and therapeutic resistance.
  • Targeting tumor-associated nerves in the pancreatic cancer microenvironment presents a therapeutic challenge.

Purpose of the Study:

  • To develop a targeted therapeutic strategy for pancreatic cancer by intervening in nerve-cancer signaling.
  • To investigate the efficacy of engineered outer membrane vesicles for disrupting tumor-associated nerve function.

Main Methods:

  • Engineered outer membrane vesicles (OMVs) from Escherichia coli Nissle 1917, conjugated with nerve-binding peptide NP41 and loaded with larotrectinib (Lar@NP-OMVs).
  • Assessed nerve intervention by measuring neurite growth inhibition and disruption of the neurotrophin/Trk signaling pathway.
  • Evaluated OMV-mediated repolarization of tumor-associated macrophages and its effect on nerve injury and cancer cell behavior.
  • Investigated the impact of Lar@NP-OMVs on gemcitabine-induced nerve infiltration and overall chemotherapy efficacy in pancreatic cancer models.

Main Results:

  • Lar@NP-OMVs effectively targeted tumor-associated nerves, inhibiting neurite outgrowth via disruption of the neurotrophin/Trk pathway.
  • OMV treatment induced M2-like macrophage repolarization to M1-like phenotype, causing nerve injury and enhancing nerve intervention.
  • Lar@NP-OMVs suppressed nerve-triggered proliferation, migration of pancreatic cancer cells, and angiogenesis.
  • The strategy significantly reduced gemcitabine-induced nerve infiltration and neurite growth, augmenting chemotherapy efficacy.

Conclusions:

  • Engineered OMVs provide a promising platform for nerve-targeted therapy in pancreatic cancer.
  • Lar@NP-OMVs demonstrate potential for enhancing pancreatic cancer treatment by modulating the tumor microenvironment and nerve-cancer crosstalk.
  • This approach offers a novel therapeutic avenue for overcoming challenges in pancreatic cancer therapy resistance and progression.

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