Cell-Penetrating Peptide-Modified Gold Nanoparticles for the Delivery of Doxorubicin to Brain Metastatic Breast Cancer.

As therapies continue to increase the lifespan of patients with breast cancer, the incidence of brain metastases has steadily increased, affecting a significant number of patients with metastatic disease. However, a major barrier toward treating these lesions is the inability of therapeutics to penetrate into the central nervous system and accumulate within intracranial tumor sites. In this study, we designed a cell-penetrating gold nanoparticle platform to increase drug delivery to brain metastatic breast cancer cells. TAT peptide-modified gold nanoparticles carrying doxorubicin led to improved cytotoxicity toward two brain metastatic breast cancer cell lines with a decrease in the IC50 of at least 80% compared to free drug. Intravenous administration of these particles led to extensive accumulation of particles throughout diffuse intracranial metastatic microsatellites with cleaved caspase-3 activity corresponding to tumor foci. Furthermore, intratumoral administration of these particles improved survival in an intracranial MDA-MB-231-Br xenograft mouse model. Our results demonstrate the promising application of gold nanoparticles for improving drug delivery in the context of brain metastatic breast cancer.

[1]  Vladimir P Torchilin,et al.  TAT peptide-modified liposomes provide enhanced gene delivery to intracranial human brain tumor xenografts in nude mice. , 2006, Oncology research.

[2]  Keith M. Stantz,et al.  Delivery of nanoparticles to brain metastases of breast cancer using a cellular Trojan horse , 2012, Cancer Nanotechnology.

[3]  Jeong-Sook Park,et al.  The use of PEGylated liposomes to prolong circulation lifetimes of tissue plasminogen activator. , 2009, Biomaterials.

[4]  M. Ono,et al.  Disruption of the blood brain barrier by brain metastases of triple‐negative and basal‐type breast cancer but not HER2/neu‐positive breast cancer , 2010, Cancer.

[5]  R. Weil,et al.  Brain metastases of breast cancer. , 2006, Breast disease.

[6]  Matthew P. Jacobson,et al.  Dysregulated pH: a perfect storm for cancer progression , 2011, Nature Reviews Cancer.

[7]  Atique U. Ahmed,et al.  Neural Stem Cells Secreting Anti‐HER2 Antibody Improve Survival in a Preclinical Model of HER2 Overexpressing Breast Cancer Brain Metastases , 2015, Stem cells.

[8]  Chad A. Mirkin,et al.  Spherical Nucleic Acid Nanoparticle Conjugates as an RNAi-Based Therapy for Glioblastoma , 2013, Science Translational Medicine.

[9]  R Y Tsien,et al.  Mechanisms of pH Regulation in the Regulated Secretory Pathway* , 2001, The Journal of Biological Chemistry.

[10]  P. Steeg,et al.  Heterogeneous Blood–Tumor Barrier Permeability Determines Drug Efficacy in Experimental Brain Metastases of Breast Cancer , 2010, Clinical Cancer Research.

[11]  Yuan Yuan,et al.  Endosomal pH-activatable magnetic nanoparticle-capped mesoporous silica for intracellular controlled release , 2012 .

[12]  Peter Wust,et al.  Intracranial Thermotherapy using Magnetic Nanoparticles Combined with External Beam Radiotherapy: Results of a Feasibility Study on Patients with Glioblastoma Multiforme , 2006, Journal of Neuro-Oncology.

[13]  N O Reich,et al.  Nanometal surface energy transfer in optical rulers, breaking the FRET barrier. , 2005, Journal of the American Chemical Society.

[14]  B. Halliwell,et al.  Effect of concentration on the cytotoxic mechanism of doxorubicin--apoptosis and oxidative DNA damage. , 1997, Biochemical and biophysical research communications.

[15]  A. Jemal,et al.  Breast cancer statistics, 2013 , 2014, CA: a cancer journal for clinicians.

[16]  Mostafa A. El-Sayed,et al.  The golden age: gold nanoparticles for biomedicine. , 2012, Chemical Society reviews.

[17]  A. Göpferich,et al.  Delivery of Nucleic Acids via Disulfide‐Based Carrier Systems , 2009, Advanced materials.

[18]  E. Winer,et al.  CNS metastases in breast cancer. , 2004, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[19]  R. Gelber,et al.  Identifying breast cancer patients at risk for Central Nervous System (CNS) metastases in trials of the International Breast Cancer Study Group (IBCSG). , 2006, Annals of oncology : official journal of the European Society for Medical Oncology.

[20]  P. Steeg,et al.  In Vivo Characterization of Changing Blood-Tumor Barrier Permeability in a Mouse Model of Breast Cancer Metastasis: A Complementary Magnetic Resonance Imaging Approach , 2011, Investigative radiology.

[21]  Jinming Gao,et al.  Multicolored pH-tunable and activatable fluorescence nanoplatform responsive to physiologic pH stimuli. , 2012, Journal of the American Chemical Society.

[22]  A. Evans,et al.  Pattern of brain metastatic disease according to HER-2 and ER receptor status in breast cancer patients. , 2013, Clinical radiology.

[23]  Srikanth Pilla,et al.  Gold nanoparticles with a monolayer of doxorubicin-conjugated amphiphilic block copolymer for tumor-targeted drug delivery. , 2009, Biomaterials.

[24]  H. Brem,et al.  Local delivery of doxorubicin for the treatment of malignant brain tumors in rats. , 2005, Anticancer research.

[25]  W. Gerald,et al.  Genes that mediate breast cancer metastasis to the brain , 2009, Nature.

[26]  D. Thomas,et al.  Response of short-term cultures derived from human malignant glioma to aziridinylbenzoquinone, etoposide and doxorubicin: an in vitro phase II trial , 2001, Anti-cancer drugs.

[27]  Svetlana Gelperina,et al.  Transport of drugs across the blood-brain barrier by nanoparticles. , 2012, Journal of controlled release : official journal of the Controlled Release Society.

[28]  W. Geldenhuys,et al.  Paclitaxel–Hyaluronic NanoConjugates Prolong Overall Survival in a Preclinical Brain Metastases of Breast Cancer Model , 2013, Molecular Cancer Therapeutics.

[29]  W R Markesbery,et al.  Postoperative radiotherapy in the treatment of single metastases to the brain: a randomized trial. , 1998, JAMA.

[30]  M. Hung,et al.  Breast cancer brain metastases , 2007, Cancer and Metastasis Reviews.

[31]  Salomeh Jelveh,et al.  Gold Nanoparticles as Radiation Sensitizers in Cancer Therapy , 2010, Radiation research.

[32]  Yeu‐Tsu N. Lee,et al.  Breast carcinoma: Pattern of metastasis at autopsy , 1983, Journal of surgical oncology.

[33]  V. Torchilin,et al.  Cell-penetrating TAT peptide in drug delivery systems: Proteolytic stability requirements , 2011, Drug delivery.

[34]  P. Wust,et al.  Efficacy and safety of intratumoral thermotherapy using magnetic iron-oxide nanoparticles combined with external beam radiotherapy on patients with recurrent glioblastoma multiforme , 2010, Journal of Neuro-Oncology.

[35]  Yu Cheng,et al.  Blood-brain barrier permeable gold nanoparticles: an efficient delivery platform for enhanced malignant glioma therapy and imaging. , 2014, Small.

[36]  R. Weil,et al.  Breast cancer metastasis to the central nervous system. , 2005, The American journal of pathology.

[37]  T. Kanazawa,et al.  Delivery of siRNA to the brain using a combination of nose-to-brain delivery and cell-penetrating peptide-modified nano-micelles. , 2013, Biomaterials.

[38]  A. Chambers,et al.  Understanding Heterogeneity and Permeability of Brain Metastases in Murine Models of HER2-Positive Breast Cancer Through Magnetic Resonance Imaging: Implications for Detection and Therapy , 2015, Translational oncology.

[39]  Jijin Gu,et al.  PEGylated poly(trimethylene carbonate) nanoparticles loaded with paclitaxel for the treatment of advanced glioma: in vitro and in vivo evaluation. , 2011, International journal of pharmaceutics.

[40]  Ari Helenius,et al.  Endosome maturation , 2011, The EMBO journal.

[41]  Erkki Ruoslahti,et al.  Nanoparticles coated with the tumor-penetrating peptide iRGD reduce experimental breast cancer metastasis in the brain , 2015, Journal of Molecular Medicine.

[42]  Erkki Ruoslahti,et al.  Tissue-penetrating delivery of compounds and nanoparticles into tumors. , 2009, Cancer cell.

[43]  G. Salzano,et al.  Intracellular Delivery of Nanoparticles with Cell Penetrating Peptides. , 2015, Methods in molecular biology.

[44]  L. Costantino,et al.  Challenges in the design of clinically useful brain-targeted drug nanocarriers. , 2014, Current Medicinal Chemistry.

[45]  Yoshiaki Tsukada,et al.  Central nervous system metastasis from breast carcinoma autopsy study , 1983, Cancer.

[46]  Lawrence Tamarkin,et al.  Phase I and Pharmacokinetic Studies of CYT-6091, a Novel PEGylated Colloidal Gold-rhTNF Nanomedicine , 2010, Clinical Cancer Research.

[47]  Zhirong Zhang,et al.  Liposome formulated with TAT-modified cholesterol for enhancing the brain delivery. , 2011, International journal of pharmaceutics.

[48]  Karen Gelmon,et al.  Metastatic behavior of breast cancer subtypes. , 2010, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[49]  Jagdish Singh,et al.  Intracellular Delivery of Molecular Cargo Using Cell-Penetrating Peptides and the Combination Strategies , 2015, International journal of molecular sciences.

[50]  Alan S. Waggoner,et al.  Genetically encoded pH sensor for tracking surface proteins through endocytosis. , 2012, Angewandte Chemie.

[51]  R. Jain,et al.  The biology of brain metastases—translation to new therapies , 2011, Nature Reviews Clinical Oncology.

[52]  Win-Li Lin,et al.  Short-time focused ultrasound hyperthermia enhances liposomal doxorubicin delivery and antitumor efficacy for brain metastasis of breast cancer , 2014, International journal of nanomedicine.

[53]  Y. Shechter,et al.  Peptide Derived from HIV-1 TAT Protein Destabilizes a Monolayer of Endothelial Cells in an in Vitro Model of the Blood-Brain Barrier and Allows Permeation of High Molecular Weight Proteins* , 2012, The Journal of Biological Chemistry.

[54]  H. Maeda,et al.  Tumor vascular permeability and the EPR effect in macromolecular therapeutics: a review. , 2000, Journal of controlled release : official journal of the Controlled Release Society.

[55]  Z. Ren,et al.  Breast cancer subtypes predispose the site of distant metastases. , 2015, American journal of clinical pathology.

[56]  Ajay-Vikram Singh,et al.  Nanoparticle enabled drug delivery across the blood brain barrier: in vivo and in vitro models, opportunities and challenges. , 2014, Current pharmaceutical biotechnology.

[57]  D. Pouniotis,et al.  Comparative Immunogenicity of a Cytotoxic T Cell Epitope Delivered by Penetratin and TAT Cell Penetrating Peptides , 2015, Molecules.

[58]  Zhiyuan Zhong,et al.  cRGD-directed, NIR-responsive and robust AuNR/PEG-PCL hybrid nanoparticles for targeted chemotherapy of glioblastoma in vivo. , 2014, Journal of controlled release : official journal of the Controlled Release Society.