Laboratory for Targeted Drug Delivery and Personalized Medicine Technologies, Department of Chemical Engineering , Technion-Israel Institute of Technology , Haifa 3200003 , Israel.
The School for Molecular Cell Biology and Biotechnology and the Department of Materials Science and Engineering , Tel Aviv University , Tel Aviv 6997800 , Israel.
ACS Nano. 2019 Oct 22;13(10):11008-11021. doi: 10.1021/acsnano.9b02395. Epub 2019 Sep 20.
Overexpressed extracellular matrix (ECM) in pancreatic ductal adenocarcinoma (PDAC) limits drug penetration into the tumor and is associated with poor prognosis. Here, we demonstrate that a pretreatment based on a proteolytic-enzyme nanoparticle system disassembles the dense PDAC collagen stroma and increases drug penetration into the pancreatic tumor. More specifically, the collagozome, a 100 nm liposome encapsulating collagenase, was rationally designed to protect the collagenase from premature deactivation and prolonged its release rate at the target site. Collagen is the main component of the PDAC stroma, reaching 12.8 ± 2.3% vol in diseased mice pancreases, compared to 1.4 ± 0.4% in healthy mice. Upon intravenous injection of the collagozome, ∼1% of the injected dose reached the pancreas over 8 h, reducing the level of fibrotic tissue to 5.6 ± 0.8%. The collagozome pretreatment allowed increased drug penetration into the pancreas and improved PDAC treatment. PDAC tumors, pretreated with the collagozome followed by paclitaxel micelles, were 87% smaller than tumors pretreated with empty liposomes followed by paclitaxel micelles. Interestingly, degrading the ECM did not increase the number of circulating tumor cells or metastasis. This strategy holds promise for degrading the extracellular stroma in other diseases as well, such as liver fibrosis, enhancing tissue permeability before drug administration.
胰腺导管腺癌 (PDAC) 中过度表达的细胞外基质 (ECM) 限制了药物渗透到肿瘤中,并与预后不良相关。在这里,我们证明了一种基于蛋白酶纳米颗粒系统的预处理方法可以分解致密的 PDAC 胶原基质并增加药物渗透到胰腺肿瘤中。更具体地说,胶原酶纳米囊泡(collagozome)是一种 100nm 的脂质体,可包裹胶原酶,旨在保护胶原酶免于过早失活并延长其在靶部位的释放速度。胶原是 PDAC 基质的主要成分,在患病小鼠的胰腺中达到 12.8±2.3%体积,而在健康小鼠中仅为 1.4±0.4%。静脉注射 collagozome 后,约 1%的注射剂量在 8 小时内到达胰腺,将纤维组织水平降低到 5.6±0.8%。collagozome 预处理可增加药物渗透到胰腺并改善 PDAC 治疗效果。用 collagozome 预处理后再用紫杉醇胶束治疗的 PDAC 肿瘤比用空脂质体预处理后再用紫杉醇胶束治疗的肿瘤小 87%。有趣的是,降解 ECM 不会增加循环肿瘤细胞或转移的数量。这种策略也有望在其他疾病(如肝纤维化)中降解细胞外基质,在给药前增强组织通透性。