Abstract

Magnetic nanoparticles (MNPs) have potential for enhancing drug delivery in selected cancer patients, including those which have cells that have disseminated within cerebrospinal fluid (CSF) pathways. Here, we present data related to the creation and in vitro use of new two-part MNPs consisting of magnetic gold-iron alloy cores which have streptavidin binding sites, and are coated with biotinylated etoposide. Etoposide was chosen due to its previous use in the CSF and ease of biotinylation. Etoposide magnetic nanoparticles (“Etop-MNPs”) were characterized by several different methods, and moved at a distance by surface-walking of MNP clusters, which occurs in response to a rotating permanent magnet. Human cell lines including D283 (medulloblastoma), U138 (glioblastoma), and H2122 (lung adenocarcinoma) were treated with direct application of Etop-MNPs (and control particles), and after remote particle movement. Cell viability was determined by MTT assay and trypan blue exclusion. Results indicated that the biotinylated etoposide was successfully bound to the base MNPs, with the hybrid particle attaining a maximum velocity of 0.13 ± 0.018 cm/sec. Etop-MNPs killed cancer cells in a dose-dependent fashion, with 50 ± 6.8% cell killing of D283 cells (for example) with 24 h of treatment after remote targeting. U138 and H2122 cells were found to be even more susceptible to the killing effect of Etop-MNPs than D283 cells. These findings indicate that the novel Etop-MNPs have a cytotoxic effect, and can be moved relatively rapidly at physiologic distances, using a rotating magnet. While further testing is needed, intrathecal administration of Etop-MNPs holds promise for magnetically-enhanced eradication of cancer cells distributed within CSF pathways, particularly if given early in the course of the disease.

Highlights

  • Seeding of malignant cells into cerebrospinal fluid (CSF) is a cause of severe morbidity and death in patients with metastatic non-CNS tumors, as well as those with primary CNS tumors, notably medulloblastoma [1,2,3,4]

  • Etop-Magnetic nanoparticles (MNPs) were studied by multiple techniques to compare them to their “bare” and “base” MNP counterparts

  • Image J analysis of the scanning transmission electron microscopy (S/transmission electron microscopy (TEM)) particles showed that the mean diameters of bare, base and Etop –MNPs were 73.1 ± 5.5, 94.3 ± 16.5, and 124.7 ± 12.6 nm, respectively

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Summary

Introduction

Seeding of malignant cells into cerebrospinal fluid (CSF) is a cause of severe morbidity and death in patients with metastatic non-CNS tumors (especially lung cancer), as well as those with primary CNS tumors, notably medulloblastoma [1,2,3,4]. Medulloblastoma cells are notorious for CSF pathway dissemination, which is found in 30–40% of children at initial diagnosis and the majority at recurrence [5,6,7]. Intrathecal chemotherapy, such as with etoposide or methotrexate, has been attempted for patients having disseminated medulloblastoma, and leptomeningeal metastases (LM) from solid tumors [1, 2, 5, 8,9,10,11]. In patients with primary CNS tumors this might extend life; in patients with leptomeningeal metastases (LM) from non-CNS tumors, progression of neurologic symptoms might be delayed

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