Abstract

Chemotherapy is a primary treatment for cancer, but its efficacy is often limited by the adverse effects of cytotoxic agents. Targeted drug delivery may reduce the non-specific toxicity of chemotherapy by selectively directing anticancer drugs to tumor cells. MUC1 protein is an attractive target for tumor-specific drug delivery owning to its overexpression in most adenocarcinomas. In this study, a novel MUC1 aptamer is exploited as the targeting ligand for carrying doxorubicin (Dox) to cancer cells. We developed an 86-base DNA aptamer (MA3) that bound to a peptide epitope of MUC1 with a K d of 38.3 nM and minimal cross reactivity to albumin. Using A549 lung cancer and MCF-7 breast cancer cells as MUC1-expressing models, MA3 was found to preferentially bind to MUC1-positive but not MUC1-negative cells. An aptamer-doxorubicin complex (Apt-Dox) was formulated by intercalating doxorubicin into the DNA structure of MA3. Apt-Dox was found capable of carrying doxorubicin into MUC1-positive tumor cells, while significantly reducing the drug intake by MUC1-negative cells. Moreover, Apt-Dox retained the efficacy of doxorubicin against MUC1-positive tumor cells, but lowered the toxicity to MUC1-negative cells (P<0.01). The results suggest that the MUC1 aptamer may have potential utility as a targeting ligand for selective delivery of cytotoxic agent to MUC1-expressing tumors.

Highlights

  • Chemotherapy is an essential treatment for cancer, especially for late-stage metastatic disease

  • The efficacy of chemotherapy is often limited by the adverse effects of cytotoxic agents that damage both cancer and normal cells

  • MUC1 is considered a valuable target for ligand-guided anticancer chemotherapy due to its over-expression in most adenocarcinomas

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Summary

Introduction

Chemotherapy is an essential treatment for cancer, especially for late-stage metastatic disease. A major problem associated with cytotoxic drugs is that they cause damages to both cancer cells and normal tissue, generating serious adverse effects that often limit the intensity and the duration of chemotherapy. It is frequently difficult for cytotoxic drugs to eliminate all cancer cells within the body, resulting in treatment failure and poor prognosis. Such failure underscores the need to develop increasingly potent therapy with reduced toxicity. Targeted cancer therapy holds promise in improving anticancer efficacy. A study of trastuzumab emtansine (T-DM1), a conjugate of the humanized anti-HER2 antibody and a chemical drug, is currently in phase III clinical trial [3]

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