Abstract

Breast cancer progression is marked by cancer cell invasion and infiltration, which can be closely linked to sites of tumor-connected basement membrane thinning, lesion, or infiltration. Bad treatment prognosis frequently accompanies lack of markers for targeted therapy, which brings traditional chemotherapy into play, despite its adverse effects like therapy-related toxicities. In the present work, we compared different liposomal formulations for the delivery of two anthracyclines, doxorubicin and aclacinomycin A, to a 2D cell culture and a 3D breast acini model. One formulation was the classical phospholipid liposome with a polyethylene glycol (PEG) layer serving as a stealth coating. The other formulation was fusogenic liposomes, a biocompatible, cationic, three-component system of liposomes able to fuse with the plasma membrane of target cells. For the lysosome entrapment-sensitive doxorubicin, membrane fusion enabled an increased anti-proliferative effect in 2D cell culture by circumventing the endocytic route. In the 3D breast acini model, this process was found to be limited to cells beneath a thinned or compromised basement membrane. In acini with compromised basement membrane, the encapsulation of doxorubicin in fusogenic liposomes increased the anti-proliferative effect of the drug in comparison to a formulation in PEGylated liposomes, while this effect was negligible in the presence of intact basement membranes.

Highlights

  • Breast cancer occurrence is rather well monitored by the mammographic screening of females in the European Union [1]

  • Characterization of fusogenic liposomes (FL) and polyethylene glycol (PEG)-EL Loaded with ACL and DOX

  • We investigated the suitability of FL for the delivery of anti-cancer therapeutics in comparison to a liposomal drug formulation similar to liposomes already used in cancer therapy [7,28]

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Summary

Introduction

Breast cancer occurrence is rather well monitored by the mammographic screening of females in the European Union [1]. Breast cancer is still the most common female cancer by far, with second-highest mortality [2,3]. Anthracyclines have been an integral part of commonly used regimens in adjuvant and non-targeted therapy, decreasing the 10-year risk of breast cancer recurrence and overall mortality [4]. The use of anthracyclines in cancer therapy increases the risk of adverse effects like therapy-related toxicities including cardiomyopathy [5,6]. To improve the safety profile, doxorubicin formulation was optimized by encapsulation in polyethylene glycol (PEG)ylated liposomes that led to the approval of Doxil®. This liposomal drug formulation has markedly reduced the risk of doxorubicin-induced cardiotoxicity [7,8]

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