Abstract
Treatment of glioblastoma is complicated by the tumors’ high resistance to chemotherapy, poor penetration of drugs across the blood brain barrier, and damaging effects of chemotherapy and radiation to normal neural tissue. To overcome these limitations, a thermally responsive polypeptide was developed for targeted delivery of therapeutic peptides to brain tumors using focused hyperthermia. The peptide carrier is based on elastin-like polypeptide (ELP), which is a thermally responsive biopolymer that forms aggregates above a characteristic transition temperature. ELP was modified with cell penetrating peptides (CPPs) to enhance delivery to brain tumors and mediate uptake across the tumor cells’ plasma membranes and with a peptide inhibitor of c-Myc (H1). In rats with intracerebral gliomas, brain tumor targeting of ELP following systemic administration was enhanced up to 5-fold by the use of CPPs. When the lead CPP-ELP-fused c-Myc inhibitor was combined with focused hyperthermia of the tumors, an additional 3 fold increase in tumor polypeptide levels was observed, and 80% reduction in tumor volume, delayed onset of tumor-associated neurological deficits, and at least doubled median survival time including complete regression in 80% of animals was achieved. This work demonstrates that a c-Myc inhibitory peptide can be effectively delivered to brain tumors.
Highlights
Glioblastoma multiforme (GBM) is the most common and aggressive form of malignant brain tumor [1]
We have demonstrated the ability of the elastin-like polypeptide (ELP) polypeptide to deliver various Therapeutic peptides (TPs) to cancer cells in a thermally targeted manner [9,15,29,30,33,34]
We first demonstrated the delivery of the c-Myc inhibitory helix 1 (H1) peptide described here by ELP in breast cancer cells in vitro [15,30], and we recently demonstrated that ELP could be used to thermally target the H1 peptide to breast tumors in vivo and significantly inhibit their proliferation [13]
Summary
Glioblastoma multiforme (GBM) is the most common and aggressive form of malignant brain tumor [1]. Treatment for GBM involves surgical removal of as much tumor as possible, followed by radiation therapy and/or chemotherapy with the alkylating agent temozolomide [2]. The tumors are highly resistant to chemotherapeutics, and the blood brain barrier (BBB) makes delivery of therapeutic agents to GBM tumors exceedingly difficult [2]. The susceptibility of nonmalignant neural tissue to chemotherapy and radiotherapy damage, and its inability to repair itself, further complicate the development of novel treatments for GBM. Given the ineffectiveness of current treatment options, there is a critical need to develop therapeutic strategies that can deliver agents to GBM tumors effectively, inhibit proliferation of tumor cells potently, and spare adjacent non-malignant neural tissue, thereby reducing treatment-related side effects
Published Version (Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have