Radiation and adjuvant drug-loaded liposomes target glioblastoma stem cells and trigger in-situ immune response.

blood–brain barrier drug-loaded liposomes glioblastoma stem cell immunogenic cell death radiotherapy

Journal

Neuro-oncology advances
ISSN: 2632-2498
Titre abrégé: Neurooncol Adv
Pays: England
ID NLM: 101755003

Informations de publication

Date de publication:
Historique:
entrez: 11 8 2021
pubmed: 12 8 2021
medline: 12 8 2021
Statut: epublish

Résumé

The radio- and chemo-resistance of glioblastoma stem-like cells (GSCs), together with their innate tumor-initiating aptitude, make this cell population a crucial target for effective therapies. However, targeting GSCs is hardly difficult and complex, due to the presence of the blood-brain barrier (BBB) and the infiltrative nature of GSCs arousing their dispersion within the brain parenchyma. Liposomes (LIPs), surface-decorated with an Apolipoprotein E-modified peptide (mApoE) to enable BBB crossing, were loaded with doxorubicin (DOXO), as paradigm of cytotoxic drug triggering immunogenic cell death (ICD). Patient-derived xenografts (PDXs) obtained by GSC intracranial injection were treated with mApoE-DOXO-LIPs alone or concomitantly with radiation. Our results indicated that mApoE, through the engagement of the low-density lipoprotein receptor (LDLR), promotes mApoE-DOXO-LIPs transcytosis across the BBB and confers target specificity towards GSCs. Irradiation enhanced LDLR expression on both BBB and GSCs, thus further promoting LIP diffusion and specificity. When administered in combination with radiations, mApoE-DOXO-LIPs caused a significant reduction of in vivo tumor growth due to GSC apoptosis. GSC apoptosis prompted microglia/macrophage phagocytic activity, together with the activation of the antigen-presenting machinery crucially required for anti-tumor adaptive immune response. Our results advocate for radiotherapy and adjuvant administration of drug-loaded, mApoE-targeted nanovectors as an effective strategy to deliver cytotoxic molecules to GSCs at the surgical tumor margins, the forefront of glioblastoma (GBM) recurrence, circumventing BBB hurdles. DOXO encapsulation proved in situ immune response activation within GBM microenvironment.

Sections du résumé

BACKGROUND BACKGROUND
The radio- and chemo-resistance of glioblastoma stem-like cells (GSCs), together with their innate tumor-initiating aptitude, make this cell population a crucial target for effective therapies. However, targeting GSCs is hardly difficult and complex, due to the presence of the blood-brain barrier (BBB) and the infiltrative nature of GSCs arousing their dispersion within the brain parenchyma.
METHODS METHODS
Liposomes (LIPs), surface-decorated with an Apolipoprotein E-modified peptide (mApoE) to enable BBB crossing, were loaded with doxorubicin (DOXO), as paradigm of cytotoxic drug triggering immunogenic cell death (ICD). Patient-derived xenografts (PDXs) obtained by GSC intracranial injection were treated with mApoE-DOXO-LIPs alone or concomitantly with radiation.
RESULTS RESULTS
Our results indicated that mApoE, through the engagement of the low-density lipoprotein receptor (LDLR), promotes mApoE-DOXO-LIPs transcytosis across the BBB and confers target specificity towards GSCs. Irradiation enhanced LDLR expression on both BBB and GSCs, thus further promoting LIP diffusion and specificity. When administered in combination with radiations, mApoE-DOXO-LIPs caused a significant reduction of in vivo tumor growth due to GSC apoptosis. GSC apoptosis prompted microglia/macrophage phagocytic activity, together with the activation of the antigen-presenting machinery crucially required for anti-tumor adaptive immune response.
CONCLUSIONS CONCLUSIONS
Our results advocate for radiotherapy and adjuvant administration of drug-loaded, mApoE-targeted nanovectors as an effective strategy to deliver cytotoxic molecules to GSCs at the surgical tumor margins, the forefront of glioblastoma (GBM) recurrence, circumventing BBB hurdles. DOXO encapsulation proved in situ immune response activation within GBM microenvironment.

Identifiants

pubmed: 34377986
doi: 10.1093/noajnl/vdab076
pii: vdab076
pmc: PMC8349181
doi:

Types de publication

Journal Article

Langues

eng

Pagination

vdab076

Informations de copyright

© The Author(s) 2021. Published by Oxford University Press, the Society for Neuro-Oncology and the European Association of Neuro-Oncology.

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Auteurs

Marco Pizzocri (M)

IRCCS Humanitas Research Hospital, Laboratory of Pharmacology and Brain Pathology, via Manzoni 56, 20089 Rozzano, Milano, Italy.

Francesca Re (F)

BioNanoMedicine Center NANOMIB, School of Medicine and Surgery, University of Milano-Bicocca, via Raoul Follereau 3, 20854 Vedano al Lambro, Italy.

Elisabetta Stanzani (E)

IRCCS Humanitas Research Hospital, Laboratory of Pharmacology and Brain Pathology, via Manzoni 56, 20089 Rozzano, Milano, Italy.

Beatrice Formicola (B)

BioNanoMedicine Center NANOMIB, School of Medicine and Surgery, University of Milano-Bicocca, via Raoul Follereau 3, 20854 Vedano al Lambro, Italy.

Matteo Tamborini (M)

IRCCS Humanitas Research Hospital, Laboratory of Pharmacology and Brain Pathology, via Manzoni 56, 20089 Rozzano, Milano, Italy.
CNR Institute of Neuroscience, Milano, Italy.

Eliana Lauranzano (E)

IRCCS Humanitas Research Hospital, Laboratory of Pharmacology and Brain Pathology, via Manzoni 56, 20089 Rozzano, Milano, Italy.

Federica Ungaro (F)

IRCCS Humanitas Research Hospital, Laboratory of Gastrointestinal Immunopathology, via Manzoni 56, 20089 Rozzano, Milan, Italy.

Simona Rodighiero (S)

Fondazione Filarete, Milano, Italy.

Maura Francolini (M)

Department of Medical Biotechnology and Translational Medicine, Universita' degli Studi di Milano, Italy.

Maria Gregori (M)

BioNanoMedicine Center NANOMIB, School of Medicine and Surgery, University of Milano-Bicocca, via Raoul Follereau 3, 20854 Vedano al Lambro, Italy.

Alessandro Perin (A)

Department of Neurological Surgery, Fondazione I.R.C.C.S. Istituto Neurologico "C.Besta" Milano, Italy.

Francesco DiMeco (F)

Department of Neurological Surgery, Fondazione I.R.C.C.S. Istituto Neurologico "C.Besta" Milano, Italy.
Department of Pathophysiology and Transplantation, Universita' degli Studi di Milano, Italy.
Department of Neurological Surgery, Johns Hopkins Medical School, Baltimore, Maryland, USA.

Massimo Masserini (M)

BioNanoMedicine Center NANOMIB, School of Medicine and Surgery, University of Milano-Bicocca, via Raoul Follereau 3, 20854 Vedano al Lambro, Italy.

Michela Matteoli (M)

IRCCS Humanitas Research Hospital, Laboratory of Pharmacology and Brain Pathology, via Manzoni 56, 20089 Rozzano, Milano, Italy.
CNR Institute of Neuroscience, Milano, Italy.

Lorena Passoni (L)

IRCCS Humanitas Research Hospital, Laboratory of Pharmacology and Brain Pathology, via Manzoni 56, 20089 Rozzano, Milano, Italy.

Classifications MeSH