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Communicated by Dennis A. Carson, University of California at San Diego School of Medicine, La Jolla, CA, April 17, 2008 (received for review
March 7, 2008)
Integrin ␣3 is found on a subset of tumor blood vessels where terol, dioleoylphosphatidylethanolamine (DOPE), dis-
it is associated with angiogenesis and malignant tumor growth. tearoylphosphatidylethanolamine (DSPE)-mPEG2000, and
We designed an ␣3-targeted nanoparticle (NP) encapsulating DSPE-cyclic RGDfK. After dehydration/rehydration and soni-
the cytotoxic drug doxorubicin (Dox) for targeted drug delivery to cation, the NPs were stepwise extruded down through a mini-
the ␣3-expressing tumor vasculature. We observed real-time mum pore size of 100 nm. Dynamic light scattering demonstrated
targeting of this NP to tumor vessels and noted selective apoptosis that the NPs had a mean hydrodynamic diameter of 105 nm and
in regions of the ␣3-expressing tumor vasculature. In clinically a zeta potential close to neutrality [supporting information (SI)
relevant pancreatic and renal cell orthotopic models of spontane- Table S1]. A 6-(((4,4-difluoro-5-(2-thienyl)-4-bora-3a,4a-diaza-
ous metastasis, targeted delivery of Dox produced an antimeta- s-indacene-3-yl)styryloxy)acetyl) aminohexanoic acid, succin-
static effect. In fact, ␣3-mediated delivery of this drug to the imidyl ester (BODIPY) 630/650 fluorophore was conjugated to
tumor vasculature resulted in a 15-fold increase in antimetastatic DOPE, and this fluorescent lipid was incorporated into the
activity without producing drug-associated weight loss as ob- particle at low concentration for imaging both in vitro and in vivo
served with systemic administration of the free drug. These find- targeting. To address the specificity of the NPs for integrin ␣v3,
ings reveal that NP-based delivery of cytotoxic drugs to the we performed binding studies on human umbilical vein endo-
␣3-positive tumor vasculature represents an approach for treat- thelial cells (HUVECs) that express high levels of this integrin
ing metastatic disease. (Fig. 1B). HUVECs were pretreated with a 20-fold molar excess
of either cRGDfK (targeting peptide) or cRADfK (control
antiangiogenic 兩 intravital microscopy 兩 pancreatic cancer 兩 peptide), and the RGD-NPs were subsequently incubated with
renal cell carcinoma 兩 liposome the cells. RGD-NPs bound and internalized within 20 min in the
presence of the cRADfK peptide as expected, whereas the
soluble cRGDfK peptide completely inhibited the binding of
A ngiogenesis contributes to tumor malignancy and is linked
to a wide variety of inflammatory and ischemic diseases.
Integrin ␣v3, an internalization receptor for a number of
the RGD-NPs (Fig. 1B).
viruses (1, 2), was shown to be preferentially expressed on the In Vivo Targeting of the RGD-NPs. After establishing targeting in
angiogenic endothelium in malignant or diseased tissues (3, 4). vitro, the RGD-NPs were tested for targeting to the tumor
These characteristics of integrin ␣v3 make it an attractive vasculature. M21L-GFP mouse melanoma cells (integrin ␣v3
targeting molecule for molecular imaging and delivery of ther- negative) were implanted in dorsal skin-fold window chambers
apeutics for cancer. Previous studies have shown that ␣v3- and allowed to grow and become vascularized for 7 days. We then
targeted nanoparticles (NPs) coupled to contrast agents can injected RGD-NPs (targeted) or RAD-NPs (nontargeted) and
readily image the tumor vasculature revealing ‘‘hot spots’’ of imaged both the tumor (GFP) and NPs (BODIPY) by confocal
angiogenesis within the tumor (5, 6). Therapeutic studies using microscopy. RGD-NPs targeted the newly forming tips of the
the ␣v integrin-targeting peptide, RGD-4C, demonstrated that tumor neovasculature associated with the tumor margin within 2 h
this peptide effectively targeted doxorubicin (Dox) to the tumor and reached maximum binding ⬇5 h after i.v. injection, whereas the
neovasculature and enhanced efficacy in human breast cancer corresponding RAD-NP did not accumulate in the tumor neovas-
xenografts in mice (7). In another study, an ␣v3-targeted NP culature at all time points examined (Fig. 1C).
delivering a suicide gene to angiogenic blood vessels was capable of
producing an anticancer response (8). Although integrin ␣v3 is a RGD-Dox-NPs Are Antiangiogenic. To study the antiangiogenic
marker of angiogenic endothelium, histological analysis of breast effect of the targeted NP, mice containing s.c. Matrigel plugs
cancer biopsy tissue revealed that ␣v3 was a primary marker of loaded with basic fibroblast growth factor (bFGF) were i.v.
blood vessels within the most malignant tumors (4). In fact, a strong injected with NPs containing Dox. Angiogenesis was measured
correlation was established between the percent of ␣v3-positive after 7 days by labeling the vasculature with fluorescein-labeled
Griffonia Simplicifolia lectin (10). It is important to note that this
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the drug while producing few, if any, side effects. The authors declare no conflict of interest.
*E.A.M. and B.K.M. contributed equally to this work.
Results †To whom correspondence should be addressed. E-mail: dcheresh@ucsd.edu.
Design of NPs Targeted to Angiogenic Endothelium. A schematic This article contains supporting information online at www.pnas.org/cgi/content/full/
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PEG
2000
B RGD-NP
c(RGDfK)
20 fold molar
excess of peptide
B 16000 C1000
b F G F - in d u c e d A n g io g e n e s is (R a w O D )
900
b F G F- in d u c e d A n g io g e n e s is (R a w O D )
14000
c(RADfK) 800
12000
700
10000 600
8000 500
C 6000 400
*=0.004
* =0.04 300
4000
200
2000 100
RAD-NP 0 0
PBS RGD-Dox RGD c(RGDfK) PBS RAD-Dox RGD-Dox
-NP -NP -NP -NP
efficacy of the RGD-Dox-NPs in a syngeneic murine ortho- because regional lymph node metastasis is an important predic-
topic tumor model of pancreatic carcinoma. R40P murine tor for survival of pancreatic adenocarcinoma patients (14, 15).
Nanoparticle Accumulation
20%
L iv e r H e a rt Pancreas 10%
5%
0%
s
r
rt
ng
in
ve
ne
ea
ea
cr or
s)
ra
Lu
Li
id
cr
an m
ea
B
H
K
an
(P Tu
P
K id n e y Lung Pancreas (Tumor)
H ila r L N T u m o r (m g )
C
P ox
P ox
P ox
S
P ox
S
ox
ox
B
-N -D
-N -D
B
-N -D
-N -D
P
D
P
D
AD
D
AD
G
G
R
R
H&E B lood vessels
H ila r L N T u m o r (m g )
A poptosis 700
T umor Weig ht (mg )
600 20
500
400 15
300 10
200 ** =0.014
b3 100 5
0 0
PBS 1 7.5 15 PBS 1 7.5 15
T reatmen t (D o x mg /k g ) T reatment (D ox mg /kg )
Fig. 3. Suppression of metastasis in an orthotopic model of pancreatic cancer. (A) R40P pancreatic carcinoma cells were injected into the tail of the pancreas
in Tie-2 GFP mice and allowed to grow for 11 days. RGD-NPs labeled with BODIPY 630/650 were i.v.-injected, and the primary tumor, pancreas, liver, lung, kidney,
and heart were imaged by confocal microscopy. Red represents rhodamine-labeled G. simplicifolia lectin for staining the endothelium, and green represents NP
binding. (B) Quantitation of the fluorescent NPs in various tissues expressed as the percent of pixels from the confocal images. (C) Immunohistochemistry of serial
sections from the tumors treated with the RGD-Dox-NPs demonstrates areas of apoptosis (TUNEL staining) that colocalize only with blood vessels that express
the target (3). (D) Integrin ␣v3-targeted RGD-Dox-NPs prevent metastasis to the hepatic hilar lymph node. After surgical implantation of the cells, mice were treated
on days 5, 7, and 9 with RGD-Dox-NP, RAD-Dox-NP, free Dox, or PBS (each with 1 mg/kg total Dox per dose). On day 11, the primary tumor and the hepatic hilar lymph
node were resected and weighed. (E) Effect of free Dox at various concentrations (1, 7.5, and 15 mg/kg dosed on days 5, 7, and 9) on primary tumor growth and metastasis
to the hepatic hilar lymph node. *, P ⬍ 0.05 for RGD-Dox-NP vs. PBS. **, P ⬍ 0.05 for 15 mg/kg free Dox vs. PBS. (Scale bars: A and C, 100 m.)
To assess the effects of the RGD-Dox-NP on primary tumor containing 1 mg/kg Dox (Fig. 3 D and E). However, dosing
growth and metastasis, tumor-bearing mice were injected with animals with 15 mg/kg of free Dox caused severe weight loss
NPs on days 5, 7, and 9 after orthotopic tumor implantation. We (18% reduction in body weight), whereas the RGD-Dox-NP
then measured the size of the primary tumors and metastatic treatment at 1 mg/kg showed only a 0.8% decline in body weight
lesions on day 11. While the RGD-Dox-NPs containing 1 mg/kg (Fig. S2). Additionally, like the RGD-Dox-NP-treated animals,
of Dox produced a modest reduction of the primary tumor control animals did not gain or lose any weight during the
MEDICAL SCIENCES
Dox and found that 15 mg/kg was required to achieve a similar model of renal cell carcinoma. In this model, human SN12C
reduction in metastasis as demonstrated with the RGD-NP renal carcinoma cells expressing red fluorescent protein (RFP)
P rim a ry tu m o r w e ig h t (m g )
Primary Tumor Metastasis
Metastatic site RGD-DOX-NP RAD-DOX-NP 900
800
M e ta s ta tic b u rd e n
Pancreas 5/8 6/8 700 1600
Spleen 3/8 5/8 600
500 1200
Diaphragm 1/8 4/8 400
800
Liver 1/8 4/8 300
200 400
Lungs 1/8 2/8 100 * =0.014
Gut 4/8 6/8 0 0
RAD-Dox-NP RGD-Dox-NP RAD-Dox-NP RGD-Dox-NP
Primary 8/8 8/8
Discussion
Nontargeted long circulating liposomes, e.g., Doxil, have been Fig. 4. RGD-Dox-NP reduces overall metastasis in an orthotopic renal cell
extensively used for delivering chemotherapeutic drugs to tu- carcinoma model. (A) Human SN12C-RFP cells were injected into the left
mors via the enhanced permeability and retention mechanism kidney and primary tumors were established for 8 days. At that time, NPs
(16). Although liposomal delivery of cytotoxic drugs can im- containing 2 mg/kg Dox were dosed every other day from day 8 until day 42.
At the endpoint, both kidneys were removed and the difference in weight was
prove antitumor activity, targeted delivery of these particles
attributed to primary tumor burden. Additionally, the diaphragm, liver, pan-
represents a potential approach to further enhance efficacy and creas, and spleen were resected and imaged for RFP-expressing metastatic
minimize toxicity. Recent studies have described the design of lesions by using an OV-100 whole animal imaging system. The total pixels in
NPs that target the tumor endothelium to improve diagnosis via each image were quantified by using ImageJ software and the average pixels
imaging (5, 6, 17) or deliver therapeutics to solid tumors (8, 18, of the metastatic lesions/animal are represented as the metastatic burden.
19). The majority of the therapeutic research has focused on *, P ⬍ 0.05 for RGD-Dox-NPs vs. RAD-Dox-NPs. (B) Images of the RFP fluores-
using various forms of RGD peptides for targeting integrin ␣v3, cence from the metastatic lesions present in the diaphragm, liver, pancreas,
which is present on the tumor neovasculature (20). and spleen used for the quantification of the metastatic burden in A are
presented for each animal. (Scale bars: 5 mm.)
Integrin ␣v3 represents an ideal vascular targeting receptor
because it is highly expressed on the angiogenic endothelium and
expression of this receptor on tumor vessels correlates with express integrin ␣v3. The modest effect on the primary tumor
disease progression (9). Additionally, this receptor is used by is perhaps not surprising, because treatment was initiated after
viruses for internalization into cells, making it an optimal the primary tumors had established a blood supply. Tumors with
targeting receptor for NP-mediated drug delivery (21). By
preestablished vasculature typically express integrin ␣v3 on a
displaying targeting ligands such as cyclic RGD peptides in a
subset of vessels associated with the tumor margin as we (Fig.
multivalent array on the surface of NPs, avidity for the target is
3C) and others have observed (4, 9). Because apoptosis is
greatly increased as the binding to integrins causes both lateral
diffusion and clustering of multimeric complexes (22, 23). This induced only in areas of the tumor colocalizing with 3, only a
increase in avidity leads to active targeting even in the presence fraction of the primary tumor (i.e., that near the margin) is
of shear stress generated by the flowing blood at the surface of expected to be impacted by the 3-targeted NPs. Importantly,
the endothelium. The combination of these properties make even though the hydrodynamic diameter of the untargeted
integrin ␣v3 a particularly useful target for delivering chemo- RAD-Dox-NPs was 100–120 nm, no effect was observed on
therapeutic molecules to the tumor endothelium. inhibition of primary tumor growth because of nonspecific
In this study, we evaluated the impact of integrin ␣v3- accumulation in the tumor via the enhanced permeability and
targeted NP drug delivery on primary tumor growth and spon- retention mechanism. Additionally, the untargeted RAD-Dox-
taneous metastasis of two orthotopic cancer models. Although NPs did not induce apoptosis in any area of the tumor (data not
we observed a reproducible, but modest, effect on primary tumor shown), confirming that targeting integrin ␣v3 was necessary
growth, we noted a substantial impact on metastatic disease. for localized tumor cell apoptosis.
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This effect was not based on integrin ␣v3 expression on the Several hypotheses might help to explain the preferential
tumor cells because the tumor cells examined in this study do not effect of the RGD-Dox-NPs on the metastatic lesions in these
For conjugation to lipid, the peptides were conjugated to a short linker, and the organs were resected at 5-h postinjection. The organs were imaged via
succinimidyl ester-(PEO)4-maleimide (Pierce). DSPE was reacted with imi- whole mount on glass slides by confocal microscopy (Nikon C1si). Fluorescence
nothiolane (Sigma–Aldrich) to produce a free thiol. The DSPE containing was observed from both the NP and the blood vessels of the Tie2-GFP mice in
the free thiol group was reacted with the cRGDfK-(PEO)4-maleimide or which GFP was expressed in the endothelium.
cRADfK-(PEO)4-maleimide to produce the peptide-lipid conjugates, and
those conjugates were recrystallized in methanol/diethyl ether 1:9 at 4°C Renal Cell Carcinoma Model. The renal cell carcinoma model was used as
overnight. The exact mass of the peptide-lipid conjugates was verified by described (31). One million tumor cells in 20 l of a 1:1 PBS/Matrigel mixture
mass spectroscopy. were injected into the lower pole of the kidney just below the renal subcap-
sule in male nu/nu mice. The needle was removed after a visible blister formed
NP Preparation. The particle formulation of cholesterol/DOPE/DSPC/DSPE- and leakage of the tumor cell suspension was minimal. Animals that formed
(PEO)4-cRGDfK/DSPE-mPEG2000 (6:6:6:1:1 molar ratio) in chloroform was visible blisters upon injection in the subcapsule with minimal leakage were
evaporated under argon gas, and the dried lipid film was hydrated in sterile used for the study. Mice with orthotopic injections of the SN12C-RFP cells were
300 mM ammonium phosphate buffer (pH 7.4) in a total volume of 5 ml at imaged by using the Olympus OV100 Small Animal Imaging System and
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a total lipid concentration of 3.32 mM for a minimum of 1 h. Liposomes grouped on day 7 based on weight and imaging results. NPs were injected i.v.
were vortexed for 2–3 min to remove any adhering lipid film and sonicated every other day beginning on day 8 and continuing until the end of the
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