biotech presentation (gene vectors - tumor targeting)

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  • 8/12/2019 Biotech Presentation (Gene Vectors - Tumor Targeting)

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    SYSTEMIC TUMOR-SPECIFGENE DELIVERY

    Journal of Controlled Release

    Spencer Thomas

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    TUMOR-SPECIFIC GENE VECTORS: THE MAGIC BUL

    Developing a systemic gene delivery system that is tumor specific involves a basic

    and then overcoming the natural tropism of that system in order to achieve tumor s

    Localized delivery techniques (intratumoral) of therapeutic gene vectors have show

    in treating primary tumors with minimal off-site toxicity Undetected or quiescent metastatic cells are unaffectedrelapse

    A gene vector delivery system which acts as a magic bullet for cancer cells is on the

    Cell-specific transfection or expression could allow

    these vehicles to be delivered systemically with

    minimal immunogenic or toxicity

    Use of biocompatible nanoparticles utilizing active

    or passive selectivity can accomplish this

    Viral vectors, mesenchymal stem cells (MSCs), and

    siRNA delivery systems could accomplish this

    Multiplex nanoparticles with all the required functionalities for cancer management may bethe way to realize the magic bullet proposed 100 years ago by Paul Ehrlich to treat cancer

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    CHALLENGES OF GENE-VECTORS

    Viral system have strong affinity for liver accumulation, whereas n

    often results in high expression within the lungs

    Systemic delivery requires tumor-specific gene delivery Very few gene targets are specific to tumors or cancer

    lineages; target receptors and motifs overexpressed by tumors is more via

    Modify therapeutic gene so only expresses in tumor cells that have proper

    signature

    Insertion of therapeutic gene in on-site and off-site cells can cau

    aberrant transcriptional manifestations i.e under-expression/ overof proteins required for normal function

    In the case of viral vectors, the vector itself can lead to aberrant cell

    alterations

    Amount of gene transfection is often too low to have desired/prolo

    increasing dose causes off-site toxicity (lung/liver)

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    NON-VIRAL & VIRAL VECTORS

    Non-Viral

    Cationic Lipoplexes

    Micellar-like biopolymers

    Cationic polymers

    Polyethylenimines (PEIs)

    Dendrimers

    PAMAM (polyamidoamine)

    PPI (polypropylenimine)

    Viral

    Vacinnia virus

    Herpes virus

    Lentevirus

    Adenovirus (not common for gene vectors)

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    NON-VIRAL VECTORS

    LIPOPLEXES

    Composed of cationic lipid and a neutral lipid or

    cholesterol, encapsulates (-) charged DNA

    Easily interact w/ cell membrane and internalize

    through endocytosis

    Leads to destabilization of lipid-complex

    cytoplasmic delivery of DNA

    Low immunogenic potential, and hold larger

    payload of DNA

    Relatively non-specific delivery toxicity

    Tends to accumulate largely in lungs

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    LIPOPLEXES (CONT)

    PEGylation + conjugation w/ integrin

    Highly specific for tumor cells upon systemic admin

    Tissue analysis utilizing FISH (luciferase)

    Luciferase DNA accumulation two-fold greater in tumor

    tissue compared to lung/liver/spleen

    130-fold greater accumulation compared to other organs

    PEGylation + anisamide

    Targets cells overexpressing sigma receptor (cancer)

    10-fold greater expression/mg of tumor

    When used to deliver IL-2/IL-12 to subcutaneous

    neoblastoman tumors (mouse model)

    1/3 of tumors eradicated, other 2/3 had markedly

    decreased growth

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    NON-VIRAL VECTORS (CONT)

    Polyethylenimines (PEIs)

    Cationic polymers, ability to condense DNA (with large

    payload), internalize into cells and facilitate cellular

    endosome rupture (proton sponge)

    Tends to accumulate in lungs, considerable non-

    specific cytotoxicity

    Conjugated w/ FGF specific targeting peptide

    Increase of luciferase expression was 2-fold greater in

    tumor than in lungs (4-fold greater in lungs)

    Conjugated to transferrin

    Tumor luciferase expression = 100-fold greater than in

    lungs

    PEGylationimproved delivery to tumor tissue 10-fold;

    specificity slightly decreased

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    NON-VIRAL VECTORS (CONT)Dendrimers

    Used for applications ranging from gene/drug delivery to nano-

    engineering, diagnostic sensors

    Core + functional tree-like branches outwards w/ high ability to tailorto therapeutic needs

    2 commercially available (cationic) dendrimers used for gene delivery

    PPI (Polypropylenimine) otherwise known as POPAM

    PAMAM (polyamidoamine)

    Generally accepted that PAMAM dendrimers accumulate in the lungs

    Has previously been demonstrated that therapeutic gene expression could

    still be specific to tumor Recent evidence, that PPI dendrimers have innate tumor specificity

    when delivered systemically

    Accumulation results in tumor-specific gene expression

    Lack of research on this particular class of dendrimers

    FIGURE: 3rd gen PPI den

    (nitrotripropionamide) and

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    DENDRIMERS (CONT)

    PAMAM

    In mouse model, PAMAM dendrimers delivery gathered

    primarily in lung but luciferase expression was isolated tothe tumor (see Figure)

    PPI

    Authors cited 2 studies: Russ et al. & Chisholm et al.

    Use of 2nd & 3rd generation PPI dendrimers induced

    exogenous gene expression up to 100-fold greater in tumor

    compared to all other organ

    Conjugated w/ transferrin

    4-fold greater tumor tissue expression (compared to

    hepatocytes) of gene

    TNF-w/ tumor-specific promoter

    Complete regression of 90% of tumors (mice model)

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    MESENCHYMAL STEM CELLS (MSCSDELIVER SYSTEM

    Attractive due to highly proliferative nature, easy

    isolation, genetically modified to express genes,

    sustained viability and expression (3-21 days)

    Observed to have innate ability to accumulate in

    tumor tissue magic bullet without extensive

    modification/synthesis required

    Studies involving MSC integrated w/ IL-12 and IFN-

    beta exhibited tumor-specific delivery to gliomas,

    melanomas, and breast tumors

    Could be artifact of tumor system (mice infected w/

    human cancer cell lineage and human derived MSCs)

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    VIRAL VECTORS

    The utilization of viral techniques to hijack viral vector systems make use of very

    mechanisms to internalize their own genome into target cells

    Some viruses preferentially infect cancer cells over normal cells

    Naturally derived viral vectors can be modified, disabled and used to introduce th

    genes into cells

    Attractive due to evolutionary adaptations which have proceeded for millions of y

    3 main viral vectors for therapeutic gene delivery

    Vaccina viru s: possesses gene encoding transcriptional proteins and high gene exp

    independent of host cell replication

    Herpes virus: preferentially infects cancer cells over normal cells

    Lent iv i rus:retroviral, integrate integration of its DNA into cell genome

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    VIRAL VECTORS (CONT)Vaccina virus

    Puhlman et al. thoroughly characterized systemic vaccina gene deliveryutilized muta

    vector (inactivation of TK, luciferase expression)

    Systemic IV injection demonstrated luciferase tumor expression to be 250-fold higher than c

    affected tissue

    Replacing luciferase w/ genes encoded for therapeutic genes successfully treated tumors (ra

    (1) Study involving DNA encoded w/ cytosine deanimase demonstrated significant longer life expec

    rate

    (2) viral particles loaded w/ endothelial activating polypeptide II demonstrated TNF-resistant melaand tumor regression

    However, high immunogenic response lead to rapid clearance, nonetheless potential for agg

    therapeutic response

    Herpes Simplex Virus (HSV)

    Study investigating mutated rHSV (replicative ability limited to MEK expressing cells)

    Systemic administration (IV) of rHSV vector exhibited tumor-specific expression and significa

    growth

    Ex vivoimaging of luciferase-independent expression elucidated non-specific distribution

    rHSV only activated in MEK expressing (cancer) cells, though non-specific vector delivery achieved

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    VIRAL VECTORS (CONT)

    Lentivirius

    Inherently non-tumor specific

    Specificity was found to be increased by: (1) modification of viral envelopeincre

    efficiency of gene delivery, (2) mutating E2 envelope protein (3) incorporating P-g

    antibody

    Study on mice infected w/ melanoma (showing metastatic cells in the lungs)

    Ex vivo imaging of Luciferase expression indicated selective to melanoma cells expresglycoprotein in mouse models

    More remarkably, metastases in lungs high expression of luciferase whereas, control n

    mice had no detectable gene expression w/ limited expression in liver and spleen

    Effectively targeted quiescent metastases

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    SIRNA DELIVERY SYSTEMS

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    CONCLUSION

    The efficient and safe delivery of plasmids to target cells upon direct, systemic in

    administration remains one of the most important challenges for the development

    gene therapy vehicles and eradication of malignant neoplasms

    The innate nature of viral vectors and cationic polymers for non-specific tissue ac

    especially that of the liver and lungs provides many obstacles.

    Harnessing the potential of retroviral vectors would allow the integration of therapeutic

    ultimate termination or restitution of normal function in previous cancer-infected cells

    There is high hopes for rHSV which has previously shown ligand/antibody targeting m

    necessary if gene expression in the organs can be adequately limited using cellular pr

    expressed at high levels in cancer cells

    PPI dendrimers, even with the limited research conducted on them, show a high l

    success demonstrating an interesting ability to act as biological homing mechanis

    bullets for tumors.

    Systemic delivery and effective transfection of genes, including TNF- and IL-12,

    the immunogenic activity of NK cells and superior suicide pathways is a sophistic

    target cancer but requires advancement in understanding the molecular biology o

    (more so the tumor microenvironment) before any breakthroughs may ensue.

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    REFERENCE

    Kullberg M, Mccarthy R, Anchordoquy TJ. Systemic tumor-specific gene delive

    Release. 2013;172(3):730-6.