Delivery of polymeric nanostars for molecular imaging and endoradiotherapy through the enhanced permeability and retention (EPR) effect Journal Article

Authors: Goos, J. A. C. M.; Cho, A.; Carter, L. M.; Dilling, T. R.; Davydova, M.; Mandleywala, K.; Puttick, S.; Gupta, A.; Price, W. S.; Quinn, J. F.; Whittaker, M. R.; Lewis, J. S.; Davis, T. P.
Article Title: Delivery of polymeric nanostars for molecular imaging and endoradiotherapy through the enhanced permeability and retention (EPR) effect
Abstract: Expression levels of biomarkers are generally unknown at initial diagnosis. The development of theranostic probes that do not rely on biomarker availability would expand therapy options for cancer patients, improve patient selection for nanomedicine and facilitate treatment of inoperable patients or patients with acquired therapy resistance. Herein, we report the development of star polymers, also known as nanostars, that allow for molecular imaging and/or endoradiotherapy based on passive targeting via the enhanced permeability and retention (EPR) effect. Methods: We synthesised a star copolymer, consisting of 7-8 centre-cross-linked arms that were modified with Gd3+ for magnetic resonance imaging (MRI), and functionalised either with Zr-89 for in vivo quantification and positron emission tomography (PET) imaging, or with Lu-177 for endoradiotherapy. H-1 longitudinal relaxivities were determined over a continuum of magnetic field strengths ranging from 0.24 mT - 0.94 T at 37 degrees C (nuclear magnetic relaxation dispersion (NMRD) profile) and T-1-weighted MRI contrast enhancement was visualized at 3 T and 7 T. PET imaging and ex vivo biodistribution studies were performed in mice bearing tumours with high EPR (CT26) or low EPR (BxPC3) characteristics. Therapy studies were performed in mice with high EPR tumours and mean absorbed organ doses were estimated for a standard human model. Results: The star copolymer with Gd3+ displayed a significantly superior contrast enhancement ability (T-1 = 0.60 s) compared to the standard clinical contrast agent Gadovist (T-1 = 1.0 s). Quantification of tumour accumulation using the radiolabelled nanostars in tumour-bearing mice demonstrated an exceptionally high uptake in tumours with high EPR characteristics (14.8 - 21.7 %ID/g). Uptake of the star polymers in tumours with low EPR characteristics was significantly lower (P<0.001), suggesting passive tumour accumulation of the nanostars via the EPR effect. Survival of mice treated with high dose Lu-177-labelled star polymers was significantly higher than survival of mice treated with lower therapy doses or control mice (P=0.001), demonstrating the utility of the Lu-177-labelled star polymers as platforms for endoradiotherapy. Conclusion: Our work highlights the potential of star polymers as probes for the molecular imaging of cancer tissue or for the passive delivery of radionuclides for endoradiotherapy. Their high functionalisability and high tumour accumulation emphasises their versatility as powerful tools for nanomedicine.
Keywords: gadolinium; imaging; nanoparticles; nanoparticle; radioimmunotherapy; therapy; contrast agents; mri; efficacy; parameters; epr effect; star polymer; pair correlation-functions; translational diffusion; spin relaxation
Journal Title: Theranostics
Volume: 10
Issue: 2
ISSN: 1838-7640
Publisher: Ivyspring International Publisher  
Date Published: 2020-01-01
Start Page: 567
End Page: 584
Language: English
ACCESSION: WOS:000498874200007
DOI: 10.7150/thno.36777
PMCID: PMC6929988
PUBMED: 31903138
Notes: Article -- Source: Wos
Citation Impact
MSK Authors
  1. Jason S Lewis
    279 Lewis
  2. Lukas M Carter
    13 Carter
  3. Jeroen Adrianus Cornelis Maria Goos
    4 Goos