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†
Departamento de Farmacia y Tecnología Farmaceutica, Facultad de Farmacia, Universidad de Granada, 18071;Granada, Spain, ‡Universite Paris-Sud XI, Faculte
de Pharmacie, UMR CNRS 8612, IFR 141, 92296 Ch^atenay-Malabry Cedex, France, §Universite Paris-Sud XI, UMR CNRS 8081, 91405 Orsay Cedex, France, and
Laboratoire de Resonance Magnetique Nucleaire Biologique-Institut de Chimie des Substances Naturelles, Gif sur Yvette, France, and ^Universita degli Studi di
Torino, Facolta di Farmacia, Dipartimento di Scienza e Tecnologia del Farmaco, 10125 Torino, Italy. z Current address: Sanofi-aventis, 13 Quai Jules-Guesdes 94403
Vitry-sur-Seine, France. # These authors contributed equally to this work.
C
ancer is becoming the most frequent
cause of death in most developed ABSTRACT This study reports the design of a novel theragnostic nanomedicine which combines
countries, and in particular the inci- (i) the ability to target a prodrug of gemcitabine to an experimental solid tumor under the influence
dence of this disease among women is of a magnetic field with (ii) the imaging of the targeted tumoral nodule. This concept is based on
increasing dramatically. For example, the the inclusion of magnetite nanocrystals into nanoparticles (NPs) constructed by self-assembling
mortality due to cancer accounts for 23%
molecules of the squalenoyl gemcitabine (SQgem) bioconjugate. The nanocomposites are characterized
of the total deaths in the USA,1 while it
represents 31% in men and 19% in women by an unusually high drug loading, a significant magnetic susceptibility, and a low burst release. When
in France.2 injected to the L1210 subcutaneous mice tumor model, these magnetite/SQgem NPs were magnetically
In spite of the discovery of several potent guided, and they displayed considerably greater anticancer activity than the other anticancer treatments
new therapeutic molecules, the clinical use (magnetite/SQgem NPs nonmagnetically guided, SQgem NPs, or gemcitabine free in solution). The
and efficacy of conventional anticancer histology and immunohistochemistry investigation of the tumor biopsies clearly evidenced the
agents is still hampered by nonspecific bio-
therapeutic superiority of the magnetically guided nanocomposites, while Prussian blue staining
distribution and the difficulty of delivering
confirmed their accumulation at the tumor periphery. The superior therapeutic activity and enhanced
the necessary therapeutic concentration of
drug to the tumor site. In some cases, rapid tumor accumulation has been successfully visualized using T2-weighted imaging in magnetic resonance
metabolism and clearance contribute to the imaging (MRI). This concept was further enlarged by (i) the design of squalene-based NPs containing the
poor efficacy and/or toxicity of these medi- T1 Gd3þ contrast agent instead of magnetite and (ii) the application to other anticancer squalenoyls,
cines. Furthermore, drug resistance at the such as, cisplatin, doxorubicin, and paclitaxel. Thus, by combining different anticancer medicines as well
tumor level (noncellular based mechanisms) as contrast imaging agents in NPs, we open the door toward generic conceptual framework for cancer
or at the cellular level (cellular mechanisms)
treatment and diagnosis. This new theragnostic nanotechnology platform is expected to have important
is another major drawback of current che-
applications in cancer therapy.
motherapy.
The introduction of nanotechnology into
KEYWORDS: cancer therapy . drug delivery system . magnetic resonance imaging .
pharmacology (“nanomedicine”) has impor- squalenoyl prodrug . theragnostic nanomedicine . ultrasmall superparamagnetic iron
tantly influenced the drug delivery field, oxide
allowing the appearance of new treatments
with improved efficacy.3,4 These nanode-
vices can be exploited for anticancer ther- transported drug with respect to the carrier *Address correspondence to
apy as a means to administer the drug into material).8,9 As a consequence, either the patrick.couvreur@u-psud.fr.
the body in a controlled manner, to deliver it quantity of the anticancer drug administered
Received for review December 12, 2010
to the tumor,5,6 and to overcome resistance is not sufficient to reach a pharmacologically and accepted January 17, 2011.
mechanisms.7 All of these are challenging active concentration in the body, or the
Published online January 28, 2011
objectives. So far, current nanotechnologies amount of the carrier material to be adminis-
10.1021/nn1034197
for cancer therapy have serious limitations tered is very high, engendering toxicity or
due to the following: (1) poor drug loading side effects; (2) the rapid release (known as
which is usually <10% (weight % of the “burst release”) of the encapsulated cytotoxic C 2011 American Chemical Society
the surface thermodynamics of the nanoparticles (see culture conditions, SQgem passively diffused into can-
Supporting Information section 2.11.3). Regarding the cer cells and mainly accumulated within cellular mem-
release of the squalenoyl prodrugs from the corre- branes, including those of organelles such as the endo-
sponding magnetic core/shell NPs, it was determined plasmic reticulum. SQgem was then released from this
that it was quite linear (zero order) during 2 h (see transient reservoir into the cell cytoplasm and cleaved
Supporting Information, Figure 10). This period of time into gemcitabine, which either led to the build up of its
may be considered as quite sufficient for the nano- biologically active triphosphate metabolite, or to gem-
composites to reach the tumor under the influence of citabine efflux through equilibrative membrane trans-
an extracorporeal magnetic field (see Figures 2 and 3, porters. We can expect that similar mechanism occurred
and Supporting Information, Figure 13). with USPIO/SQgem nanocomposite too.
Regarding in vivo drug release, it has been pre- Magnetic Responsiveness. The very good magnetic
viously shown that SQgem nanoparticles did not re- responsiveness of nanomagnetite/squalenoyl antitu-
lease gemcitabine in plasma conditions.23 Cathepsins mor prodrugs composite nanoparticles was quantita-
B and D were identified as the intracellular enzymes tively investigated by the hysteresis cycle (see Support-
responsible for the cleavage of the prodrug leading to ing Information, Figure 9a), and qualitatively confirmed
gemcitabine release. Pharmacokinetic studies have by direct observation and microscope visualization of
confirmed that after intravenous administration of the performance of nanocomposite suspensions under
SQgem nanoparticles, the major fraction remained in exposure to a 1.1 T permanent magnet (e.g., see Sup-
the blood as squalene prodrug.24 Owing to analytical porting Information, Figure 9b,c of USPIO/SQgem aqu-
limitations, it is not easy to highlight at the molecular eous suspensions).
level the mechanism of drug release in vivo. However, Visualization of USPIO/SQgem Composites in Solid Tumors
as shown previously by Bildstein et al.,25 in tissue Using MRI. Under the influence of an extracorporeal