Improving Drug Penetrability with iRGD Leverages the Therapeutic Response to Sorafenib and Doxorubicin in Hepatocellular Carcinoma

Autor: Christian Schmithals, Ahmed Atef Ibrahim, Stefan Zeuzem, Verena Köberle, Albrecht Piiper, Jose M. Arencibia, Thomas J. Vogl, Bianca Kakoschky, Vida Vafaizadeh, Bernd Kronenberger, Oliver Waidmann, Bernd Groner, Horst-Werner Korf, Eduardo Alonso Augusto, Thomas Pleli, H. Korkusuz
Rok vydání: 2015
Předmět:
Zdroj: Cancer Research. 75:3147-3154
ISSN: 1538-7445
0008-5472
DOI: 10.1158/0008-5472.can-15-0395
Popis: iRGD is a derivative of the integrin-binding peptide RGD, which selectively increases the penetrability of tumor tissue to various coadministered substances in several preclinical models. In this study, we investigated the ability of iRGD to improve the delivery of sorafenib and doxorubicin therapy in hepatocellular carcinoma (HCC) using established mouse models of the disease. A contrast-enhanced MRI method was developed in parallel to assess the in vivo effects of iRGD in this setting. We found that iRGD improved the delivery of marker substances to the tumors of HCC-bearing mice about three-fold without a parallel increase in normal tissues. Control peptides lacking the critical CendR motif had no effect. Similarly, iRGD also selectively increased the signal intensity from tumors in Gd-DTPA–enhanced MRI. In terms of antitumor efficacy, iRGD coadministration significantly augmented the individual inhibitory effects of sorafenib and doxorubicin without increasing systemic toxicity. Overall, our results offered a preclinical proof of concept for the use of iRGD coadministration as a strategy to widen the therapeutic window for HCC chemotherapy, as monitored by Gd-DTPA–enhanced MRI as a noninvasive, clinically applicable method to identify iRGD-reactive tumors. Cancer Res; 75(15); 3147–54. ©2015 AACR.
Databáze: OpenAIRE