Pancreatic cancer-associated Cathepsin E as a drug activator

JOURNAL OF CONTROLLED RELEASE

卷:167

Article

Abd-Elgaliel, Wael R.¹  Cruz-Monserrate, Zobeida²  Wang, Huamin³  Logsdon, Craig D.^2,4  Tung, Ching-Hsuan¹ 

[1] Methodist Hosp, Weill Cornell Med Coll, Res Inst, Dept Translat Imaging, Houston, TX 77030 USA

[2] Univ Texas MD Anderson Canc Ctr, Dept Canc Biol, Houston, TX 77030 USA

[3] Univ Texas MD Anderson Canc Ctr, Dept Pathol, Houston, TX 77030 USA

[4] Univ Texas MD Anderson Canc Ctr, GI Med Oncol, Houston, TX 77030 USA

关键词: Pancreatic cancer;    Drug activation;    Cathepsin E;    Photodynamic therapy;    Prodrug;    5-Aminolevulinic acid;   

DOI  :  10.1016/j.jconrel.2013.02.007

来源: Elsevier

【 摘 要 】

Pancreatic ductal adenocarcinoma (PDAC) is challenging to treat, and better means to detect and/or treat pancreatic cancer are urgently needed to save lives. Cathepsin E (Cath E) is a proteolytic enzyme highly expressed in PDAC. In this study, a novel approach using Cath E activation of a Cath E-specific prodrug was demonstrated. Specific activation of the prodrug is expected to kill pancreatic cancer cells without harming normal pancreatic cells. A novel 5-aminolevulinic acid (5-ALA) prodrug was custom-designed to be activated selectively by endogenous Cath E within the PDAC cells. The 5-ALA prodrug was incubated with Cath E-positive and -negative tumor cells and illuminated with various doses of light. In addition, mice genetically engineered to develop PDAC were injected intravenously with the 5-ALA prodrug, and the pancreas was treated with light irradiation. One day after treatment, PDAC tissue was assessed for apoptosis. The 5-ALA prodrug was activated within the Cath E-positive tumor but not in the normal pancreatic tissue. When used in combination with light treatment, it allowed delivery of selective photodynamic therapy (PDT) to the cancerous tissues, with minimal harm to the adjacent normal tissues. With this novel Cath E activation approach, it is possible to detect pancreatic cancer cells accurately and specifically impair their viability, while sparing normal cells. This treatment could result in fewer side effects than the non-specific treatments currently in use. Cath E is a specific and effective drug activator for PDAC treatment. (C) 2013 Elsevier B. V. All rights reserved.

【 授权许可】

Free