Boosting of the enhanced permeability and retention effect with nanocapsules improves the therapeutic effects of cetuximab  

作　　者：Chao Yang Yanli Tan Hongzhao Qi Junhu Zhou Lixia Long Qi Zhan Yunfei Wang Xubo Yuan Chunsheng Kang 

机构地区：[1]Department of Neurosurgery,Tianjin Medical University General Hospital,Tianjin 300052,China [2]Tianjin Neurological Institute,Key Laboratory of Post-neurotrauma Neuro-repair and Regeneration in Central Nervous System,Ministry of Education and Tianjin City,Tianjin 300052,China [3]Department of Pathology,Affiliated Hospital of Hebei University,Baoding 071000,China [4]Department of Pathology,Hebei University Medical College,Baoding 071000,China [5]Tianjin Key Laboratory of Composite and Functional Materials,School of Material Science and Engineering,Tianjin University,Tianjin 300072,China [6]institute for Translational Medicine,Qingdao University,Qingdao 266021,China [7]Affiliated Cancer Hospital 8l Institute of Guangzhou Medical University,Guangzhou 510095,China

出　　处：《Cancer Biology & Medicine》2020年第2期433-443,共11页癌症生物学与医学（英文版）

基　　金：the National Key Research and Development Program(Grant Nos.2016YFC0902502 and 2018YFA0209700);the National Natural Science Foundation of China(Grant Nos.81772667 and 51773151);the Special Construction Innovation Funded Project for Community in Beijing,Tianjin and Hebei of China(Grant No.18247792D).

摘　　要：Objective:The introduction of therapeutic antibodies(tAbs)into clinical practice has revolutionized tumor treatment strategies,but their tumor therapy efficiency is still far below expectations because of the rapid degradation and limited tumor accumulation of tAbs.Methods:We developed a nanocapsule-based delivery system to induce the self-augmentation of the enhanced permeability and retention(EPR)effect.This system constantly penetrated across the blood-tumor barrier into the tumor while avoiding the attack of tAbs by the immune system.The biodistribution and therapeutic effect were tested with single dose administration of nanocapsule-tAbs in vivo.Results:The accumulation of Nano(cetuximab)within subcutaneous PC9 tumors was gradually enhanced over 6 days after single dose administration,which was contrary to the biodistribution of native cetuximab.Nano(cetuximab)accumulated in tumor tissues via the EPR effect and released cetuximab.The released cetuximab acted on vascular endothelial cells to destroy the blood-tumor barrier and induce self-augmentation of the EPR effect,which in turn contributed to further tumor accumulation of long-circulating Nano(cetuximab).Compared with single dose administration of native cetuximab,Nano(cetuximab)showed an effective tumor suppressive effect for 3 weeks.Conclusions:The nanocapsule-based delivery system efficiently delivered tAbs to tum or tissues and released them to boost the EPR effect,which facilitated further tumor accumulation of the tAbs.This novel self-augmentation of the EPR effect facilitated by the biological characteristics of tAbs and nanotechnology contributed to the improvement of the therapeutic effect of tAbs,and stimulated new ideas for antibody-based tumor therapy.

关 键 词：Endothelial cells EPR effect NANOCAPSULE single dose administration therapeutic antibody 

分 类 号：R969[医药卫生—药理学]