Targeted MRI contrast guided drug delivery: Magnevist and doxorubicin encapsulated into liposomes for detection and treatment of glioma
Xiaoli Liu1, A. B. Madhankumar2, Patti A. Miller1, Becky Webb2, James R. Connor2, and Qing X. Yang1

1Radiology, College of Medicine Penn State University, Hershey, PA, United States, 2Neurosurgery, College of Medicine Penn State University, Hershey, PA, United States

Synopsis

Glioma in its early stage is hard to detect and treat because MRI contrast agent and chemotoxin are not able to cross the blood brain barrier (BBB). The conventional MRI contrast agent such as Magnevist (GD-DTPA) is limited to the cases where the BBB is significantly compromised by the tumor. Present study reports the development of a novel theranostic tool, interleukin-13-liposomes-Magnevist-doxorubicine (IL-13-lip-magnevist-dox) for detection and treatment of glioma. Our results demonstrated that IL-13-lip-magnevist-dox own the potential to specifically target, concomitantly detect and treat glioma in its early stage when BBB is still intact.

Purpose

To overcome the BBB and the limitation of the current clinical image modalities (ie, MRI, PET, CT) that can only resolve a tumor size of ≥2 mm1,2, the novel nanoparticles IL-13-liposomes-magnevist-doxorubicin (IL-13-lip-magnevist-dox) were generated that could be as both a MRI contrast and a chemotherapeutic agent for specifically detection and treatment of early glioma. Based on previous works: 1) interleukin-13 receptor alpha 2 (IL-13Rα2) was over-expressed in glioma cells with 30,000 binding sites each cell3, 2) IL-13-liposomes-doxorubicin inhibited an intracranial glioma growth in mice model4, 3) IL-13-liposomes-Magnevist detected glioma in its early stage in T1 weighted MRI5, we conjugated of IL-13 with liposomes and encapsulated the magnevist and doxorubicin that allow us to target, concomitantly detect and monitor the drug in action.

Methods

Preparation of IL-13-lip-magnevist-dox referred4,5. The morphology and size were studied by Transmission Electronic microscopy. The concentration of Gd was quantified using ICPAES. The concentration of dox was measured by Soft Max Pro SpectraMaxGEMNI (470-582nm). The signal noise ratio was calculated by study the relaxivity through 7T MRI system (Bruker Biospin 7/20a, Ettlingen, Germany). The relaxivity results from the Magnevist and IL-13-liposomes-magnevist-doxorubicin were compared as the samples were diluted according to the concentration required and exposed to the MRI. The data was acquired on a 7T MRI system . The uptake of IL-13-lip-magnevist-dox was performed. U251 (4000cells/well) and T3691 (150,000cells/well) were attached in four well chamber slides overnight. Then IL-13-lip-magnevist-dox (lipids 0.4mg/mL media) was exposed to the cells for 1h. The cells were fixed and exposed to confocal to obtain the images. Cytotoxicity of IL-13-lip-magnevist-dox in U251, U87 and T3691 were studied by Alamar blue assay (wave length excitation 560nm - emission 590nm). Day1, the cells (12,000cell/well) in 96 well plates were attached overnight. Day2, the particles were exposed to the cells, Alamar blue assay was performed 24, 48 and 72 hours post the exposure of the drugs.

Results

IL-13-lip-magnevist-dox are spherical in shape and 100-130 nm in size as shown in Fig.1. The Gadolinium concentration in the liposome was in the range of 4.0-10.0 mg/L for different batches. The concentration of doxorubicin inside the liposomes is 0.2-0.5mg/mL. The MRI relaxivity of IL-13-lip-magnevist-dox from MRI is 4.0 L/mM/s comparing to 4.8 L/mM/s for Magnevist. IL-13-lip-magnevist-dox was internalized by the glioma cell. Fig.2a-d images indicated the nuclei of glioma cells in blue color exposed to DAPI as the control. Fig. 2e-h images shown that the FITC labelled liposomes delivered Rhodamine labelled doxorubicin into the glioma cells. Fig. 2i-t images presented the same results with a glioma stem cell T3691. Fig. 2q-t images shown that the same stem cells were exposed to free Rhodamine labelled doxorubicin as positive control. IL-13-liposomes-megnevist-doxorubicin inhibited the glioma cell growth as shown in Fig. 3. For the mouse tumor model study, Fig. 4 shows clear differences between time-course of MRI contrast change post injection of Magnevist (black line) and those of two consecutive injections of our liposome 24 hrs apart. The image contrast in the tumor remained high at 24 hrs post-injection of IL-13-lip-magnevist-dox (first time point in the red line). Second injection of our liposome further enhanced the tumor contrast. Magnevist is known to be extracellular in tissue and signal enhancement peaked at about 30 mins post-injection. For our liposomes, it appears consisting of two components: one is extracellular with its temporal behavior similar to that of Magnevist; one is intracellular with more sustained enhancement period.

Discussion

The comparison of free Magnevist and IL-13-lip-magnevist-dox, our novel targeted IL-13-lip-magnevist-dox is capable of generating the same level of contrast as free Magnevist. IL-13-lip-magnevist-dox was internalized by the glioma cell as demonstrated in Fig. 2, which indicated IL-13-lip carried the doxorubicin into cells. Figure 3 validated the results by showing IL-13-lip-magnevist-dox as chemotoxin effectively inhibited the tumor cells (U251 and U87 and T3691) proliferation. As indicated in the time-course of in vivo study in Fig. 4, IL-13-lip-magnevist-dox, at least part of it, became internalized in the tumor cells, which would allow directly visualizing the drug distribution and its therapeutic function in the tumor model.

Conclusion

IL-13-lip-magnevist-dox, as an effective theranostic tool that is able to specifically target, concomitantly detect and treat infiltrating glioma in its early stage when BBB is still intact. tyle='mso-bidi-font-weight:normal'> IL-13-lip-magnevist-dox as chemotoxin effectively inhibited the tumor cells (U251 and U87 and T3691) proliferation. As indicated in the time-course of in vivo study in Fig. 4, IL-13-lip-magnevist-dox, at least part of it, became internalized in the tumor cells, which would allow directly visualizing the drug distribution and its therapeutic function in the tumor model.

Acknowledgements

Thanks all the people in the lab.

References

1. Fatterpekar GM, Galheigo D, Narayana A, Johnson G, Knopp E. Treatment-related change versus tumor recurrence in high-grade gliomas: a diagnostic conundrum--use of dynamic susceptibility contrast-enhanced (DSC) perfusion MRI. AJR Am J Roentgenol. 198(1):19-26. 2. Vriens D, van Laarhoven HW, van Asten JJ, et al. Chemotherapy response monitoring of colorectal liver metastases by dynamic Gd-DTPA-enhanced MRI perfusion parameters and 18F-FDG PET metabolic rate. J Nucl Med. 2009; 50(11):1777-1784. 3. Debinski W, Gibo DM. Molecular expression analysis of restrictive receptor for interleukin 13, a brain tumor-associated cancer/testis antigen. Mol Med. 2000; 6(5):440-449. 4. Madhankumar AB, Slagle-Webb B, Mintz A, Sheehan JM, Connor JR. Interleukin-13 receptor-targeted nanovesicles are a potential therapy for glioblastoma multiforme. Mol Cancer Ther. 2006; 5(12):3162-3169. 5. Liu X, Madhankumar AB, Miller PA, et al. MRI contrast agent for targeting glioma: interleukin-13 labeled liposome encapsulating gadolinium-DTPA. Neuro Oncol. 6. Madhankumar AB, Slagle-Webb B, Wang X, et al. Efficacy of interleukin-13 receptor-targeted liposomal doxorubicin in the intracranial brain tumor model. Mol Cancer Ther. 2009; 8(3):648-654.

Figures

Fig. 1. The size and morphology of IL-13-lip-magnevist-dox.

Fig. 2 In vitro studies. Internalization of the IL-13-liposomes(FITC)-Gd/DTPA-Dox(Red) as observed by the con-focal microscope. Blue represented DAPI. vist-dox.

Fig. 3, Cytotoxicity of IL-13-lip-Gd/dox in glioma cells studied by Alamar blue assay. -dox.

Fig. 4. MRI images of 30 mins post-injection of contrast agents (left) and the corresponding time-course in the infiltrating tumor. Note that the “predose” time point of the red line (Liposome#2) is also the 24 hrs post-injection of time point of the blue line (Liposome #1). At this time point, the contrast in the infiltrating tumor is still as high as 20%, indicating sustained retention of the contrast agent due the intracellular uptake of the liposome. ont-weight:bold'>.



Proc. Intl. Soc. Mag. Reson. Med. 24 (2016)
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