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.