Actively Targeted Nanodelivery of Echinomycin Induces Autophagy-Mediated Death in Chemoresistant Pancreatic Cancer In Vivo

Pancreatic cancer remains a recalcitrant neoplasm associated with chemoresistance and high fatality. Because it is frequently resistant to apoptosis, exploiting autophagic cell death could offer a new treatment approach. We repurpose echinomycin, an antibiotic encapsulated within a syndecan-1 active...

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Main Authors: Alexandra Thomas, Abhilash Samykutty, Jorge G. Gomez-Gutierrez, Wenyuan Yin, Michael E. Egger, Molly McNally, Phillip Chuong, William M. MacCuaig, Sabrin Albeituni, Matthew Zeiderman, Min Li, Barish H. Edil, William E. Grizzle, Kelly M. McMasters, Lacey R. McNally
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/8/2279
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author Alexandra Thomas
Abhilash Samykutty
Jorge G. Gomez-Gutierrez
Wenyuan Yin
Michael E. Egger
Molly McNally
Phillip Chuong
William M. MacCuaig
Sabrin Albeituni
Matthew Zeiderman
Min Li
Barish H. Edil
William E. Grizzle
Kelly M. McMasters
Lacey R. McNally
author_facet Alexandra Thomas
Abhilash Samykutty
Jorge G. Gomez-Gutierrez
Wenyuan Yin
Michael E. Egger
Molly McNally
Phillip Chuong
William M. MacCuaig
Sabrin Albeituni
Matthew Zeiderman
Min Li
Barish H. Edil
William E. Grizzle
Kelly M. McMasters
Lacey R. McNally
author_sort Alexandra Thomas
collection DOAJ
description Pancreatic cancer remains a recalcitrant neoplasm associated with chemoresistance and high fatality. Because it is frequently resistant to apoptosis, exploiting autophagic cell death could offer a new treatment approach. We repurpose echinomycin, an antibiotic encapsulated within a syndecan-1 actively targeted nanoparticle, for treatment of pancreatic cancer. Tumor-specific uptake, biodistribution, efficacy of nanodelivered echinomycin, and mechanism of cell death were assessed in aggressive, metastatic models of pancreatic cancer. In these autophagic-dependent pancreatic cancer models, echinomycin treatment resulted in autophagic cell death noted by high levels of LC3 among other autophagy markers, but without hallmarks of apoptosis, e.g., caspase activation and chromatin fragmentation, or necrosis, e.g., plasma membrane degradation and chromatin condensation/degrading. In vivo, biodistribution of syndecan-1-targeted nanoparticles indicated preferential S2VP10 or S2CP9 tumor uptake compared to the liver and kidney (S2VP10 <i>p</i> = 0.0016, <i>p</i> = 0.00004 and S2CP9 <i>p</i> = 0.0009, <i>p</i> = 0.0001). Actively targeted nanodelivered echinomycin resulted in significant survival increases compared to Gemzar (S2VP10 <i>p</i> = 0.0003, S2CP9 <i>p</i> = 0.0017) or echinomycin only (S2VP10 <i>p</i> = 0.0096, S2CP9 <i>p</i> = 0.0073). We demonstrate that actively targeted nanodelivery of echinomycin results in autophagic cell death in pancreatic and potentially other high-autophagy, apoptosis-resistant tumors. Collectively, these findings support syndecan-1-targeted delivery of echinomycin and dysregulation of autophagy to induce cell death in pancreatic cancer.
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spelling doaj.art-4760634ca1df4f9489812a0659c311812023-11-20T10:09:19ZengMDPI AGCancers2072-66942020-08-01128227910.3390/cancers12082279Actively Targeted Nanodelivery of Echinomycin Induces Autophagy-Mediated Death in Chemoresistant Pancreatic Cancer In VivoAlexandra Thomas0Abhilash Samykutty1Jorge G. Gomez-Gutierrez2Wenyuan Yin3Michael E. Egger4Molly McNally5Phillip Chuong6William M. MacCuaig7Sabrin Albeituni8Matthew Zeiderman9Min Li10Barish H. Edil11William E. Grizzle12Kelly M. McMasters13Lacey R. McNally14Department of Hematology Oncology, Wake Forest Baptist Health, Winston-Salem, NC 27157, USAStephenson Cancer Center, University of Oklahoma, Oklahoma City, OK 73104, USADepartment of Surgery, University of Louisville, Louisville, KY 40202, USADepartment of Surgery, University of Louisville, Louisville, KY 40202, USADepartment of Surgery, University of Louisville, Louisville, KY 40202, USAStephenson Cancer Center, University of Oklahoma, Oklahoma City, OK 73104, USADepartment of Surgery, University of Louisville, Louisville, KY 40202, USAStephenson Cancer Center, University of Oklahoma, Oklahoma City, OK 73104, USADepartment of Cancer Predisposition, St. Jude Children’s Research Hospital, Memphis, TN 38105, USADepartment of Surgery, University of California Davis, Sacramento, CA 95616, USADepartment of Surgery, University of Oklahoma, Oklahoma City, OK 73104, USADepartment of Surgery, University of Oklahoma, Oklahoma City, OK 73104, USADepartment of Pathology, University of Alabama Birmingham, Birmingham, AL 35294, USADepartment of Surgery, University of Louisville, Louisville, KY 40202, USAStephenson Cancer Center, University of Oklahoma, Oklahoma City, OK 73104, USAPancreatic cancer remains a recalcitrant neoplasm associated with chemoresistance and high fatality. Because it is frequently resistant to apoptosis, exploiting autophagic cell death could offer a new treatment approach. We repurpose echinomycin, an antibiotic encapsulated within a syndecan-1 actively targeted nanoparticle, for treatment of pancreatic cancer. Tumor-specific uptake, biodistribution, efficacy of nanodelivered echinomycin, and mechanism of cell death were assessed in aggressive, metastatic models of pancreatic cancer. In these autophagic-dependent pancreatic cancer models, echinomycin treatment resulted in autophagic cell death noted by high levels of LC3 among other autophagy markers, but without hallmarks of apoptosis, e.g., caspase activation and chromatin fragmentation, or necrosis, e.g., plasma membrane degradation and chromatin condensation/degrading. In vivo, biodistribution of syndecan-1-targeted nanoparticles indicated preferential S2VP10 or S2CP9 tumor uptake compared to the liver and kidney (S2VP10 <i>p</i> = 0.0016, <i>p</i> = 0.00004 and S2CP9 <i>p</i> = 0.0009, <i>p</i> = 0.0001). Actively targeted nanodelivered echinomycin resulted in significant survival increases compared to Gemzar (S2VP10 <i>p</i> = 0.0003, S2CP9 <i>p</i> = 0.0017) or echinomycin only (S2VP10 <i>p</i> = 0.0096, S2CP9 <i>p</i> = 0.0073). We demonstrate that actively targeted nanodelivery of echinomycin results in autophagic cell death in pancreatic and potentially other high-autophagy, apoptosis-resistant tumors. Collectively, these findings support syndecan-1-targeted delivery of echinomycin and dysregulation of autophagy to induce cell death in pancreatic cancer.https://www.mdpi.com/2072-6694/12/8/2279echinomycinautophagyautophagic cell deathactive targeted liposomepancreatic canceralternative cancer therapy
spellingShingle Alexandra Thomas
Abhilash Samykutty
Jorge G. Gomez-Gutierrez
Wenyuan Yin
Michael E. Egger
Molly McNally
Phillip Chuong
William M. MacCuaig
Sabrin Albeituni
Matthew Zeiderman
Min Li
Barish H. Edil
William E. Grizzle
Kelly M. McMasters
Lacey R. McNally
Actively Targeted Nanodelivery of Echinomycin Induces Autophagy-Mediated Death in Chemoresistant Pancreatic Cancer In Vivo
Cancers
echinomycin
autophagy
autophagic cell death
active targeted liposome
pancreatic cancer
alternative cancer therapy
title Actively Targeted Nanodelivery of Echinomycin Induces Autophagy-Mediated Death in Chemoresistant Pancreatic Cancer In Vivo
title_full Actively Targeted Nanodelivery of Echinomycin Induces Autophagy-Mediated Death in Chemoresistant Pancreatic Cancer In Vivo
title_fullStr Actively Targeted Nanodelivery of Echinomycin Induces Autophagy-Mediated Death in Chemoresistant Pancreatic Cancer In Vivo
title_full_unstemmed Actively Targeted Nanodelivery of Echinomycin Induces Autophagy-Mediated Death in Chemoresistant Pancreatic Cancer In Vivo
title_short Actively Targeted Nanodelivery of Echinomycin Induces Autophagy-Mediated Death in Chemoresistant Pancreatic Cancer In Vivo
title_sort actively targeted nanodelivery of echinomycin induces autophagy mediated death in chemoresistant pancreatic cancer in vivo
topic echinomycin
autophagy
autophagic cell death
active targeted liposome
pancreatic cancer
alternative cancer therapy
url https://www.mdpi.com/2072-6694/12/8/2279
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