Nanocarrier-mediated targeting of tumor and tumor vascular cells improves uptake and penetration of drugs into neuroblastoma

Neuroblastoma (NB) is the most common extracranial solid tumor in children, accounting for about 8% of childhood cancers. Despite aggressive treatment, patients suffering from high-risk NB have very poor 5-year overall survival rate, due to relapsed and/or treatment-resistant tumors. A further incre...

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Main Authors: Fabio ePastorino, Chiara eBrignole, Monica eLoi, Daniela eDi Paolo, Annarita eDi Fiore, Patrizia ePerri, Gabriella ePagnan, Mirco ePonzoni
Format: Article
Language:English
Published: Frontiers Media S.A. 2013-08-01
Series:Frontiers in Oncology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fonc.2013.00190/full
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author Fabio ePastorino
Chiara eBrignole
Monica eLoi
Daniela eDi Paolo
Annarita eDi Fiore
Patrizia ePerri
Gabriella ePagnan
Mirco ePonzoni
author_facet Fabio ePastorino
Chiara eBrignole
Monica eLoi
Daniela eDi Paolo
Annarita eDi Fiore
Patrizia ePerri
Gabriella ePagnan
Mirco ePonzoni
author_sort Fabio ePastorino
collection DOAJ
description Neuroblastoma (NB) is the most common extracranial solid tumor in children, accounting for about 8% of childhood cancers. Despite aggressive treatment, patients suffering from high-risk NB have very poor 5-year overall survival rate, due to relapsed and/or treatment-resistant tumors. A further increase in therapeutic dose intensity is not feasible, because it will lead to prohibitive short-term and long-term toxicities.New approaches with targeted therapies may improve efficacy and decrease toxicity. The use of drug delivery systems allows site specific delivery of higher payload of active agents associated with lower systemic toxicity compared to the use of conventional (‘free’) drugs. The possibility of imparting selectivity to the carriers to the cancer foci through the use of a targeting moiety (e.g., a peptide or an antibody) further enhances drug efficacy and safety.We have recently developed two strategies for increasing local concentration of anticancer agents, such as CpG-containing oligonucleotides (ODNs), small interfering RNAs (siRNAs) and chemotherapeutics in NB. For doing that, we have used the monoclonal antibody anti-disialoganglioside (GD2), able to specifically recognize the NB tumor and the peptides containing NGR and CPRECES motifs, that selectively bind to the aminopeptidase N (APN)-expressing endothelial and the aminopeptidase A (APA)- expressing perivascular tumor cells, respectively.The review will focus on the use of tumor- and tumor vasculature -targeted nanocarriers to improve tumor targeting, uptake and penetration of drugs in preclinical models of human neuroblastoma.
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spelling doaj.art-8f25be616213429fa2416477bd031af52022-12-22T01:53:33ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2013-08-01310.3389/fonc.2013.0019057640Nanocarrier-mediated targeting of tumor and tumor vascular cells improves uptake and penetration of drugs into neuroblastomaFabio ePastorino0Chiara eBrignole1Monica eLoi2Daniela eDi Paolo3Annarita eDi Fiore4Patrizia ePerri5Gabriella ePagnan6Mirco ePonzoni7Istituto Giannina Gaslini, Laboratory of Oncology, Experimental Therapy UnitIstituto Giannina Gaslini, Laboratory of Oncology, Experimental Therapy UnitIstituto Giannina Gaslini, Laboratory of Oncology, Experimental Therapy UnitIstituto Giannina Gaslini, Laboratory of Oncology, Experimental Therapy UnitIstituto Giannina Gaslini, Laboratory of Oncology, Experimental Therapy UnitIstituto Giannina Gaslini, Laboratory of Oncology, Experimental Therapy UnitIstituto Giannina Gaslini, Laboratory of Oncology, Experimental Therapy UnitIstituto Giannina Gaslini, Laboratory of Oncology, Experimental Therapy UnitNeuroblastoma (NB) is the most common extracranial solid tumor in children, accounting for about 8% of childhood cancers. Despite aggressive treatment, patients suffering from high-risk NB have very poor 5-year overall survival rate, due to relapsed and/or treatment-resistant tumors. A further increase in therapeutic dose intensity is not feasible, because it will lead to prohibitive short-term and long-term toxicities.New approaches with targeted therapies may improve efficacy and decrease toxicity. The use of drug delivery systems allows site specific delivery of higher payload of active agents associated with lower systemic toxicity compared to the use of conventional (‘free’) drugs. The possibility of imparting selectivity to the carriers to the cancer foci through the use of a targeting moiety (e.g., a peptide or an antibody) further enhances drug efficacy and safety.We have recently developed two strategies for increasing local concentration of anticancer agents, such as CpG-containing oligonucleotides (ODNs), small interfering RNAs (siRNAs) and chemotherapeutics in NB. For doing that, we have used the monoclonal antibody anti-disialoganglioside (GD2), able to specifically recognize the NB tumor and the peptides containing NGR and CPRECES motifs, that selectively bind to the aminopeptidase N (APN)-expressing endothelial and the aminopeptidase A (APA)- expressing perivascular tumor cells, respectively.The review will focus on the use of tumor- and tumor vasculature -targeted nanocarriers to improve tumor targeting, uptake and penetration of drugs in preclinical models of human neuroblastoma.http://journal.frontiersin.org/Journal/10.3389/fonc.2013.00190/fullNeuroblastomatumor vasculatureDrug deliverytargeted therapiesnanocarrierstumor uptake
spellingShingle Fabio ePastorino
Chiara eBrignole
Monica eLoi
Daniela eDi Paolo
Annarita eDi Fiore
Patrizia ePerri
Gabriella ePagnan
Mirco ePonzoni
Nanocarrier-mediated targeting of tumor and tumor vascular cells improves uptake and penetration of drugs into neuroblastoma
Frontiers in Oncology
Neuroblastoma
tumor vasculature
Drug delivery
targeted therapies
nanocarriers
tumor uptake
title Nanocarrier-mediated targeting of tumor and tumor vascular cells improves uptake and penetration of drugs into neuroblastoma
title_full Nanocarrier-mediated targeting of tumor and tumor vascular cells improves uptake and penetration of drugs into neuroblastoma
title_fullStr Nanocarrier-mediated targeting of tumor and tumor vascular cells improves uptake and penetration of drugs into neuroblastoma
title_full_unstemmed Nanocarrier-mediated targeting of tumor and tumor vascular cells improves uptake and penetration of drugs into neuroblastoma
title_short Nanocarrier-mediated targeting of tumor and tumor vascular cells improves uptake and penetration of drugs into neuroblastoma
title_sort nanocarrier mediated targeting of tumor and tumor vascular cells improves uptake and penetration of drugs into neuroblastoma
topic Neuroblastoma
tumor vasculature
Drug delivery
targeted therapies
nanocarriers
tumor uptake
url http://journal.frontiersin.org/Journal/10.3389/fonc.2013.00190/full
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