1. Gemcitabine enhances the transport of nanovector-albumin-bound paclitaxel in gemcitabine-resistant pancreatic ductal adenocarcinoma.
- Author
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Borsoi C, Leonard F, Lee Y, Zaid M, Elganainy D, Alexander JF, Kai M, Liu YT, Kang Y, Liu X, Koay EJ, Ferrari M, Godin B, and Yokoi K
- Subjects
- Albumin-Bound Paclitaxel chemistry, Animals, Antineoplastic Agents, Phytogenic chemistry, Antineoplastic Agents, Phytogenic metabolism, Apoptosis drug effects, Carcinoma, Pancreatic Ductal metabolism, Carcinoma, Pancreatic Ductal pathology, Caveolin 1 metabolism, Cell Line, Tumor, Cell Proliferation drug effects, Deoxycytidine pharmacology, Drug Compounding, Humans, Male, Mice, Nude, Pancreatic Neoplasms metabolism, Pancreatic Neoplasms pathology, Time Factors, Tumor Burden drug effects, Up-Regulation, Xenograft Model Antitumor Assays, Gemcitabine, Albumin-Bound Paclitaxel metabolism, Antimetabolites, Antineoplastic pharmacology, Antineoplastic Agents, Phytogenic pharmacology, Carcinoma, Pancreatic Ductal drug therapy, Deoxycytidine analogs & derivatives, Drug Carriers, Drug Resistance, Neoplasm, Nanoparticles, Pancreatic Neoplasms drug therapy
- Abstract
The mechanism for improved therapeutic efficacy of the combination therapy with nanoparticle albumin-bound paclitaxel (nAb-PTX) and gemcitabine (gem) for pancreatic ductal adenocarcinoma (PDAC) has been ascribed to enhanced gem transport by nAb-PTX. Here, we used an orthotopic mouse model of gem-resistant human PDAC in which increasing gem transport would not improve the efficacy, thus revealing the importance of nAb-PTX transport. We aimed to evaluate therapeutic outcomes and transport of nAb-PTX to PDAC as a result of (1) encapsulating nAb-PTX in multistage nanovectors (MSV); (2) effect of gem on caveolin-1 expression. Treatment with MSV/nAb-PTX + gem was highly efficient in prolonging animal survival in comparison to other therapeutic regimens. MSV/nAb-PTX + gem also caused a substantial increase in tumor PTX accumulation, significantly reduced tumor growth and tumor cell proliferation, and increased apoptosis. Moreover, gem enhanced caveolin-1 expression in vitro and in vivo, thereby improving transport of nAb-PTX to PDAC. This data was confirmed by analysis of PDACs from patients who received gem-based neo-adjuvant chemotherapy. In conclusion, we found that nAb-PTX treatment of gem-resistant PDAC can be enhanced by (1) gem through up-regulation of caveolin-1 and (2) MSV through increasing accumulation of nAb-PTX in the tumor., (Copyright © 2017 Elsevier B.V. All rights reserved.)
- Published
- 2017
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