PMID- 22829966 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20121002 LR - 20220330 IS - 2044-5385 (Electronic) IS - 2044-5385 (Linking) VI - 2 IP - 4 DP - 2012 Apr TI - Rationally engineered nanoparticles target multiple myeloma cells, overcome cell-adhesion-mediated drug resistance, and show enhanced efficacy in vivo. PG - e64 LID - 10.1038/bcj.2012.10 [doi] AB - In the continuing search for effective cancer treatments, we report the rational engineering of a multifunctional nanoparticle that combines traditional chemotherapy with cell targeting and anti-adhesion functionalities. Very late antigen-4 (VLA-4) mediated adhesion of multiple myeloma (MM) cells to bone marrow stroma confers MM cells with cell-adhesion-mediated drug resistance (CAM-DR). In our design, we used micellar nanoparticles as dynamic self-assembling scaffolds to present VLA-4-antagonist peptides and doxorubicin (Dox) conjugates, simultaneously, to selectively target MM cells and to overcome CAM-DR. Dox was conjugated to the nanoparticles through an acid-sensitive hydrazone bond. VLA-4-antagonist peptides were conjugated via a multifaceted synthetic procedure for generating precisely controlled number of targeting functionalities. The nanoparticles were efficiently internalized by MM cells and induced cytotoxicity. Mechanistic studies revealed that nanoparticles induced DNA double-strand breaks and apoptosis in MM cells. Importantly, multifunctional nanoparticles overcame CAM-DR, and were more efficacious than Dox when MM cells were cultured on fibronectin-coated plates. Finally, in a MM xenograft model, nanoparticles preferentially homed to MM tumors with approximately 10 fold more drug accumulation and demonstrated dramatic tumor growth inhibition with a reduced overall systemic toxicity. Altogether, we demonstrate the disease driven engineering of a nanoparticle-based drug delivery system, enabling the model of an integrative approach in the treatment of MM. FAU - Kiziltepe, T AU - Kiziltepe T FAU - Ashley, J D AU - Ashley JD FAU - Stefanick, J F AU - Stefanick JF FAU - Qi, Y M AU - Qi YM FAU - Alves, N J AU - Alves NJ FAU - Handlogten, M W AU - Handlogten MW FAU - Suckow, M A AU - Suckow MA FAU - Navari, R M AU - Navari RM FAU - Bilgicer, B AU - Bilgicer B LA - eng PT - Journal Article DEP - 20120420 PL - United States TA - Blood Cancer J JT - Blood cancer journal JID - 101568469 PMC - PMC3346680 OTO - NOTNLM OT - VLA-4 OT - cell-adhesion-mediated drug resistance OT - drug delivery OT - multiple myeloma OT - nanoparticle OT - selective targeting EDAT- 2012/07/26 06:00 MHDA- 2012/07/26 06:01 PMCR- 2012/04/01 CRDT- 2012/07/26 06:00 PHST- 2012/02/22 00:00 [received] PHST- 2012/02/28 00:00 [accepted] PHST- 2012/07/26 06:00 [entrez] PHST- 2012/07/26 06:00 [pubmed] PHST- 2012/07/26 06:01 [medline] PHST- 2012/04/01 00:00 [pmc-release] AID - bcj201210 [pii] AID - 10.1038/bcj.2012.10 [doi] PST - ppublish SO - Blood Cancer J. 2012 Apr;2(4):e64. doi: 10.1038/bcj.2012.10. Epub 2012 Apr 20.