PMID- 29957956 OWN - NLM STAT- MEDLINE DCOM- 20190802 LR - 20190802 IS - 1543-8392 (Electronic) IS - 1543-8384 (Linking) VI - 15 IP - 9 DP - 2018 Sep 4 TI - CD44-Targeted Polymer-Paclitaxel Conjugates to Control the Spread and Growth of Metastatic Tumors. PG - 3690-3699 LID - 10.1021/acs.molpharmaceut.8b00269 [doi] AB - One of the greatest challenges in cancer therapy is to control metastatic spread, seeding, and growth of tumors in distant organs. Recently, we reported on the design of a novel "drug-free" therapeutic copolymer bearing the antimigratory A5G27 peptide, designated P-(A5G27)-FITC, that shows excellent specificity to cancer cells overexpressing CD44v3 and CD44v6 and inhibits cancer cell migration and invasion. We demonstrated that P-(A5G27)-FITC accumulated preferentially in subcutaneous (sc) implanted 4T1 tumors following parenteral administration. Moreover, we showed that pretreatment of mice with P-(A5G27)-FITC prior to 4T1 cell inoculation inhibited colonization of circulating 4T1 cells in the lungs. In this study, we designed a new polymer-peptide-drug conjugate to inhibit vigorously growing primary tumors and control invasive behavior of cancer cells. To this end, the antimitotic drug (paclitaxel, PTX) was conjugated to P-(A5G27)-FITC. The targeted polymer-drug conjugate (P-(A5G27)-PTX) was significantly more toxic toward CD44-overexpressing cancer cells than the nontargeted copolymer. In vivo, a single iv injection of P-(A5G27)-PTX prolonged the survival of C57BL/6 mice with established B16-F10 lung metastases. When injected intraperitoneally into BALB/c mice implanted sc with 4T1 tumors, P-(A5G27)-PTX significantly decreased the rate of primary tumor growth, increased the median survival of mice, and reduced the number of 4T1 metastases in the lungs when compared to nontargeted copolymer. Most interestingly, the CD44-targeted "drug-free" copolymer P-(A5G27) (without PTX) significantly inhibited the rate of tumor growth and further prolonged the median survival time of mice to the same extent as the PTX-containing formulations (P-(A5G27)-PTX or free PTX). Overall, this study highlights the therapeutic potential of the HPMA copolymer-A5G27 conjugates ("drug-free" and PTX-bearing copolymers) to control the metastatic spread of cancer. FAU - Zaiden, Michal AU - Zaiden M FAU - Rutter, Marie AU - Rutter M FAU - Shpirt, Lina AU - Shpirt L FAU - Ventura, Yvonne AU - Ventura Y FAU - Feinshtein, Valeria AU - Feinshtein V FAU - David, Ayelet AU - David A AUID- ORCID: 0000-0002-8929-5700 LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180629 PL - United States TA - Mol Pharm JT - Molecular pharmaceutics JID - 101197791 RN - 0 (CD44 protein, human) RN - 0 (Hyaluronan Receptors) RN - 0 (Polymers) RN - P88XT4IS4D (Paclitaxel) MH - Animals MH - Cell Line, Tumor MH - Cell Movement/drug effects/physiology MH - Cell Survival/drug effects MH - Drug Delivery Systems/*methods MH - Female MH - Hyaluronan Receptors/metabolism MH - Mammary Neoplasms, Animal/drug therapy/metabolism MH - Mice MH - Mice, Inbred BALB C MH - Mice, Inbred C57BL MH - Paclitaxel/*chemistry/therapeutic use MH - Polymers/*chemistry OTO - NOTNLM OT - CD44 OT - invasion OT - metastasis OT - paclitaxel OT - polymer-drug conjugates OT - targeted cancer therapy EDAT- 2018/06/30 06:00 MHDA- 2019/08/03 06:00 CRDT- 2018/06/30 06:00 PHST- 2018/06/30 06:00 [pubmed] PHST- 2019/08/03 06:00 [medline] PHST- 2018/06/30 06:00 [entrez] AID - 10.1021/acs.molpharmaceut.8b00269 [doi] PST - ppublish SO - Mol Pharm. 2018 Sep 4;15(9):3690-3699. doi: 10.1021/acs.molpharmaceut.8b00269. Epub 2018 Jun 29.