PMID- 30933776 OWN - NLM STAT- MEDLINE DCOM- 20200831 LR - 20231012 IS - 1878-5905 (Electronic) IS - 0142-9612 (Print) IS - 0142-9612 (Linking) VI - 206 DP - 2019 Jun TI - Polymalic acid chlorotoxin nanoconjugate for near-infrared fluorescence guided resection of glioblastoma multiforme. PG - 146-159 LID - S0142-9612(19)30173-5 [pii] LID - 10.1016/j.biomaterials.2019.03.029 [doi] AB - Maximal surgical resection of glioma remains the single most effective treatment. Tools to guide the resection while avoiding removal of normal brain tissues can aid surgeons in achieving optimal results. One strategy to achieve this goal is to rely upon interoperative fluorescence staining of tumor cells in vivo, that can be visualized by the surgeon during resection. Towards this goal we have designed a biodegradable fluorescent mini nano imaging agent (NIA) with high specificity for U87MG glioma cells and previously unmet high light emission. The NIA is the conjugate of polymalic acid (PMLA) with chlorotoxin for tumor targeting, indocyanine green (ICG) for NIR fluorescence and the tri-leucin peptide as fluorescence enhancer. PMLA as a multivalent platform carries several molecules of ICG and the other ligands. The NIA recognizes multiple sites on glioma cell surface, demonstrated by the effects of single and combined competitors. Systemic IV injection into xenogeneic mouse model carrying human U87MG glioblastoma indicated vivid tumor cell binding and internalization of NIA resulting in intensive and long-lasting tumor fluorescence. The NIA is shown to greatly improve tumor removal supporting its utility in clinical applications. CI - Copyright (c) 2019 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Patil, Rameshwar AU - Patil R AD - Nanomedicine Research Center, Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, United States. FAU - Galstyan, Anna AU - Galstyan A AD - Nanomedicine Research Center, Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, United States. FAU - Sun, Tao AU - Sun T AD - Nanomedicine Research Center, Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, United States. FAU - Shatalova, Ekaterina S AU - Shatalova ES AD - Nanomedicine Research Center, Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, United States. FAU - Butte, Pramod AU - Butte P AD - Nanomedicine Research Center, Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, United States. FAU - Mamelak, Adam N AU - Mamelak AN AD - Nanomedicine Research Center, Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, United States. FAU - Carico, Christine AU - Carico C AD - The University of Alabama at Birmingham, Birmingham, AL, United States. FAU - Kittle, David S AU - Kittle DS AD - Blaze Bioscience, Inc. Seattle, Washington, United States. FAU - Grodzinski, Zachary B AU - Grodzinski ZB AD - Nanomedicine Research Center, Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, United States. FAU - Chiechi, Antonella AU - Chiechi A AD - Nanomedicine Research Center, Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, United States. FAU - Ding, Hui AU - Ding H AD - Nanomedicine Research Center, Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, United States. FAU - Black, Keith L AU - Black KL AD - Nanomedicine Research Center, Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, United States. FAU - Ljubimova, Julia Y AU - Ljubimova JY AD - Nanomedicine Research Center, Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, United States. FAU - Holler, Eggehard AU - Holler E AD - Nanomedicine Research Center, Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, United States. Electronic address: eggehard.holler@cshs.org. LA - eng GR - R01 CA209921/CA/NCI NIH HHS/United States GR - R01 CA188743/CA/NCI NIH HHS/United States GR - R01 CA206220/CA/NCI NIH HHS/United States GR - R01 CA230858/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20190323 PL - Netherlands TA - Biomaterials JT - Biomaterials JID - 8100316 RN - 0 (Malates) RN - 0 (Nanoconjugates) RN - 0 (Polymers) RN - 0 (Scorpion Venoms) RN - 0 (poly(malic acid)) RN - 06UV5RFW57 (Chlorotoxin) RN - IX6J1063HV (Indocyanine Green) SB - IM MH - Animals MH - Cell Line, Tumor MH - Female MH - Glioblastoma/*surgery MH - Humans MH - Indocyanine Green/chemistry MH - Malates/*chemistry MH - Mice MH - Nanoconjugates/*chemistry MH - Polymers/*chemistry MH - Scorpion Venoms/*chemistry MH - Spectroscopy, Near-Infrared MH - Xenograft Model Antitumor Assays PMC - PMC6574176 MID - NIHMS1525844 OTO - NOTNLM OT - Brain tumor surgery OT - Extreme NIR fluorescence OT - Fluorescent mini nano agent OT - Precision of tumor resection OT - Tri-leucine peptide OT - U87 glioblastoma mouse model COIS- Competing financial interests The authors declare competing financial interests: details are available in the online version of the paper. K.L.B., J.Y.L and E.H. are shareholders of Arrogene, Inc. EDAT- 2019/04/02 06:00 MHDA- 2020/09/01 06:00 PMCR- 2020/06/01 CRDT- 2019/04/02 06:00 PHST- 2018/08/22 00:00 [received] PHST- 2019/03/01 00:00 [revised] PHST- 2019/03/19 00:00 [accepted] PHST- 2019/04/02 06:00 [pubmed] PHST- 2020/09/01 06:00 [medline] PHST- 2019/04/02 06:00 [entrez] PHST- 2020/06/01 00:00 [pmc-release] AID - S0142-9612(19)30173-5 [pii] AID - 10.1016/j.biomaterials.2019.03.029 [doi] PST - ppublish SO - Biomaterials. 2019 Jun;206:146-159. doi: 10.1016/j.biomaterials.2019.03.029. Epub 2019 Mar 23.