PMID- 31305836 OWN - NLM STAT- MEDLINE DCOM- 20191226 LR - 20231111 IS - 2040-3372 (Electronic) IS - 2040-3364 (Print) IS - 2040-3364 (Linking) VI - 11 IP - 29 DP - 2019 Aug 7 TI - Enhancing chemoradiation of colorectal cancer through targeted delivery of raltitrexed by hyaluronic acid coated nanoparticles. PG - 13947-13960 LID - 10.1039/c9nr04320a [doi] AB - Combined modality therapy incorporating raltitrexed (RTX), a thymidylate synthase inhibitor, and radiation can lead to improved outcome for rectal cancer patients. To increase delivery and treatment efficacy, we formulated a hyaluronic acid (HA) coated nanoparticle encapsulating RTX (HARPs) through layer-by-layer assembly. These particles were determined to have a diameter of approximately 115 nm, with a polydispersity index of 0.112 and a zeta potential of -22 mV. Cell uptake in CT26 cells determined through flow cytometry showed a approximately 5-fold increase between untargeted and HA-coated particles. Through viability and DNA damage assays, we assessed the potency of the free RTX and HARPs, and found increased DNA damage in cells treated with the RTX-loaded nanoparticles administered concurrently with radiation. In vivo efficacy through tumor growth inhibition was investigated in a syngeneic murine colorectal cancer model. Nanoparticle treatment showed no acute toxicity in vivo, and all treatments showed survival benefits for their respective groups compared to controls. HARPs alone slowed tumor growth, although not significantly. Radiation alone and in combination with the HARPs showed significant growth delay. Notably, the combination treatment significantly hindered tumor progression relative to the HARPs highlighting the benefit of this multipronged treatment. These results provide a foundation for loading RTX in a nanoparticle formulation, and establish a combined radiation and drug dosing schedule to determine optimal tumor growth delay and subsequent treatment efficacy. FAU - Rosch, Justin G AU - Rosch JG AD - Department of Pharmaceutical Sciences, College of Pharmacy, Oregon State University, Portland, OR 97201, USA. FAU - Landry, Madeleine R AU - Landry MR AD - Department of Pharmaceutical Sciences, College of Pharmacy, Oregon State University, Portland, OR 97201, USA. FAU - Thomas, Charles R Jr AU - Thomas CR Jr AD - Department of Radiation Medicine, School of Medicine, Oregon Health & Science University, Portland, OR 97239, USA. sunc@ohsu.edu. FAU - Sun, Conroy AU - Sun C AUID- ORCID: 0000-0001-5193-6907 AD - Department of Pharmaceutical Sciences, College of Pharmacy, Oregon State University, Portland, OR 97201, USA and Department of Radiation Medicine, School of Medicine, Oregon Health & Science University, Portland, OR 97239, USA. sunc@ohsu.edu. LA - eng GR - R35 GM119839/GM/NIGMS NIH HHS/United States PT - Journal Article DEP - 20190715 PL - England TA - Nanoscale JT - Nanoscale JID - 101525249 RN - 0 (Antimetabolites, Antineoplastic) RN - 0 (Drug Carriers) RN - 0 (Histones) RN - 0 (Quinazolines) RN - 0 (Thiophenes) RN - 9004-61-9 (Hyaluronic Acid) RN - FCB9EGG971 (raltitrexed) SB - IM MH - Animals MH - Antimetabolites, Antineoplastic/*chemistry/pharmacology/therapeutic use MH - Cell Line, Tumor MH - Cell Survival/drug effects MH - Colorectal Neoplasms/drug therapy/mortality/pathology/radiotherapy MH - DNA Damage/drug effects MH - Drug Carriers/*chemistry/metabolism MH - Histones/metabolism MH - Humans MH - Hyaluronic Acid/*chemistry MH - Kaplan-Meier Estimate MH - Liver/drug effects/pathology MH - Mice MH - Mice, Inbred BALB C MH - Nanoparticles/*chemistry/metabolism MH - Quinazolines/*chemistry/pharmacology/therapeutic use MH - Radiation, Ionizing MH - Thiophenes/*chemistry/pharmacology/therapeutic use MH - Transplantation, Heterologous PMC - PMC7213297 MID - NIHMS1584161 COIS- Competing Interests The authors declare that they have no competing interests. EDAT- 2019/07/16 06:00 MHDA- 2019/12/27 06:00 PMCR- 2020/08/07 CRDT- 2019/07/16 06:00 PHST- 2019/07/16 06:00 [pubmed] PHST- 2019/12/27 06:00 [medline] PHST- 2019/07/16 06:00 [entrez] PHST- 2020/08/07 00:00 [pmc-release] AID - 10.1039/c9nr04320a [doi] PST - ppublish SO - Nanoscale. 2019 Aug 7;11(29):13947-13960. doi: 10.1039/c9nr04320a. Epub 2019 Jul 15.