PMID- 31840081 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240422 IS - 2397-768X (Print) IS - 2397-768X (Electronic) IS - 2397-768X (Linking) VI - 3 DP - 2019 TI - Synchronous inhibition of mTOR and VEGF/NRP1 axis impedes tumor growth and metastasis in renal cancer. PG - 31 LID - 10.1038/s41698-019-0105-2 [doi] LID - 31 AB - Clear cell renal cell carcinoma (ccRCC) is known for its highly vascular phenotype which is associated with elevated expression of vascular endothelial growth factor A (VEGF), also known as vascular permeability factor (VPF). Accordingly, VEGF has been an attractive target for antiangiogenic therapies in ccRCC. Two major strategies have hitherto been utilized for VEGF-targeted antiangiogenic therapies: targeting VEGF by antibodies, ligand traps or aptamers, and targeting the VEGF receptor signaling via antibodies or small-molecule tyrosine-kinase inhibitors (TKIs). In the present article we utilized two entirely different approaches: targeting mammalian target of rapamycin (mTOR) pathway that is known to be involved in VEGF synthesis, and disruption of VEGF/Neuroplin-1 (NRP1) axis that is known to activate proangiogenic and pro-tumorigenic signaling in endothelial and tumor cells, respectively. Everolimus (E) and a small-molecule inhibitor EG00229 (G) were used for the inhibition of mTOR and the disruption of VEGF/NRP1 axis, respectively. We also exploited a liposomal formulation decorated with a proprietary tumor-targeting-peptide (TTP) to simultaneously deliver these two agents in a tumor-targeted manner. The TTP-liposomes encapsulating both Everolimus and EG00229 (EG-L) demonstrated higher in vitro and in vivo growth retardation than the single drug-loaded liposomes (E-L and G-L) in two different ccRCC models and led to a noticeable reduction in lung metastasis in vivo. In addition, EG-L displayed remarkable inhibition of tumor growth in a highly aggressive syngeneic immune-competent mouse model of ccRCC developed in Balb/c mice. Taken together, this study demonstrates an effective approach to achieve improved therapeutic outcome in ccRCC. CI - (c) The Author(s) 2019. FAU - Pal, Krishnendu AU - Pal K AD - Department of Biochemistry and Molecular Biology, Mayo Clinic Florida, 4500 San Pablo Road S, Jacksonville, FL 32224 USA. ISNI: 0000 0004 0443 9942. GRID: grid.417467.7 FAU - Madamsetty, Vijay Sagar AU - Madamsetty VS AUID- ORCID: 0000-0001-9883-190X AD - Department of Biochemistry and Molecular Biology, Mayo Clinic Florida, 4500 San Pablo Road S, Jacksonville, FL 32224 USA. ISNI: 0000 0004 0443 9942. GRID: grid.417467.7 FAU - Dutta, Shamit Kumar AU - Dutta SK AD - Department of Biochemistry and Molecular Biology, Mayo Clinic Florida, 4500 San Pablo Road S, Jacksonville, FL 32224 USA. ISNI: 0000 0004 0443 9942. GRID: grid.417467.7 FAU - Wang, Enfeng AU - Wang E AD - Department of Biochemistry and Molecular Biology, Mayo Clinic Florida, 4500 San Pablo Road S, Jacksonville, FL 32224 USA. ISNI: 0000 0004 0443 9942. GRID: grid.417467.7 FAU - Angom, Ramcharan Singh AU - Angom RS AD - Department of Biochemistry and Molecular Biology, Mayo Clinic Florida, 4500 San Pablo Road S, Jacksonville, FL 32224 USA. ISNI: 0000 0004 0443 9942. GRID: grid.417467.7 FAU - Mukhopadhyay, Debabrata AU - Mukhopadhyay D AD - Department of Biochemistry and Molecular Biology, Mayo Clinic Florida, 4500 San Pablo Road S, Jacksonville, FL 32224 USA. ISNI: 0000 0004 0443 9942. GRID: grid.417467.7 LA - eng GR - R01 CA078383/CA/NCI NIH HHS/United States GR - R01 CA150190/CA/NCI NIH HHS/United States GR - R29 CA078383/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20191205 PL - England TA - NPJ Precis Oncol JT - NPJ precision oncology JID - 101708166 PMC - PMC6895165 OTO - NOTNLM OT - Renal cell carcinoma OT - Targeted therapies COIS- Competing interestsThe authors declare the following competing financial interest(s): K.P., V.S.M., and D.M. have applied for protection of intellectual property related to the results in the manuscript. There are no other conflicts of interest to declare. EDAT- 2019/12/17 06:00 MHDA- 2019/12/17 06:01 PMCR- 2019/12/05 CRDT- 2019/12/17 06:00 PHST- 2019/04/15 00:00 [received] PHST- 2019/10/17 00:00 [accepted] PHST- 2019/12/17 06:00 [entrez] PHST- 2019/12/17 06:00 [pubmed] PHST- 2019/12/17 06:01 [medline] PHST- 2019/12/05 00:00 [pmc-release] AID - 105 [pii] AID - 10.1038/s41698-019-0105-2 [doi] PST - epublish SO - NPJ Precis Oncol. 2019 Dec 5;3:31. doi: 10.1038/s41698-019-0105-2. eCollection 2019.