The present invention relates generally to methods of treating cancer and, more specifically, to a biodegradable core-shell nano-sized gels (nanogels) that can be used for cancer-drug delivery or cancer-tissue imaging.
Cancer is the second leading cause of death in the United States. Each year more than 1.2 million Americans are diagnosed with cancer, and less than half can survive five years. Annual medical costs for cancer treatment account for billions of dollars in the US alone. Chemotherapy, which uses chemical agents (anticancer drugs) to kill cancer cells, is one of the primary methods of cancer treatment. Unfortunately, these anticancer drugs have limited selectivity for cancer and are inherently toxic to both cancer and normal tissues. As a result, anticancer drugs can cause severe side effects and damage to healthy tissues. For example, cisplatin is a well-known metal complex that exhibits high antitumor activity [Rosenberg et al., 1969; Takahara et al., 1995]. However, it has significant toxicity, in particular, acute as well as chronic nephrotoxicity [von Hoff et al., 1979; Pinzani et al., 1994]. Other common side effects of anticancer drugs include decrease in the number of white blood cells (increasing risk of infection), red blood cells (losing energy) and platelets (risk for bruising and bleeding) as well as nausea, vomiting, hair loss, etc. Furthermore, the high glomerular clearance of the anticancer drugs leads to an extremely short circulation period in the blood compartment [Siddik et al., 1987].
Most importantly, treatments in conventional dosage form of these drugs may lead to initial cancer regression, but soon the cancer becomes insensitive to the drugs, causing cancer progression and death. The primary reason for the treatment failure is cancer's intrinsic and acquired drug resistance [Pastan and Gottesman, 1991; Gottesman, 2002]. When a conventional drug dose is administered intravenously, the drug molecules distribute throughout the body and some drug molecules reach the cancer interstititium. Some are taken up by cancer cells via diffusion, transport and endocytosis. On the other hand, cancer cells have various mechanisms by which they become resistant to the drugs, such as loss of a cell surface receptor or transporter for a drug to slow down the drug influx, specific metabolism of a drug, alteration by mutation or drug detoxification to consume the drugs, and the like [Gottesman, 2002]. A major mechanism of multidrug resistance is an energy-dependent drug efflux transporter, the P-glycoprotein (P-gp) pump located in cell membrane [Gottesman, 2002]. P-gp pumps are very efficient in detecting and binding a large variety of hydrophobic drugs as they enter the plasma membrane. These pumps then transport the drugs out of the cells [Bogman et al., 2001; Gottesman, 2002]. As a consequence of the slowed drug entry but efficient drug removal by the P-gp pumps and the drug consumption by other forms of drug resistance, the effective drug concentration in cytoplasm is well below the cell-killing threshold, resulting in a limited therapeutic efficacy.
The goal of this invention is to increase the drug selectivity for cancer and to overcome the cancer drug resistance toward enhanced therapeutic efficacy and reduced toxicity to healthy tissue.
The present invention relates to degradable nanogels for the delivery of drugs. The nanogels are made of a polymer that has a water-soluble polymer chain containing carboxylic acid moieties and poly(ethylene glycol) (PEG) or other water-soluble polymer chains attached to the polymer chain and having the generic structure of
Drug Example
Cis-dichiorodiamineplatinum (II) (cisplatin or CDDP) is an example of an anticancer drug that can induce cancer drug resistance. [Scanlon, 1991.] Kataoka and co-workers incorporated cisplatin into block copolymer micelles to circumvent the drug resistance. The micelle-encapsulated cisplatin had an improved cytotoxicity. [Noshiyama, 2003; Nishiyama, 1999; Nishiyama, 2001.]
Nanogel Example
We synthesized a water-soluble carboxylic acid-containing poly(ester) grafted with PEG side chains. In water, CDDP complexes with the carboxylic acid of the poly(ester) and forms nanogel domains of about 100-200 nm that can be used for controlled delivery of CCDP or other drugs to cancer tissue.
Synthesis of 2,2-bis(acryloxymethyl)propionic Acid:
The reaction scheme for producing 2,2-bis(acryloxymethyl)propionic acid is illustrated in
Synthesis of PEG Macromonomer:
The reaction scheme for synthesizing the PEG macromonomer is illustrated in
Synthesis of Poly(ester)-graft-PEG:
The reaction scheme for synthesizing poly(ester)-graft-PEG is illustrated in
Preparation of Nanogels:
The reaction scheme for synthesizing the nanogels is illustrated in
Poly(ester)-graft-PEG Examples
The graft copolymers with PEG side chains (Mn=2000) was prepared by direct condensation. The PEG chain density was controlled by the molar ratio of 2,2-bis(acryloxymethyl)propionic acid to the PEG macromonomer. The pendent carboxyl acid groups are used for the complexation with CDDP. Composition of the copolymer was measured with 1HNMR by the ratio of the OCH2CH2 signal intensity in PEG (3.60 ppm) and that of CH3− in 2,2-bis(acryloxymethyl)propionic acid (1.38 ppm). Polyester-graft-PEG with varied contents can be synthesized in a similar method.
Characterization of the CDDP-Induced Formation of Nanogels.
The PEG grafted polymer and CDDP reacted in distilled water. The carboxylic groups of the graft-copolymer complexed with CDDP, and thus the polymer was crosslinked to form the gel core, while the PEG chains formed the hydrophilic corona (
The cisplatin-containing nanogels had low in vitro cytotoxicity to SKOV-3 ovarian cancer cells compared to free cisplatin. Similar phenomena were reported in the cisplatin-containing micelles and other water soluble cisplatin conjugates (Cabral et al. 2005; Nishiyama et al. 2003a; Nishiyama et al. 2003b; Nishiyama et al. 1999). However, the nanogels had similar in vivo anticancer activity to cisplatin tested in nude mice inoculated with SKOV-3 tumors. Grafting targeting groups to the nanogels is expected to further increase the anticancer activity.
In conclusion, the reaction of CDDP and PEG-grafted copolymer in distilled water led to the spontaneous formation of CDDP-incorporated micelles. The size of the micelles can be reduced by heating. These nanogels are useful for drug delivery.
The foregoing description and drawings comprise illustrative embodiments of the present inventions. The foregoing embodiments and the methods described herein may vary based on the ability, experience, and preference of those skilled in the art. Merely listing the steps of the method in a certain order does not constitute any limitation on the order of the steps of the method. The foregoing description and drawings merely explain and illustrate the invention, and the invention is not limited thereto, except insofar as the claims are so limited. Those skilled in the art who have the disclosure before them will be able to make modifications and variations therein without departing from the scope of the invention.
This application claims priority to U.S. Patent Application Ser. No. 60/736,540, filed Nov. 14, 2005.
Number | Date | Country | |
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60736540 | Nov 2005 | US |