This invention relates to methods and kits for tumor inoculation in cancer studies and modelling.
A reproducibility crisis in preclinical research has contributed to disappointing outcomes in clinical trials. In response, significant effort has gone into developing animal models that better recapitulate human disease with the hope of improving the predictive power of preclinical research. Yet, little attention has been paid to improving consistency of animal models or developing facile, lab transferable techniques. As a result, inconsistent animal models are endemic and complicate comparisons of data from different labs, within labs, and even within individual experiments. Subcutaneous allograft and xenograft flank models are among the most common models used for preclinical cancer research, particularly for immunooncology. These models involve injecting cancerous cells dispersed in liquid buffered saline subcutaneously on the flank of animals and waiting for tumors to form (
Variance in tumor formation necessitates researchers use more animals to conduct sufficiently powered studies, and the chance of failed tumor formation further inflates animal cohort sizes (
Current approaches to cancer cell inoculation suffer from two primary drawbacks:
Previous reports indicate that cancer cells encapsulated in basement membrane extract (BME) form tumors more rapidly in murine models when compared to cells suspended in saline. While these results are promising, BME is a poorly defined solution derived from Engelbreth-Holm-Swarm mouse sarcoma, thereby suffering from considerable batch-to-batch variability, and its temperature-dependent gelation introduces technical difficulties in avoiding premature gelation within the syringe. While BME offers tumorigenic factors like Laminin and Type IV Collagen, the uncertainty of its contents and technically challenging handling provide good reason for researchers to avoid it. There has been increasing interest in the development of alternative, molecularly defined hydrogel scaffolds for applications in tissue engineering. Injectable hydrogels have been developed that can enhance therapeutic cell administration by protecting cells from mechanical forces during injection, enabling homogeneous injections and enhancing cell retention at the injection site1. The present invention advances the art with technology of a self-assembled hydrogel for controlled encapsulation and delivery of cancer cells that improves the reproducibility of tumor formation.
In this invention, a self-assembled hydrogel material, methods and a kit have been developed for controlled encapsulation and delivery of cancer cells that addresses the reproducibility of tumor formation. With this approach, tumors form with lower variance in size, drastically improving statistics for large preclinical cancer studies.
In one embodiment, the invention is a tumor inoculation kit for developing a cancer model. The kit has solutions to form a self-assembled hydrogel, the cancer cells, a mixer for mixing the solutions and the cancer cells and forming self-assembled hydrogels encapsulating the cancer cells, and a syringe for injecting the cancer cells encapsulated by the self-assembled hydrogels.
In another embodiment, the invention is a method of tumor inoculation for developing a cancer model. The method provides solutions to form a self-assembled hydrogel, provides, uses or has the cancer cells, mixes the solutions and the cancer cells to form self-assembled hydrogels encapsulating the cancer cell, and injects the cancer cells encapsulated by the self-assembled hydrogels into tissue.
The key solutions to form the self-assembled hydrogel are Alginate and Calcium Sulfate. In one example, the Alginate ranges from 0.5 to 2.5 wt % and the Calcium Sulfate ranges from 7 mM (or is another example 0 mM) to 15 mM. More specifically, Alginate is about 1 wt % and the Calcium Sulfate is about 10 mM. The cancer cells could be human or animal cancer cells. The cancer cells could also be a mixture of different types of cancer cells.
Cells other than cancer cells could be added to the kit or provided in the method. Examples of such cells are Vascular Endothelial Cells, Pericytes, Adipocytes, Fibroblasts, Bone-Marrow Mesenchymal Stromal Cells, or a combination thereof.
Extracellular Matrix Components (ECMs) could be added to the hydrogel to form the self-assembled hydrogel. Examples of ECMs are Laminin, Hyaluronic Acid, High Molecular Weight Hyaluronic Acid, Collagen I, Collagen II, Collagen III, Collagen IV, Collagen XVIII, Heparin, Heparin Sulfate, Fibronectin, Vitronectin, Gelatin, Elastin, Tenascin, Tenascin-C, Matrix Metalloproteinases, Basement Membrane Mixtures, or a combination thereof.
Growth factors could be added to the hydrogel to form the self-assembled hydrogel. Examples of growth factors are Fibroblast Growth Factors (FGF), Vascular Endothelial Growth Factor (VEGF), Platelet-derived growth factor (PDGF), stromal-derived factor-1 (SDF-1), TGF, tumor growth factor; TNF, tumor necrosis factor, or a combination thereof.
The self-assembled hydrogel useful for injection has a yield stress above 10 Pa. In another embodiment, the self-assembled hydrogel useful for injection has a yield stress ranging from 20 Pa to 60 Pa or 10 Pa to 60 Pa with a measured elastic storage modulus (G′) of 50-1000 Pa at 10 rad/s.
Furthermore, the self-assembled hydrogels useful for injection define a hydrogel volume ranging from 2 to 200 microliters in which the cancer cells are defined by a number of cancer cells within the hydrogel volume where the number of cancer cells ranging from 200,000 to 1,000,000.
In still another example, rheological modifiers could be added to modify rheological properties of the self-assembled hydrogel. For example, to modify the hydrogel's stress relaxation. Stress relaxation may enhance tumor growth.
Examples provided for the mixer is a dual syringe mixer distinguishing two connectable syringes for fluidably mixing the solutions and the cancer cells. Likewise, for this dual syringe mixer can be used for mixing the solutions and the cancer cells.
Embodiments of the invention can be used, not only as a method, but also as a kit that contains the hydrogel formulation for preclinical researchers to use in labs and companies that do cancer research.
Embodiments of the invention may also be used to alter and modulate the tumor microenvironment. For example, it could be used to help control different cell type interactions through co-encapulsulation in the hydrogel niche. It could be used to help cells gain enhanced exposure to a co-encapsulated growth factors that are slowly diffusing in the hydrogel. The gel's modular nature allows for control over the model tumor microenvironment.
Methods of embodiments of the invention have been validated with the B16F10 melanoma model (
In an exemplary embodiment, alginate-based hydrogels were used due to great biocompatibility, and their mild and rapid formation by mixing with calcium (
To demonstrate the method, Luc+B16F10 cancer cells were encapsulated in 50 μL of hydrogel formulations and injected subcutaneously on the flank of C57BL/6 mice through a 21 G needle. Tumor growth was compared with tumors administered in 50 μL of BME and saline. Tumor formation was observed for the first 10 days with in vivo imaging (
Once tumors reached 100 mm2, tumor area was measured over time with digital calipers (
Tumor histomorphology on day 15 post-inoculation evaluated by a blinded pathologist was comparable for tumors formed in hydrogel groups (regardless of composition), BME, and saline (
Researchers aim to start treatment when tumors are a given size (e.g., 100 mm2), which for practical reasons would preferably occur on the same day for all mice; however, treatment must be staggered if tumors grow at different rates. Indeed, 30% of the mice inoculated with cells in saline did not form tumors during the 15-day study (
Reduced model variance reduces type II error, allowing researchers to use fewer animals and observe differences between treatments with higher power. Assuming that the variance in tumor areas due to the model at the start of treatment is representative of the variance throughout treatment, it is possible to determine the impact of the improved model on design of sufficiently powered studies (
The method according to this invention has the capacity to enhance the reliability of tumor formation and consistency of tumor growth for the widely used B16F10 model, demonstrating an opportunity to improve preclinical cancer models to aid observation, increase study power, and reduce resource usage (i.e., fewer mice and less researcher time). This approach has great potential to expand to most other subcutaneously administered tumor models, such as, but not limited to, 4T1, MC38, and LLC1 models. The hydrogel encapsulation procedure demonstrated herein, which only requires a simple mixing step using commercially available precursors and standard supplies, is accessible to all preclinical cancer researchers. The inventors showed improved results over current methods that utilize either saline or BME. While extensive research has focused on developing biomaterials for tissue engineering applications, the use of biomaterials to generate more reproducible in vivo cancer models has not been extensively explored. We demonstrate here, using predictive modeling, that a biomaterials-enhanced cancer model can reduce technical burden and simplify study design.
Methods described are exemplary methods leading to the results described above. A skilled artisan appreciates that certain variations could be made without departing from the scope of the invention. Hence the specific examples should not be regarded as limiting to the scope of the invention.
Hydrogels were prepared using a dual syringe mixing technique. Briefly, a stock solution of sterile Alginate (Pronova UP LVG) (5 wt %) was prepared by adding buffered saline to the polymers and allowing them to dissolve over 1 day at 4 degrees Celsius. This alginate is higher in G content, leading to reduced immunogenicity. A stock solution of alginate (5 wt %) and HA (Lifecore Biomedical, 1.5 MDA, 1.25 wt %) was also prepared in saline. Biopolymer stock solutions were loaded into one syringe at the volume needed to reach the desired final concentration (1 wt % polymer total, and 10 mM calcium). A stock solution of calcium sulfate (250 mM) was prepared in water in a large container in the form of a slurry. The calcium sulfate stock solution was stirred vigorously and quickly added to an eppendorf tube containing cells and saline. Laminin Mouse Protein (Thermo Fisher) was added to the solution containing calcium and cells to a final concentration of 1 mg/mL. HA was added to a final concentration of 20 mg/mL. The stock solution of calcium and cells was then moved to a luer lock 1 mL syringe. The syringes containing the two stock solutions were then connected using a female-female luer lock mixer and the gels were prepared by mixing for 30 pumps. Once mixed, the cell-loaded hydrogels were pushed into one of the syringes, which was then removed from the leur lock mixer and equipped with a needle for application. Alternatively, the calcium sulfate can be premixed with the alginate prior to encapsulating cells in the case that cells are sensitive to direct contact with calcium.
Fluorescent alginate was prepared using carbodiimide chemistry according to established protocols, whereby Sulfo-Cyanine7 amine (5 mg, 0.0062 mmol; Lumiprobe) was dissolved under stirring in 15 mL of an alginate solution (10 mg/mL) formed in 0.1 M MES buffer at pH 6 (Thermo Fisher). Sulfo-NHS (41 mg, 0.19 mmol; Biovision) and 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide (EDC; 72.5 mg, 0.38 mmol; Sigma-Aldrich) were successively added, and the reaction mixture was stirred at room temperature for 20 hours. The crude product was dialyzed against deionized water for 3 days (3.5 kDa MWCO) and lyophilized until dried.
Rheological testing was performed using a 20 mm diameter serrated parallel plate at a 750 μm gap on a stress-controlled TA Instruments DHR-2 rheometer. All experiments were performed at 37 degrees Celsius to be representative of physiological conditions. Frequency sweeps were performed at a strain of 1%. Temperature sweeps were performed at a strain of 1% and a frequency of 10 rad/s. Amplitude sweeps were performed at frequency of 10 rad/s. Independent hydrogel formulations were mixed for each test.
Luc+B16F10 cells were purchased from ATCC (ATCC CRL-6475-LUC2). They were cultured in Dulbecco's modified Eagle's media containing 10% FBS, 1% penicillin-streptomycin, and, if Luc+, with 10 μg/mL Blasticidin. Cells were split at a 1:5 ratio every 3 days when approximately 80% confluent. For in vivo experiments, they were injected at passage 3 when 50% confluent. Cells tested negative for mycoplasma using Lonza Mycolert Mycoplasma Detection Kit prior to experiments.
EG7 cells were purchased from ATCC. They were cultured in RPMI media containing 10% FBS, 1% penicillin-streptomycin, and 0.05 mM 2-mercaptoethanol. Cell media was supplemented every 2 days and upon confluency (1e6 cells/mL), cells were split by dilution to a seeding density of 100,000 cells/mL. Cells tested negative for mycoplasma using Lonza Mycolert Mycoplasma Detection Kit prior to experiments.
Promega CellTiter-Glo 3D Cell Viability Assay was used to characterize the short-term cell viability in different formulation conditions. Cells were seeded between 5000 and 10,000 cells per well in an opaque 96-well plate in 100 μL of media or gel per well. Relative viability was measured after 1 day in culture by adding 100 μL per well of the CellTiter-Glo reagent, mixing for 5 minutes, allowing the plate to sit for 25 min, and then reading the luminescent signal with a 1 second integration time.
Luc+ B16F10 cells (Passage 3) were administered to each mouse subcutaneously on the flank in a volume of 50 μL volume containing 400,000 cells using a 1 mL luer-lock syringe with a 21 G needle. In all, 400,000 cells were chosen as an intermediate number of cells based on previously reported protocols. Immunocompetent female C57BL/6 mice from Charles River Laboratory (6-8 weeks) were used for all experiments. Each group contained 9 or 10 replicates (n=10 for saline, BME, alginate and Alg-Lam; n=9 for Alg-HA). Experimental groups were blinded and randomized by cage. Hydrogel formulations comprising encapsulated cells were prepared in syringes in the laboratory 30 min prior to inoculation. Cell suspensions were prepared in saline or BME and kept on ice prior to loading into syringes immediately before inoculation. Double the amount of saline volume was prepared to follow established procedures to prevent cell aggregation in the syringe.
For the first 10 days of in vivo tumor growth experiments, an In Vivo Imaging System (Lago) was used to monitor tumor progression. Firefly luciferin was delivered subcutaneously (150 mg/kg mouse body weight) in 200 μL injection volumes. Luciferase has been found to have immunogenic effects in certain models and was equally used for imaging in all groups for experiments, so side-effects should be uniform among groups. After waiting 10 min, images were recorded with an exposure of 30 seconds every 5 minutes for a period of 15 minutes until maximum flux was reached. Total flux of photons in the tumor region of interest (ROI) was used to quantify tumor growth. Aura imaging software was used to collect and analyze data. Starting on day 10 following tumor inoculation, tumors were measured on each mouse using digital calipers. An area was calculated using length and width caliper measurements. The percent coefficient of variance was calculated as the standard deviation divided by the mean.
Hydrogels were formulated as previously described though comprising 0.2 wt % Cy7-labeled alginate and 0.8 wt % plain alginate. B16F10 cells were encapsulated and injected in the hydrogels. Alginate degradation was monitored using an in vivo imaging system and quantified as the total photons in the ROI surrounding the tumor. An exposure of 1 second was used to collect images with an excitation/emission of 720/790 nm.
The treatment day was calculated for each mouse by interpolating between two timepoints to when the tumor area reached 100 mm2. Interpolation was performed assuming both exponential and linear tumor growth. The average treatment day and standard deviation for each group were calculated from the individual mice. Mice that required extrapolation before day 9 and after day 16 (tumor reached 100 mm2 before measurement began or after measurements stopped) were removed from the analysis. The following equations describe the linear interpolation approach, where t100 represents the day when the tumor reaches 100 mm2, A1 and A2 represent area measurements for corresponding days t1 and t2,
When making the Kaplan-Meier type plot, the treatment day was recorded at the whole number day after a calculated treatment time. The average treatment day was found by averaging individual treatment days. Saline was excluded from this analysis due to the high percentage of mice that never formed tumors.
Tumors were explanted 15 days after inoculation, immersed in formalin for 72 hours, and then 70% ethanol for 48 hours. Tumor specimens were sliced and stained with hematoxylin and eosin, CD3, and CD31. All samples were analyzed by a blinded pathologist. For analysis of lymphocyte infiltration, 10 high-power images were taken at all areas of each tumor. Lymphocytes (stained dark brown with a clear circumference) were manually counted in each photo with the FIJI Cell-Counter plug-in.
The Statistical toolbox in Matlab was used for power calculations, specifically the sampsizepwr function with two-sided t-tests. For calculations based off experimental data, the average and distribution of the day that each formulation surpassed 100 mm2 were used in the power analysis. Because 30% of the saline tumors did not form at all during the experiment, these mice were excluded from this analysis, leading the saline group to require less mice than the BME group in the power analysis. Here the effect size was calculated as an observed percent change from the formulation average of 100 mm2 in 1% intervals to predict the number of mice needed. For calculations predicting the effect of the coefficient of variance on the number of mice, the variance was calculated as a percent change from 100 mm2 in 1% intervals with a constant 80% power. For calculations predicting the effect of variance on the power of the study, the variance was calculated as a percent change from 100 mm2 in 1% intervals with a constant 10 mouse per group sample size.
Confidence intervals in % CV values were calculated using Vangel's modification to McKay's method, which assumes the data are approximately normal and starts giving less valuable estimates as the % CV exceed 33%. To summarize this calculation, the lower (lcl) and upper limits (ucl) were calculated as
K represents a sample % CV, n is the number of samples, and χ2α represents the chi-squared distribution at the designated confidence α.
Filing Document | Filing Date | Country | Kind |
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PCT/US2021/055760 | 10/20/2021 | WO |
Number | Date | Country | |
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63094716 | Oct 2020 | US |