Intrathecal delivery of radiation sensitizing nanoparticles in pediatric neuro-oncology

放射增敏纳米颗粒在儿科神经肿瘤学中的鞘内递送

• 批准号: 10653853
• 负责人: Rachael W Sirianni
• 金额: $ 71.15万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-02 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10653853
• 关键词: 3-Dimensional; Angiopoietin-2; Bar Codes; Binding; Blood; Brain; Catheters; Cells; Central Nervous System; Cerebrospinal Fluid; Charge; Child; Childhood; Childhood Brain Neoplasm; Childhood Malignant Brain Tumor; Clinic; Clinical; Clinical Data; Data; Development; Diagnosis; Diffuse; Disease; Dose; Drug Delivery Systems; Drug Kinetics; Drug or chemical Tissue Distribution; Encapsulated; Endocrine System Diseases; Engineering; Excision; Exhibits; Foundations; Genetic Engineering; Glioma; Growth; Histones; Human; Image; Infiltration; Infratentorial Neoplasms; Infusion procedures; Intrathecal Space; Label; Lesion; Libraries; Ligands; Macaca mulatta; Malignant neoplasm of brain; Maps; Measures; Metabolic Clearance Rate; Metastatic Neoplasm to the Leptomeninges; Methods; Modeling; Multimodal Imaging; Nanotechnology; Neoplasm Metastasis; Nervous System; Operative Surgical Procedures; Patients; Penetration; Peptide Receptor; Pharmaceutical Preparations; Pharmacodynamics; Polymers; Positron-Emission Tomography; Predisposition; Quantum Dots; Radiation; Radiation Dose Unit; Radiation induced damage; Radiation therapy; Radiosensitization; Research Personnel; Resected; Resolution; Safety; Secondary to; Spatial Distribution; Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization; Spinal Cord; Subarachnoid Space; Surface; Surface Properties; Survival Rate; System; Therapeutic; Tissues; Toxic effect; Vascularization; Water; Work; biocompatible polymer; biodegradable polymer; biomaterial compatibility; burden of illness; cancer cell; chemotherapy; cisterna magna; clinical application; clinical translation; cognitive function; design; drug action; drug distribution; drug efficacy; effective therapy; efficacy evaluation; experience; fractionated radiation; imaging approach; improved; inhibitor; medulloblastoma; miniaturize; mouse model; nanolabel; nanoparticle; nanoparticle delivery; nanoscale; neuro-oncology; neurosurgery; nonhuman primate; novel; novel strategies; pre-clinical; radiation delivery; reconstruction; safety assessment; small molecule

PROJECT SUMMARY / ABSTRACT Although survival rates for children diagnosed with a primary malignant brain tumor have improved, radiation induced damage to the developing nervous system remains a significant problem. Few treatment options are available once malignant cells have metastasized to the leptomeninges that surround the brain and spinal cord. Leptomeningeal metastasis (LM) cannot be surgically resected, and systemic chemotherapy is hindered by the presence of the blood-brain and blood-spinal cord barriers, leaving high dose craniospinal radiation as the only effective treatment option. Some investigators have administered therapeutics directly into the intrathecal space with the hope that locally administered drugs will better reach LM. However, action of intrathecally administered agents is limited by rapid clearance and inadequate tissue penetration as cerebrospinal fluid (CSF) turns over. Furthermore, most traditional chemotherapeutics are poorly water soluble and cannot be administered to the CSF at relevant concentrations. We have recently developed a novel approach for encapsulating the histone deacetyle inhibitor (HDACI) quisinostat within biodegradable and biocompatible NPs (QNPs). Our preliminary data demonstrate that intrathecally administered NPs distribute readily across the surfaces of the brain and spinal cord, are well retained within the subarachnoid space, and localize with lesions to slow the growth of LM in a murine model of metastatic medulloblastoma. Here, we propose a comprehensive approach for optimizing the design of radiation sensitizing NPs for intrathecal drug delivery to treat LM. These NPs serve not just as a stationary depot to prolong drug presence in the central nervous system but as mobile carriers that we predict will selectively sensitize metastatic lesions to radiation. We will, (1) engineer the surface of NPs to further improve their localization with LM, (2), determine the relationship between drug delivery and efficacy in models of medulloblastoma, and, (3), establish species scaling of direct-to-CSF nanoparticle delivery. Treatments will be evaluated in patient derived and genetically engineered models of medulloblastoma exhibiting LM. Fluorescent barcoding, matrix assisted laser desorption ionization (MALDI), and positron emission tomography (PET) imaging approaches will be used to precisely localize NP and drug delivery to LM with quantitative, cellular-level resolution. By directly pairing multiple measures of delivery, activity, and efficacy, we expect to develop a comprehensive understanding of barriers to effective drug delivery within the subarachnoid space. Most importantly, these studies will advance new nanotechnology toward the clinic for better treatment of pediatric brain tumors.

项目摘要/摘要

项目成果

Infusion of 5-Azacytidine (5-AZA) into the fourth ventricle or resection cavity in children with recurrent posterior Fossa Ependymoma: a pilot clinical trial.

将 5-氮杂胞苷 (5-AZA) 输注到患有复发性后窝室管膜瘤的儿童的第四脑室或切除腔中：一项试点临床试验。

• DOI: 10.1007/s11060-018-03055-1
• 发表时间: 2019
• 期刊: Journal of neuro-oncology
• 影响因子: 3.9
• 作者: Sandberg,DavidI;Yu,Bangning;Patel,Rajan;Hagan,John;Miesner,Emilie;Sabin,Jennifer;Smith,Sarah;Fletcher,Stephen;Shah,ManishN;Sirianni,RachaelW;Taylor,MichaelD
• 通讯作者: Taylor,MichaelD

High-dose MTX110 (soluble panobinostat) safely administered into the fourth ventricle in a nonhuman primate model.

• DOI: 10.3171/2020.2.peds19786
• 发表时间: 2020-08-01
• 期刊: Journal of neurosurgery. Pediatrics
• 作者: Sandberg DI;Kharas N;Yu B;Janssen CF;Trimble A;Ballester LY;Patel R;Mohammad AS;Elmquist WF;Sirianni RW
• 通讯作者: Sirianni RW