There is currently no effective means to prevent or control metastatic dissemination of
cancer cells.
E-selectin, an adhesion molecule expressed exclusively on inflamed and angiogenic blood vessels, plays an important role in several rate-limiting steps of
cancer metastasis. In this study, we assessed the in vivo antitumor efficacy of
N-(2-hydroxypropyl)methacrylamide (
HPMA) copolymers conjugated to an
E-selectin binding
peptide (Esbp, DITWDQLWDLMK) and equipped with the chemotherapeutic
drug doxorubicin (P-(Esbp)-DOX) or with the proapoptotic
peptide D(
KLAKLAK)2 (P-(Esbp)-KLAK). Following a single
intravenous injection, P-(Esbp)-DOX reduced
tumor growth rate and prolonged the survival of mice bearing primary
Lewis lung carcinoma (3LL)
tumors significantly more than treatment with a non-targeted copolymer (P-DOX) or with free DOX. In an experimental B16-F10 lung
metastasis model, a single intravenous dose of P-(Esbp)-DOX or P-(Esbp)-KLAK prolonged mice survival time significantly more than the non-targeted copolymers or the free drugs, and the percentage of complete
tumor regression increased with increasing doses and with dosing frequency. In addition, mice pretreated with an
E-selectin-targeted "
drug-free" copolymer (P-(Esbp)-
FITC) exhibited significantly fewer B16-F10
tumor foci in the lungs as compared with non-treated mice, demonstrating the anti-metastatic properties of the copolymer and its ability to control
cancer spread through
E-selectin-mediated interactions. Biodistribution analysis further confirmed the preferential accumulation of the
E-selectin-targeted near-infrared fluorescently-labeled copolymer P-(Esbp)-IR783 in B16-F10 lung
metastases. Taken together, this study demonstrates, for the first time, that the
E-selectin targeted copolymer-
drug conjugates can inhibit primary
tumor growth and prevent
metastases in vivo.