Triple-negative breast cancer (TNBC) is a recalcitrant
malignancy with no available targeted
therapy. Off-target effects and poor bioavailability of the FDA-approved
antiobesity drug orlistat hinder its clinical translation as a repurposed new
drug against TNBC. Here, we demonstrate a newly engineered
drug formulation for packaging
orlistat tailored to TNBC treatment. We synthesized TNBC-specific
folate receptor-targeted micellar nanoparticles (NP) carrying
orlistat, which improved the solubility (70-80 μg/mL) of this water-insoluble
drug. The targeted NPs also improved the delivery and bioavailability of
orlistat to MDA-MB-231 cells in culture and to
tumor xenografts in a nude mouse model. We prepared HEA-EHA copolymer micellar NPs by copolymerization of 2-hydroxyethylacrylate (HEA) and 2-ethylhexylacrylate (EHA), and functionalized them with
folic acid and an imaging
dye. Fluorescence-activated cell sorting (FACS) analysis of TNBC cells indicated a dose-dependent increase in apoptotic populations in cells treated with free
orlistat,
orlistat NPs, and
folate-receptor-targeted Fol-HEA-EHA-
orlistat NPs in which Fol-HEA-EHA-
orlistat NPs showed significantly higher cytotoxicity than free
orlistat. In vitro analysis data demonstrated significant apoptosis at nanomolar concentrations in cells activated through
caspase-3 and PARP inhibition. In vivo analysis demonstrated significant antitumor effects in living mice after targeted treatment of
tumors, and confirmed by fluorescence imaging. Moreover,
folate receptor-targeted Fol-DyLight747-orlistat NP-treated mice exhibited significantly higher reduction in
tumor volume compared to control group. Taken together, these results indicate that
orlistat packaged in HEA-b-EHA micellar NPs is a highly promising new
drug formulation for TNBC
therapy. Mol
Cancer Ther; 15(2); 221-31. ©2015 AACR.