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Improved anti-tumor efficacy of paclitaxel in combination with MicroRNA-125b-based tumor-associated macrophage repolarization in epithelial ovarian cancer.

Abstract
In epithelial ovarian cancers, the presence of tumor-associated macrophages (TAMs) is well correlated with the poor disease outcomes. TAMs are know to suppress the immune system, induce pro-tumoral functions and inhibit anti-tumor responses associated with chemotherapy. In this study, we have evaluated the synergistic efficacy of TAM repolarization and intraperitoneal paclitaxel in epithelial ovarian cancers. We demonstrate that hyaluronic acid-based nanoparticles encapsulating miR-125b (HA-PEI-miR-125b) can specifically target TAMs in the peritoneal cavity of a syngeneic ID8-VEGF ovarian cancer mouse model and can repolarize macrophages to an immune-activating phenotype. These HA-PEI-miR-125b nanoparticles in combination with intraperitoneal paclitaxel can enhance the anti-tumor efficacy of paclitaxel during the later stages of disease progression as seen by the significant reduction in the ascitic fluid and peritoneal VEGF levels. Furthermore, these HA-PEI-miR-125b nanoparticles do not induce systemic toxicity and thus warrant a further evaluation in the clinical setting.
AuthorsNeha N Parayath, Srujan Kumar Gandham, Fraser Leslie, Mansoor M Amiji
JournalCancer letters (Cancer Lett) Vol. 461 Pg. 1-9 (10 01 2019) ISSN: 1872-7980 [Electronic] Ireland
PMID31288064 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
CopyrightCopyright © 2019 Elsevier B.V. All rights reserved.
Chemical References
  • Antineoplastic Agents, Phytogenic
  • Biomarkers, Tumor
  • MIRN125 microRNA, human
  • MicroRNAs
  • Hyaluronic Acid
  • Paclitaxel
Topics
  • Animals
  • Antineoplastic Agents, Phytogenic (pharmacology)
  • Apoptosis
  • Biomarkers, Tumor (genetics)
  • Carcinoma, Ovarian Epithelial (genetics, pathology, therapy)
  • Cell Proliferation
  • Combined Modality Therapy
  • Drug Delivery Systems
  • Female
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Hyaluronic Acid (chemistry)
  • Macrophages, Peritoneal (drug effects, metabolism)
  • Mice
  • Mice, Inbred C57BL
  • Mice, Nude
  • MicroRNAs (genetics)
  • Nanoparticles (administration & dosage, chemistry)
  • Paclitaxel (pharmacology)
  • Tumor Cells, Cultured
  • Xenograft Model Antitumor Assays

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