Multidrug resistance (MDR) mediated by
P-glycoprotein overexpression in solid
tumors is a major factor in the failure of many forms of
chemotherapy. Here we evaluated
phospholipid-modified, low-molecular-weight
polyethylenimine (DOPE-PEI) nanocarriers for intravenous delivery of anti-P-pg
siRNA to
tumors with the final goal of modulating MDR in
breast cancer. First, we studied the biodistribution of DOPE-PEI nanocarriers and the effect of PEG coating in a subcutaneous
breast tumor model. Four hours postinjection, PEGylated carriers showed an 8% injected dose (ID) accumulation in solid
tumor via the enhanced permeability and retention effect and 22% ID in serum due to a prolonged, PEG-mediated circulation. Second, we established the therapeutic efficacy and safety of DOPE-PEI/
siRNA-mediated P-gp downregulation in combination with
doxorubicin (Dox)
chemotherapy in MCF-7/MDR xenografts. Weekly injection of
siRNA nanopreparations and Dox for up to 5 weeks sensitized the
tumors to otherwise non-effective doses of Dox and decreased the
tumor volume by threefold vs controls. This therapeutic improvement in response to Dox was attributed to the significant, sequence-specific P-gp downregulation in excised
tumors mediated by the DOPE-PEI formulations.