The conventional targeted delivery of chemotherapeutic and diagnostic agents utilizing nanocarriers is a promising approach for
cancer theranostics. Unfortunately, this approach often faces hindered
tumor access that decreases the therapeutic index and limits the further clinical translation of a developing
drug. Here, we demonstrated a strategy of simultaneously double-targeting the
drug to two distinct cites of
tumor tissue: the
tumor endothelium and
cell surface receptors. We used fourth-generation polyamideamine
dendrimers modified with a chelated Gd and functionalized with
selectin ligand and
alpha-fetoprotein receptor-binding
peptide. According to the proposed strategy,
IELLQAR peptide promotes the conjugate recruitment to the
tumor inflammatory microenvironment and enhances extravasation through the interaction of nanodevice with P- and E-
selectins expressed by endothelial cells. The second target moiety-
alpha-fetoprotein receptor-binding
peptide-enhances
drug internalization into
cancer cells and the intratumoral retention of the conjugate. The final conjugate contained 18 chelated Gd
ions per
dendrimer, characterized with a 32 nm size and a negative surface charge of around 18 mV. In vitro contrasting properties were comparable with commercially available Gd-chelate: r1 relaxivity was 3.39 for
Magnevist and 3.11 for conjugate; r2 relaxivity was 5.12 for
Magnevist and 4.81 for conjugate. By utilizing this dual targeting strategy, we demonstrated the increment of intratumoral accumulation, and a remarkable enhancement of antitumor effect, resulting in high-level synergy compared to monotargeted conjugates. In summary, the proposed strategy utilizing
tumor tissue double-targeting may contribute to an enhancement in
drug and diagnostic accumulation in aggressive
tumors.