Nanoparticle delivery of chemotherapy combination regimen improves the therapeutic efficacy in mouse models of lung cancer

Nanomedicine. 2017 Apr;13(3):1301-1307. doi: 10.1016/j.nano.2016.11.007. Epub 2016 Nov 21.

Abstract

The combination chemotherapy regimen of cisplatin (CP) and docetaxel (DTX) is effective against a variety of cancers. However, combination therapies present unique challenges that can complicate clinical application, such as increases in toxicity and imprecise exposure of tumors to specific drug ratios that can produce treatment resistance. Drug co-encapsulation within a single nanoparticle (NP) formulation can overcome these challenges and further improve combinations' therapeutic index. In this report, we employ a CP prodrug (CPP) strategy to formulate poly(lactic-co-glycolic acid)-poly(ethylene glycol) (PLGA-PEG) NPs carrying both CPP and DTX. The dually loaded NPs display differences in drug release kinetics and in vitro cytotoxicity based on the structure of the chosen CPP. Furthermore, NPs containing both drugs showed a significant improvement in treatment efficacy versus the free drug combination in vivo.

Keywords: Cisplatin prodrugs; Combination therapy; Docetaxel; Drug delivery; PLGA–PEG.

MeSH terms

  • Animals
  • Antineoplastic Agents / administration & dosage*
  • Antineoplastic Agents / therapeutic use
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Cell Line, Tumor
  • Cisplatin / administration & dosage*
  • Cisplatin / therapeutic use
  • Docetaxel
  • Drug Carriers / chemistry
  • Drug Combinations
  • Female
  • Humans
  • Lung / drug effects*
  • Lung / pathology
  • Lung Neoplasms / drug therapy*
  • Lung Neoplasms / pathology
  • Mice
  • Mice, Nude
  • Nanoparticles / chemistry*
  • Polyethylene Glycols / chemistry*
  • Polyglactin 910 / chemistry*
  • Prodrugs / administration & dosage
  • Prodrugs / therapeutic use
  • Taxoids / administration & dosage*
  • Taxoids / therapeutic use

Substances

  • Antineoplastic Agents
  • Drug Carriers
  • Drug Combinations
  • Prodrugs
  • Taxoids
  • poly(lactic-glycolic acid)-poly(ethyleneglycol) copolymer
  • Docetaxel
  • Polyglactin 910
  • Polyethylene Glycols
  • Cisplatin