Posted 21 March 2017 - 05:16 AM
In vivo targeting of leukemia stem cells by directing parthenolide-loaded nanoparticles to the bone marrow niche Leukemia. 2016 Jul; 30(7): 1582-1586.
This study demonstrates the efficacy and utility of encapsulating unmodified pre-clinical small molecules such as parthenolide (PTL) in a multistage vector system (MSV) to facilitate delivery to the tumor niche. LSCs reside within and are protected by the bone marrow (BM) niche. Encapsulation of PTL into the MSV coated with ESTA resulted in rapid delivery of chemically intact PTL to the BM niche. Two doses of MSV-PTL delivered two weeks apart were capable of reducing AML burden and dramatically impairing LSC function in vivo. The poor bioavailability and pharmacokinetic profile of PTL were overcome by encapsulation in the MSV, producing in vivo efficacy against LSCs using AML-PDX mice. Indeed, PTL delivered via this system engaged cellular responses consistent with PTL activity, leading to a decrease in both AML burden and LSC function. Overall, these studies demonstrate that the use of targeted MSV nanoparticles is a novel and promising therapeutic approach in AML by facilitating anti-LSC small molecules such as PTL to the BM niche.
The authors are supported by Leukemia and Lymphoma Society.
DX on April 1, 2015. WBC 86000, on Hydrea for 2 months,
generic Gleevec 400mg (06/06/15), CCyR April 2016
12/22/2016 PCR: 0.49% (IS) 18 Month
03/29/2017 PCR: 0.68% (not IS) 21 Month
06/06/2017 PCR: 1.62% (not IS) 24 Month
06/20/2017 increase dose to 600mg