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Original Article | Open Access

Boosting of the enhanced permeability and retention effect with nanocapsules improves the therapeutic effects of cetuximab

Chao Yang1,2,*Yanli Tan3,4,*Hongzhao Qi5,6Junhu Zhou1,2Lixia Long5Qi Zhan5Yunfei Wang1,2Xubo Yuan5 ( )Chunsheng Kang1,2,7( )
Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin 300052, China
Tianjin Neurological Institute, Key Laboratory of Post-neurotrauma Neuro-repair and Regeneration in Central Nervous System, Ministry of Education and Tianjin City, Tianjin 300052, China
Department of Pathology, Affiliated Hospital of Hebei University, Baoding 071000, China
Department of Pathology, Hebei University Medical College, Baoding 071000, China
Tianjin Key Laboratory of Composite and Functional Materials, School of Material Science and Engineering, Tianjin University, Tianjin 300072, China
Institute for Translational Medicine, Qingdao University, Qingdao 266021, China
Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou 510095, China

*These authors contributed equally to this work.

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Abstract

Objective

The introduction of therapeutic antibodies (tAbs) into clinical practice has revolutionized tumor treatment strategies, but their tumor therapy efficiency is still far below expectations because of the rapid degradation and limited tumor accumulation of tAbs.

Methods

We developed a nanocapsule-based delivery system to induce the self-augmentation of the enhanced permeability and retention (EPR) effect. This system constantly penetrated across the blood-tumor barrier into the tumor while avoiding the attack of tAbs by the immune system. The biodistribution and therapeutic effect were tested with single dose administration of nanocapsule-tAbs in vivo.

Results

The accumulation of Nano(cetuximab) within subcutaneous PC9 tumors was gradually enhanced over 6 days after single dose administration, which was contrary to the biodistribution of native cetuximab. Nano(cetuximab) accumulated in tumor tissues via the EPR effect and released cetuximab. The released cetuximab acted on vascular endothelial cells to destroy the blood-tumor barrier and induce self-augmentation of the EPR effect, which in turn contributed to further tumor accumulation of long-circulating Nano(cetuximab). Compared with single dose administration of native cetuximab, Nano(cetuximab) showed an effective tumor suppressive effect for 3 weeks.

Conclusions

The nanocapsule-based delivery system efficiently delivered tAbs to tumor tissues and released them to boost the EPR effect, which facilitated further tumor accumulation of the tAbs. This novel self-augmentation of the EPR effect facilitated by the biological characteristics of tAbs and nanotechnology contributed to the improvement of the therapeutic effect of tAbs, and stimulated new ideas for antibody-based tumor therapy.

Electronic Supplementary Material

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Cancer Biology & Medicine
Pages 433-443
Cite this article:
Yang C, Tan Y, Qi H, et al. Boosting of the enhanced permeability and retention effect with nanocapsules improves the therapeutic effects of cetuximab. Cancer Biology & Medicine, 2020, 17(2): 433-443. https://doi.org/10.20892/j.issn.2095-3941.2019.0292

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Received: 02 September 2019
Accepted: 01 January 2020
Published: 15 May 2020
©2020 Cancer Biology & Medicine.

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