A New Class of Magnetic Nanoparticles for Glioma Targeted Drug Delivery - Project Summary Glioblastoma is the most common and aggressive malignant brain tumor with extremely
poor prognosis. Current standard care for glioblastoma treatment consists of maximal surgical resection
followed by chemotherapy and radiation therapy. Unfortunately, it hardly produces long-term control on tumor
progression. Due to the highly heterogeneous, infiltrating and recurring natures of glioblastomas,
chemotherapy plays a crucial role in clinical management of glioblastomas. However, existing chemotherapies
in brain tumor treatment are mostly disappointing, often due to poor delivery of chemotherapy agents
stemming from their low water solubility and/or inability of crossing the blood brain barrier (BBB) or blood tumor
barrier (BTB). Although nanomaterial-based drug delivery systems have shown advantages by enhancing the
delivery efficiency and improving the safety profile of therapeutics over conventional chemotherapy
formulations in treating many cancers, their development and applications in brain tumor treatment are largely
limited, because of delivery challenges in current nano-delivery systems with sizes of 10-200 nm. Supported by
the premises that: 1) ferumoxytol (Feraheme®), an FDA approved iron oxide nanoparticle for treating iron
deficiency anemia, can be used for imaging brain tumor with magnetic resonance imaging (MRI) in patients,
and 2) our sub-5 nm ultrafine iron oxide nanoparticle (uIONP) can reach brain tumors in the intracranial glioma
mouse model to enhance tumors in MRI with T1 contrast, this STTR Phase I project aims to develop a new
class of drug-carrying and glioblastoma targeted IONP for delivering highly potent yet water-insoluble
chemotherapy agent SN38, the active and much more potent form of chemotherapy agent Irinotecan (CPT-11)
used in treating many other cancers in oncology clinic, for treating intracranial brain tumors. We will incorporate
our patented amphiphilic poly(ethylene glycol)-block-(allyl glycidyl ether) (PEG-b-AGE) coating polymer for
uIONPs to encapsulate hydrophobic SN38, which has not been used for treating brain tumors due to poor
intracranial delivery. Tri-peptide RGD with well-documented functions and safety profile is selected as the
ligand for functionalizing uIONPs to target αvβ3 integrin overexpressed in glioblastomas. In the proposed
project, we will prepare and optimize the RGD-conjugated uIONP with SN38 loading (RGD-uIONP/SN38) with
consistent physiochemical and biological properties, including SN38 loading efficiency, surface charge, density
of conjugated the targeting ligand, glioblastoma cell targeting, intracellular drug release and cytotoxicity, and
stability (Aim 1). We will then use an intracranial mouse model to investigate the blood half-life, biodistribution,
clearance, and tumor uptake and intra-tumoral distribution of developed RGD-uIONP/SN38 as well as the
stability of this platform in blood and organs in Aim 2, followed by determining the efficacy of RGD-
uIONP/SN38 in inhibiting the tumor growth based on MRI in vivo and histopathological analysis. The results
will lead to the further development of this system towards clinical translation in the Phase II project.