Abstract
In patients with glioblastoma (GBM), upregulated midkine (MDK) limits the survival benefits conferred by temozolomide (TMZ). RNA interference (RNAi) and CRISPR–Cas9 gene editing technology are attractive approaches for regulating MDK expression. However, delivering these biologics to GBM tissue is challenging. Here we demonstrate a polymer-locking fusogenic liposome (Plofsome) that can be transported across the blood–brain barrier (BBB) and deliver short interfering RNA or CRISPR–Cas9 ribonucleoprotein complexes into the cytoplasm of GBM cells. Plofsome is designed by integrating a ‘lock’ into the fusogenic liposome using a traceless reactive oxygen species (ROS)-cleavable linker so that fusion occurs only after crossing the BBB and entering the GBM tissue with high ROS levels. Our results showed that MDK suppression by Plofsomes significantly reduced TMZ resistance and inhibited GBM growth in orthotopic brain tumour models. Importantly, Plofsomes are effective only at tumour sites and not in normal tissues, which improves the safety of combined RNAi and CRISPR–Cas9 therapeutics.
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Data availability
Human genome 38 (hg38, https://hgdownload.soe.ucsc.edu/goldenPath/hg38/bigZips/) was used in this study. Transcriptome expression profiling and clinical information data from patients diagnosed with glioma were obtained from TCGA website (https://www.cancer.gov/ccg/research/genome-sequencing/tcga) and cBioPortal (https://www.cbioportal.org/). The gene expression profiling of parental and TMZ-resistant glioma cells was obtained from the GSE113510 dataset. The raw data of single RNA sequencing can be found on the Gene Expression Omnibus at accession number (GSE271379). Source data are provided with this paper.
References
Jackson, C. M., Choi, J. & Lim, M. Mechanisms of immunotherapy resistance: lessons from glioblastoma. Nat. Immunol. 20, 1100–1109 (2019).
Haar, C. P. et al. Drug resistance in glioblastoma: a mini review. Neurochem. Res. 37, 1192–1200 (2012).
Meng, X. et al. Dual functionalized brain-targeting nanoinhibitors restrain temozolomide-resistant glioma via attenuating EGFR and MET signaling pathways. Nat. Commun. 11, 594 (2020).
Stupp, R. et al. Effects of radiotherapy with concomitant and adjuvant temozolomide versus radiotherapy alone on survival in glioblastoma in a randomised phase III study: 5-year analysis of the EORTC-NCIC trial. Lancet Oncol. 10, 459–466 (2009).
Klemm, F. et al. Interrogation of the microenvironmental landscape in brain tumors reveals disease-specific alterations of immune cells. Cell 181, 1643–1660.e1617 (2020).
Meng, X. et al. DNA damage repair alterations modulate M2 polarization of microglia to remodel the tumor microenvironment via the p53-mediated MDK expression in glioma. eBioMedicine 41, 185–199 (2019).
Kaina, B. & Christmann, M. DNA repair in personalized brain cancer therapy with temozolomide and nitrosoureas. DNA Repair 78, 128–141 (2019).
Li, Z. et al. Glioblastoma cell-derived lncRNA-containing exosomes induce microglia to produce complement C5, promoting chemotherapy resistance. Cancer Immunol. Res. 9, 1383–1399 (2021).
Wang, Y. et al. Nanoparticle-mediated convection-enhanced delivery of a DNA intercalator to gliomas circumvents temozolomide resistance. Nat. Biomed. Eng. 5, 1048–1058 (2021).
Chen, G. et al. A biodegradable nanocapsule delivers a Cas9 ribonucleoprotein complex for in vivo genome editing. Nat. Nanotechnol. 14, 974–980 (2019).
Zou, Y. et al. Single siRNA nanocapsules for effective siRNA brain delivery and glioblastoma treatment. Adv. Mater. 32, 2000416 (2020).
Liu, Q. et al. Multistage delivery nanoparticle facilitates efficient CRISPR/dCas9 activation and tumor growth suppression in vivo. Adv. Sci. 6, 1801423 (2019).
Liu, Q. et al. NanoRNP overcomes tumor heterogeneity in cancer treatment. Nano Lett. 19, 7662–7672 (2019).
Xu, J. et al. Precise targeting of POLR2A as a therapeutic strategy for human triple negative breast cancer. Nat. Nanotechnol. 14, 388–397 (2019).
Gilleron, J. et al. Image-based analysis of lipid nanoparticle–mediated siRNA delivery, intracellular trafficking and endosomal escape. Nat. Biotechnol. 31, 638–646 (2013).
Sun, Q., Zhou, Z., Qiu, N. & Shen, Y. Rational design of cancer nanomedicine: nanoproperty integration and synchronization. Adv. Mater. 29, 1606628 (2017).
Sun, Q. et al. Integration of nanoassembly functions for an effective delivery cascade for cancer drugs. Adv. Mater. 26, 7615–7621 (2014).
Donahue, N. D., Acar, H. & Wilhelm, S. Concepts of nanoparticle cellular uptake, intracellular trafficking, and kinetics in nanomedicine. Adv. Drug Deliv. Rev. 143, 68–96 (2019).
Zhao, Y. et al. Nanomechanical action opens endo-lysosomal compartments. Nat. Commun. 14, 6645 (2023).
Obermeier, B., Daneman, R. & Ransohoff, R. M. Development, maintenance and disruption of the blood-brain barrier. Nat. Med. 19, 1584–1596 (2013).
Zhao, Y. et al. Neuroprotective nanoscavenger induces coaggregation of β-amyloid and facilitates its clearance in Alzheimer’s disease brain. CCS Chem. 3, 2316–2330 (2021).
Rose, D. A. et al. Self-immolative hydroxybenzylamine linkers for traceless protein modification. J. Am. Chem. Soc. 144, 6050–6058 (2022).
Maier, K. & Wagner, E. Acid-labile traceless click linker for protein transduction. J. Am. Chem. Soc. 134, 10169–10173 (2012).
Bernardes, G. J., Steiner, M., Hartmann, I., Neri, D. & Casi, G. Site-specific chemical modification of antibody fragments using traceless cleavable linkers. Nat. Protoc. 8, 2079–2089 (2013).
Wang, M., Sun, S., Neufeld, C. I., Perez‐Ramirez, B. & Xu, Q. Reactive oxygen species‐responsive protein modification and its intracellular delivery for targeted cancer therapy. Angew. Chem. 126, 13662–13666 (2014).
Zhang, Z. et al. Dual‐locking nanoparticles disrupt the PD‐1/PD‐L1 pathway for efficient cancer immunotherapy. Adv. Mater. 31, 1905751 (2019).
Jiang, Y., Yang, W., Zhang, J., Meng, F. & Zhong, Z. Protein toxin chaperoned by LRP‐1‐targeted virus‐mimicking vesicles induces high‐efficiency glioblastoma therapy in vivo. Adv. Mater. 30, 1800316 (2018).
Kim, B. et al. Securing the payload, finding the cell, and avoiding the endosome: peptide‐targeted, fusogenic porous silicon nanoparticles for delivery of siRNA. Adv. Mater. 31, 1902952 (2019).
Kim, H.-R. et al. Fusogenic liposomes encapsulating mitochondria as a promising delivery system for osteoarthritis therapy. Biomaterials 302, 122350 (2023).
Zhao, X. et al. Tumor cell surface modification with immuno-amplified nanoparticles to enhance cancer immunotherapy. Mater. Today Chem. 27, 101303 (2023).
Kube, S. et al. Fusogenic liposomes as nanocarriers for the delivery of intracellular proteins. Langmuir 33, 1051–1059 (2017).
Chou, L. Y., Ming, K. & Chan, W. C. Strategies for the intracellular delivery of nanoparticles. Chem. Soc. Rev. 40, 233–245 (2011).
Zheng, C. et al. Membrane‐fusion‐mediated multiplex engineering of tumor cell surface glycans for enhanced NK cell therapy. Adv. Mater. 35, 2206989 (2023).
He, Y. et al. Monensin enhanced generation of extracellular vesicles as transfersomes for promoting tumor penetration of pyropheophorbide-a from fusogenic liposome. Nano Lett. 22, 1415–1424 (2022).
Han, H. et al. Targeted fusogenic liposomes for effective tumor delivery and penetration of lipophilic cargoes. ACS Biomater. Sci. Eng. 9, 1919–1927 (2023).
Zheng, C. et al. Anti-phagocytosis-blocking repolarization-resistant membrane-fusogenic liposome (ARMFUL) for adoptive cell immunotherapy. Sci. Adv. 9, eadh2413 (2023).
Zhang, P. et al. A multistage cooperative nanoplatform enables intracellular co‐delivery of proteins and chemotherapeutics for cancer therapy. Adv. Mater. 32, 2000013 (2020).
Zheng, C. et al. In situ modification of the tumor cell surface with immunomodulating nanoparticles for effective suppression of tumor growth in mice. Adv. Mater. 31, 1902542 (2019).
Zhao, Y. et al. Bi-specific macrophage nano-engager for cancer immunotherapy. Nano Today 41, 101313 (2021).
Lu, Y. et al. Microenvironment remodeling micelles for Alzheimer’s disease therapy by early modulation of activated microglia. Adv. Sci. 6, 1801586 (2019).
de Gracia Lux, C. et al. Biocompatible polymeric nanoparticles degrade and release cargo in response to biologically relevant levels of hydrogen peroxide. J. Am. Chem. Soc. 134, 15758–15764 (2012).
Udenfriend, S. et al. Fluorescamine: a reagent for assay of amino acids, peptides, proteins, and primary amines in the picomole range. Science 178, 871–872 (1972).
Zhao, Y. et al. Stapled liposomes enhance cross‐priming of radio‐immunotherapy. Adv. Mater. 34, 2107161 (2022).
Zhao, Y. et al. Polymer‐reinforced liposomes amplify immunogenic cell death‐associated antitumor immunity for photodynamic‐immunotherapy. Adv. Funct. Mater. 32, 2209711 (2022).
Manders, E. M., Verbeek, F. & Aten, J. Measurement of co‐localization of objects in dual‐colour confocal images. J. Microsc. 169, 375–382 (1993).
Barroso, S. I. & Aguilera, A. Detection of DNA double-strand breaks by gamma-H2AX immunodetection. Methods Mol. Biol. 2153, 1–8 (2021).
Taha, E. A., Lee, J. & Hotta, A. Delivery of CRISPR-Cas tools for in vivo genome editing therapy: trends and challenges. J. Control. Release 342, 345–361 (2022).
Acknowledgements
This study was supported by the (1) National Natural Science Foundation of China (numbers 82372901 and 82073298 for J.C., numbers 82003022 and 82272988 for X.M., number 82230086 for C.J. and number 22007051 for Y.Z.), (2) Heilongjiang Provincial Key R&D Project (number GA21C002 for J.C. and number 2022ZX06C18 for C.J.), (3) Heilongjiang Provincial Key Project of The Educational Science 14th Five-Year Plan (number GJB1422780 for J.C.), (4) Heilongjiang Provincial Natural Science Foundation (number LH2022H022 for X.M.), (5) China Postdoctoral Science Foundation (numbers 2019M660074 and 2022T150173 for X.M.), (6) Heilongjiang Postdoctoral Science Foundation (numbers LBH-Z19029 and LBH-TZ2218 for X.M.) and (7) Harbin Medical University Marshal Initiative Funding (number HMUMIF-22009 for X.M.).
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Yu Zhao, J.Q., X.M., C.J. and J.C. conceived the idea, designed the study, analysed and interpreted the data, and wrote the paper. D.Y., Y.L. and D.S. helped perform the in vivo experiment. K.T., H.C., Q.Y., X.W., T.X., H.X., N.S., W.M., J.Z., P.S., Y.S., J.H., Yunlei Zhao and X.H. helped collect tumour tissues. All authors discussed the results and commented on the paper.
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Zhao, Y., Qin, J., Yu, D. et al. Polymer-locking fusogenic liposomes for glioblastoma-targeted siRNA delivery and CRISPR–Cas gene editing. Nat. Nanotechnol. 19, 1869–1879 (2024). https://doi.org/10.1038/s41565-024-01769-0
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DOI: https://doi.org/10.1038/s41565-024-01769-0
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