Reversal of pancreatic desmoplasia by re-educating stellate cells with a tumour microenvironment-activated nanosystem

Nat Commun. 2018 Aug 23;9(1):3390. doi: 10.1038/s41467-018-05906-x.

Abstract

Pancreatic ductal adenocarcinoma is characterised by a dense desmoplastic stroma composed of stromal cells and extracellular matrix (ECM). This barrier severely impairs drug delivery and penetration. Activated pancreatic stellate cells (PSCs) play a key role in establishing this unique pathological obstacle, but also offer a potential target for anti-tumour therapy. Here, we construct a tumour microenvironment-responsive nanosystem, based on PEGylated polyethylenimine-coated gold nanoparticles, and utilise it to co-deliver all-trans retinoic acid (ATRA, an inducer of PSC quiescence) and siRNA targeting heat shock protein 47 (HSP47, a collagen-specific molecular chaperone) to re-educate PSCs. The nanosystem simultaneously induces PSC quiescence and inhibits ECM hyperplasia, thereby promoting drug delivery to pancreatic tumours and significantly enhancing the anti-tumour efficacy of chemotherapeutics. Our combination strategy to restore homoeostatic stromal function by targeting activated PSCs represents a promising approach to improving the efficacy of chemotherapy and other therapeutic modalities in a wide range of stroma-rich tumours.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Cycle / drug effects
  • Endocytosis / drug effects
  • Extracellular Matrix / drug effects
  • Extracellular Matrix / metabolism
  • Female
  • Gene Silencing / drug effects
  • Gold / chemistry
  • Homeostasis
  • Humans
  • Hydrogen-Ion Concentration
  • Metal Nanoparticles / chemistry*
  • Metal Nanoparticles / ultrastructure
  • Mice, Inbred BALB C
  • Mice, Nude
  • Pancreatic Neoplasms / pathology*
  • Pancreatic Stellate Cells / drug effects
  • Pancreatic Stellate Cells / metabolism
  • Pancreatic Stellate Cells / pathology*
  • Polyethylene Glycols / chemistry
  • Polyethyleneimine / chemistry
  • RNA, Small Interfering / metabolism
  • Spheroids, Cellular / drug effects
  • Spheroids, Cellular / metabolism
  • Spheroids, Cellular / pathology
  • Stromal Cells / drug effects
  • Stromal Cells / pathology
  • Tissue Distribution / drug effects
  • Tretinoin / pharmacokinetics
  • Tretinoin / pharmacology
  • Tumor Microenvironment* / drug effects
  • Xenograft Model Antitumor Assays

Substances

  • RNA, Small Interfering
  • Polyethylene Glycols
  • Tretinoin
  • Gold
  • Polyethyleneimine