Use of polymeric CXCR4 inhibitors as siRNA delivery vehicles for the treatment of acute myeloid leukemia

Cancer Gene Ther. 2020 Feb;27(1-2):45-55. doi: 10.1038/s41417-019-0095-9. Epub 2019 Apr 26.

Abstract

Acute myeloid leukemia (AML) is the most common type of acute leukemia in adults and is associated with poor long-term survival often owing to relapse. Current treatments for AML are associated with considerable toxicity and are frequently not effective after relapse. Thus, it is important to develop novel therapeutic strategies. Short interfering RNA (siRNA)-based therapeutics targeting key oncogenes have been proposed as treatments for AML. We recently developed novel siRNA delivery polycations (PCX) based on AMD3100 (plerixafor), an FDA-approved inhibitor of the CXC chemokine receptor 4 (CXCR4). Inhibitors of CXCR4 have been shown to sensitize leukemia cells to chemotherapy. Therefore, PCX has the potential to target leukemia cells via two mechanisms: inhibition of CXCR4 and delivery of siRNAs against critical genes. In this report, we show that PCX exerts a cytotoxic effect on leukemia cells more effectively than other CXCR4 inhibitors, including AMD3100. In addition, we show that PCX can deliver siRNAs against the transcription factor RUNX1 to mouse and human leukemia cells. Overall, our study provides the first evidence that dual-function PCX/siRNA nanoparticles can simultaneously inhibit CXCR4 and deliver siRNAs, targeting key oncogenes in leukemia cells and that PCX/siRNA has clinical potential for the treatment of AML.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antineoplastic Agents / administration & dosage*
  • Benzylamines / administration & dosage
  • Cell Line, Tumor
  • Cholesterol / chemistry
  • Core Binding Factor Alpha 2 Subunit / antagonists & inhibitors
  • Core Binding Factor Alpha 2 Subunit / genetics
  • Cyclams / administration & dosage
  • Disease Models, Animal
  • Drug Carriers / chemistry*
  • Female
  • Gene Knock-In Techniques
  • Humans
  • Leukemia, Myeloid, Acute / drug therapy*
  • Leukemia, Myeloid, Acute / genetics
  • Leukemia, Myeloid, Acute / pathology
  • Male
  • Mice
  • Mice, Transgenic
  • Nanoparticles / chemistry
  • Oncogene Proteins, Fusion / genetics
  • Polyelectrolytes / chemistry
  • RNA, Small Interfering / administration & dosage*
  • RNA, Small Interfering / genetics
  • Receptors, CXCR4 / antagonists & inhibitors*
  • Receptors, CXCR4 / genetics

Substances

  • Antineoplastic Agents
  • Benzylamines
  • CBFbeta-MYH11 fusion protein
  • CXCR4 protein, human
  • CXCR4 protein, mouse
  • Core Binding Factor Alpha 2 Subunit
  • Cyclams
  • Drug Carriers
  • Oncogene Proteins, Fusion
  • Polyelectrolytes
  • RNA, Small Interfering
  • RUNX1 protein, human
  • Receptors, CXCR4
  • Runx1 protein, mouse
  • polycations
  • Cholesterol
  • plerixafor