Peritoneal Gene Transfection of Tumor Necrosis Factor-Related Apoptosis-Inducing Ligand for Tumor Surveillance and Prophylaxis

Nano Lett. 2023 Sep 13;23(17):7859-7868. doi: 10.1021/acs.nanolett.3c01568. Epub 2023 Jul 11.

Abstract

Peritoneal metastasis is very common in gastrointestinal, reproductive, and genitourinary tract cancers in late stages or postsurgery, causing poor prognosis, so effective and nontoxic prophylactic strategies against peritoneal metastasis are highly imperative. Herein, we demonstrate the first gene transfection as a nontoxic prophylaxis preventing peritoneal metastasis or operative metastatic dissemination. Lipopolyplexes of TNF-related-apoptosis-inducing-ligand (TRAIL) transfected peritonea and macrophages to express TRAIL for over 15 days. The expressed TRAIL selectively induced tumor cell apoptosis while exempting normal tissue, providing long-term tumor surveillance. Therefore, tumor cells inoculated in the pretransfected peritoneal cavity quickly underwent apoptosis and, thus, barely formed tumor nodules, significantly prolonging the mouse survival time compared with chemotherapy prophylaxis. Furthermore, lipopolyplex transfection showed no sign of toxicity. Therefore, this peritoneal TRAIL-transfection is an effective and safe prophylaxis, preventing peritoneal metastasis.

Keywords: TRAIL gene therapy; metastasis prophylaxis; nonviral gene transfection; peritoneal gene transfection; peritoneal metastasis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Apoptosis / genetics
  • Apoptosis Regulatory Proteins* / genetics
  • Apoptosis Regulatory Proteins* / pharmacology
  • Ligands
  • Membrane Glycoproteins / genetics
  • Membrane Glycoproteins / pharmacology
  • Mice
  • Peritoneal Neoplasms* / genetics
  • Peritoneal Neoplasms* / prevention & control
  • Receptors, TNF-Related Apoptosis-Inducing Ligand / genetics
  • TNF-Related Apoptosis-Inducing Ligand / genetics
  • Transfection
  • Tumor Necrosis Factor-alpha / genetics

Substances

  • Apoptosis Regulatory Proteins
  • Ligands
  • Membrane Glycoproteins
  • Tumor Necrosis Factor-alpha
  • TNF-Related Apoptosis-Inducing Ligand
  • Receptors, TNF-Related Apoptosis-Inducing Ligand