As our understanding of the crucial role of microRNAs (miRNAs) in cancer has developed, interest in tumour-targeted delivery of therapeutic miRNAs has increased. In this project, we will harness the natural tumour-tropism of extracellular vesicles (EVs) from Mesenchymal Stem Cells (MSCs) to deliver tumour suppressing miRNAs for treating advanced breast cancer that has spread to different sites.
MSCs can home to the sites of metastatic tumours while evading the host immune response. These characteristics have raised tremendous interest in their potential as tumour-targeted delivery vehicles for therapeutic agents, with the first clinical trial recently completed. MSCs release large quantities of EVs, which naturally contain miRNAs that can be transferred to recipient cells. We have previously shown that miR-379 is a potent tumour-suppressor that is significantly reduced in breast tumours compared to healthy tissue. To deliver miR-379, we engineered MSCs that secrete EVs enriched with miR-379 (EV-379) or a non-targeting control (EV-NTC). Administration of EV-379 was well tolerated and resulted in reduced tumour activity. As native MSC-EVs may retain the tumour-homing capability of MSCs, the next step will be to characterize EV-379 therapeutic potential in clinically relevant models of advanced disease with an intact immune system, which will allow us to study how EVs interact with the immune system and whether they will work well in combination with existing medicines.
This work uses both a new class of therapeutic and a new way to deliver it. In particular, the potential tumour homing properties and the ability of engineered EVs to efficiently cross the blood brain barrier would have major therapeutic benefits for treating metastatic breast cancer. Systemic treatment is very important for patients with brain metastases, and our EVs may critically expand treatment options for this group of patients, who would typically have very limited treatment options.
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- Gilligan KE and Dwyer RM “Extracellular Vesicles (EVs) for Cancer Therapy: Impact of Host Immune Response” Cells 2020 Jan 16; 9(1) pii: E224; PMID: 31963216
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