P-P11 A tumour responsive, oxygen-generating nanoparticle to combat hypoxia in pancreatic tumours. (16th December 2021)

• Record Type: Journal Article
• Authors: Farrell, Sian; Nicholas, Dean; Nesbitt, Heather; Logan, Keiran; McMullin, Eva; Gillan, Tierna; Kelly, Paul; O'Rourke, Declan; Porter, Simon; Thomas, Keith; O'Hagan, Barry M.G.; Nomikou, Nikolitsa; Callan, Bridgeen; Callan, John F.; McHale, Anthony P.
• Is Part Of: British journal of surgery. Volume 108:Supplement 9(2021)
• Publication Date: 2021-12-16
• Subjects: Surgery -- Periodicals; 617.005
• DOI: 10.1093/bjs/znab430.235
• Languages: English
• ISSNs: 0007-1323

Abstract

Abstract: Background: Pancreatic cancer remains a significant therapeutic challenge and its poor prognosis has remained relatively unchanged for the past 40 years. Pancreatic tumours are highly desmoplastic and impenetrable lesions in which both gas and mass transfer is severely compromised. This leads to the development of hypoxia within the tumour and this compromises therapeutic approaches that rely on cytotoxic reactive oxygen species, e.g. photodynamic therapy, sonodynamic therapy and radiotherapy. Hypoxia also results in a relatively low pH within the tumour microenvironment. Here we describe a pH sensitive nanoparticle that can generate oxygen in the tumour and enhance ROS generating therapeutic approaches. Methods: CaO2 NPs were generated by exposing to low frequency ultrasound and subsequently coated using a polymethacrylate polymer that becomes soluble at pH 6.4. For some studies, the sonosensitiser, Rose Bengal was attached to the particles. Oxygen generation in tumours (BxPC3) was demonstrated by inserting a dissolved oxygen probe into tumours following IV administration of particles. Particles were also employed together with photodynamic therapy (PDT) and sonodynamic therapy (SDT) using human xenograft and syngeneic pancreatic tumour models. In some cases, tumour tissues were recovered and analysed for tumour infiltrating immune cells using flow cytometry. Results: Polymer coated particles were shown to generate oxygen in response to a decrease in pH. Nanoparticles had an approximate diameter of 240 nm and were shown to be taken up by tumours following IV administration. Particles were shown to enhance PDT. In a bilateral tumour model, SDT-based treatment of one tumour led to a dramatic abscopal effect at the untreated tumour. This SDT induced abscopal effect was shown to be immune-mediated and data suggested that this resulted from a decrease in immunosuppressive regulatory T cells. Conclusions: Coating CaO2 nanoparticles with a pH sensitive polymer provides in situ oxygen generation in tumours. Transient provision of oxygen enhances therapies that depend on the generation of cytotoxic reactive oxygen species. When used with SDT, and using a bilateral syngeneic pancreatic tumour model, a powerful abscopal effect was observed and this was shown to be immune-mediated. The above data suggest that the particles may be exploited to enhance other therapies that depend on the generation of ROS, e.g. radiotherapy, and further suggest that the approach can be used to treat either local or disseminated forms of pancreatic cancer.