Delivery of medicinal molecules to bone tissue is very
difficult as bone tissue is dense and poorly vascularized. Diseases of
bone-marrow are particularly difficult to treat and can lead to death if they
progress into leukemia. Recently, researchers working at Houston Methodist
Research Institute, Weill Cornell Medical College, Harbin Medical University,
and Huazhong University of Science and Technology (China) used cholesterol-endcapped
from PolySciTech (www.polyscitech.com)
(PolyVivo AP097) to develop a bone-targeting nanoparticle loaded with decitabine
and arsenic trioxide, medicines which are effective at treating bone-marrow
disorders. This particle was found to have preferential uptake into bone tissue
and restored blood counts in a mouse model. This research holds promise for
improved treatments for leukemia and other bone-marrow related diseases. Read
more: Wu, Xiaoyan, Zhenhua Hu, Sara Nizzero, Guodong Zhang, R. Maricela
Ramirez, Ce Shi, Jin Zhou, Mauro Ferrari, and Haifa Shen. "Bone-targeting
nanoparticle to co-deliver decitabine and arsenic trioxide for effective
therapy of myelodysplastic syndrome with low systemic toxicity." Journal
of Controlled Release (2017). http://www.sciencedirect.com/science/article/pii/S016836591730901X
“Abstract: Myelodysplastic syndromes (MDS) are a
diverse group of bone marrow disorders and clonal hematopoietic stem cell
disorders characterized by abnormal blood cells, or reduced peripheral blood
cell count. Recent clinical studies on combination therapy of decitabine (DAC)
and arsenic trioxide (ATO) have demonstrated synergy on MDS treatment, but the
treatment can cause significant side effects to patients. In addition, both
drugs have to be administered on a daily basis due to their short half-lives.
In addressing key issues of reducing toxic side effects and improving
pharmacokinetic profiles of the therapeutic agents, we have developed a new formulation
by co-packaging DAC and ATO into alendronate-conjugated bone-targeting
nanoparticles (BTNPs). Our pharmacokinetic studies revealed that intravenously
administered BTNPs increased circulation time up to 3 days. Biodistribution
analysis showed that the BTNP facilitated DAC and ATO accumulation in the bone,
which is 6.7 and 7.9 times more than untargeted NP. Finally, MDS mouse model
treated with BTNPs showed better restoration of complete blood count to normal
level, and significantly longer median survival as compared to free drugs or
untargeted NPs treatment. Our results support bone-targeted co-delivery of DAC
and ATO for effective treatment of MDS. Keywords: Myelodysplastic syndrome;
Bone marrow; Delivery; Nanoparticle; Decitabine; Arsenic trioxide”
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