Advanced-stage prostate cancer usually metastasizes to bone and is
untreatable due to poor biodistribution of intravenously administered anticancer
drugs to bone. In this study, we modulated the surface charge/composition of
biodegradable nanoparticles (NPs) to sustain their blood circulation time and
made them small enough to extravasate through the openings of the bone’s
sinusoidal capillaries and thus localize into marrow. NPs with a neutral surface
charge, achieved by modulating the NP surface-associated emulsifier composition,
were more effective at localizing to bone marrow than NPs with a cationic or
anionic surface charge. These small neutral NPs (~150 nm vs. the more usual ~320
nm) were also ~7-fold more effective in localizing in bone marrow than large
NPs. We hypothesized that NPs that effectively localize to marrow could improve
NP-mediated anticancer drug delivery to sites of bone metastasis, thereby
inhibiting cancer progression and preventing bone loss. In a PC-3M-luc
cell-induced osteolytic intraosseous model of prostate cancer, these small
neutral NPs demonstrated greater accumulation in bone within metastatic sites
than in normal contralateral bone as well as co-localization with the tumor mass
in marrow. Significantly, a single-dose intravenous administration of these
small neutral NPs loaded with paclitaxel (PTX-NPs), but not
anionic PTX-NPs, slowed the progression of bone metastasis.
In addition, neutral PTX-NPs prevented bone loss, whereas animals treated with
the rapid-release drug formulation Cremophor EL (PTX-CrEL) or saline (control)
showed >50% bone loss. Neutral PTX-NPs did not cause acute toxicity,
whereas animals treated with PTX-CrEL experienced weight loss. These results
indicate that NPs with appropriate physical and sustained drug-release
characteristics could be explored to treat bone metastasis, a significant
clinical issue in prostate and other cancers.