A R T I C L E S
Dhar et al.
Scheme 1. Targeted Prodrug-Delivery System
surface functionalization through oxidation, which leaves oxygen-
containing functional groups such as alcohols or carboxylic acid,
or by the attachment of solubilizing side-chains.20–25 Once
solubilized, SWNTs efficiently cross cell membranes, being
taken into the cytosol by endocytosis.26–28 As a result, various
molecules attached to the surface of the SWNT can be internalized.
Coupling of macromolecular carriers with a normally endocytosed
compound frequently improves its intracellular accumulation.
Recently we demonstrated that functionalized soluble SWNTs
can serve as “longboats” to carry Pt(IV) prodrugs into cells
through clathrin-dependent endocytosis.29 The SWNT longboats
produce platinum intracellular levels much higher than those
for the platinum unit administered in the traditional manner.
Efforts to produce potent platinum anticancer drugs have been
hindered by their inactivation in the body prior to reaching the
tumor. Longboat SWNTs provide an opportunity to shuttle
platinum compounds safely through this obstacle course and
into the cancer cell.
overexpressed by a wide variety of human tumors, including
ovarian, endometrial, breast, lung, renal, and colon.32,33 The
highest frequency of R-FR overexpression (>90%) occurs in
ovarian carcinomas.34,35 Expression of R-FR on tumor cell
surfaces has led to the exploitation of FA as an important ligand
for specific targeting by diagnostic or therapeutic cancer cell
agents.36–39
The SWNT longboats also have the potential to carry
additional passengers such as tumor-targeting components to
the cancer cell. Targeted drug-delivery systems promise to
expand the therapeutic window of platinum complexes, as
recently demonstrated for oxaliplatin uptake by colorectal cancer
cells via organic cation transporters.30 Traditional cancer therapy
relies on the premise that rapidly proliferating cancer cells are
more likely to be killed by a cytotoxic agent. In reality, however,
these agents have very little or no specificity, which leads to
systemic toxicity, causing undesirable side effects. Therefore,
targeted drug-delivery constructs are much desired. In general,
a tumor-targeting drug-delivery system consists of a cell surface
recognition moiety and a chemical warhead connected directly
or through a suitable linker to a delivery system such as a SWNT
(Scheme 1). The conjugate itself should be systemically
nontoxic, and the linker must be stable in blood circulation.
Upon internalization into the cancer cell, the conjugate should
be readily cleaved to generate the active agent.
Carboplatin, cis-[Pt(NH3)2(CBDCA-O,O′)], where CBDCA
is cyclobutane-1,1-dicarboxylate, is a second generation plati-
num anticancer drug widely used for cancer treatment.40
Carboplatin has a short blood circulation half-life, which reduces
tumor uptake and subsequent intracellular DNA binding. Recent
efforts to overcome these shortcomings include conjugation of
carboplatin, linked to FA by attachment to CBDCA at an
equatorial site, to a PEG carrier41 for folate receptor-mediated
endocytosis (FRME).42,43 The FA-PtII-PEG conjugates were
taken into the cytosol of tumor cells more rapidly than PEG-Pt
conjugates, but the latter afforded twice as many Pt-DNA
adducts. Apparently, the endocytosed FA-PtII-PEG conjugate
is sequestered in a compartment like the lysosome, where it is
separated from the cytosol by a membrane, thereby preventing
Pt from reaching its nuclear DNA target.
Platinum(IV) complexes have the potential to overcome these
problems. Their octahedral geometry introduces two axial
ligands, L1 and L2 in Scheme 1, one of which can be attached
to a folic acid or other ligand for cellular targeting. The other
axial site offers a position for conjugation to a nanocarrier for
efficient delivery. Platinum(IV) complexes are prodrugs because
they can be reduced in the cytoplasm to unveil an active
platinum(II) derivative with concomitant loss of the axial ligands
(Scheme 1).44,45
A variety of receptors have been identified as markers for
carcinomas. Among these is the folate receptor (R-FR), and its
substrate folic acid (FA) has the potential to target several types
of cancer cells because of its ability to react with this high-
affinity, membrane-anchored protein.31 Moreover, R-FR is
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