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Cytarabine nanotherapeutics with increased stability and enhanced lymphoma uptake for tailored highly effective therapy of mantle cell lymphoma

R. Pola, E. Pokorná, P. Vočková, E. Böhmová, M. Pechar, J. Karolová, J. Pankrác, L. Šefc, K. Helman, M. Trněný, T. Etrych, P. Klener

. 2021 ; 119 (-) : 349-359. [pub] 20201111

Language English Country Great Britain

Document type Journal Article, Research Support, Non-U.S. Gov't

Grant support
NV17-28980A MZ0 CEP Register

Mantle cell lymphoma (MCL) is a rare subtype of B-cell non-Hodgkin lymphoma (B-NHL) with chronically relapsing clinical course. Implementation of cytarabine (araC) into induction and salvage regimen became standard of care for majority of MCL patients. In this study, tailored N-(2-hydroxypropyl)methacrylamide (HPMA)-based polymer nanotherapeutics containing covalently bound araC (araC co-polymers) were designed, synthesized and evaluated for their anti-lymphoma efficacy in vivo using a panel of six patient-derived lymphoma xenografts (PDX) derived from newly diagnosed and relapsed / refractory (R/R) MCL. While free araC led to temporary inhibition of growth of MCL tumors, araC co-polymers induced long-term disappearance of the engrafted lymphomas with no observed toxicity even in the case of PDX models derived from patients, who relapsed after high-dose araC-based treatments. The results provide sound preclinical rationale for the use of HPMA-based araC co-polymers in induction, salvage or palliative therapy of MCL patients.

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$a Pokorná, Eva $u Institute of Pathological Physiology, First Faculty of Medicine, Charles University, Prague, U Nemocnice 5, 128 53 Prague 2, Czech Republic
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$a Vočková, Petra $u Institute of Pathological Physiology, First Faculty of Medicine, Charles University, Prague, U Nemocnice 5, 128 53 Prague 2, Czech Republic
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$a Böhmová, Eliška $u Institute of Macromolecular Chemistry, Czech Academy of Sciences, Heyrovský Sq. 2, 162 06 Prague 6, Czech Republic
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$a Pechar, Michal $u Institute of Macromolecular Chemistry, Czech Academy of Sciences, Heyrovský Sq. 2, 162 06 Prague 6, Czech Republic
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$a Karolová, Jana $u Institute of Pathological Physiology, First Faculty of Medicine, Charles University, Prague, U Nemocnice 5, 128 53 Prague 2, Czech Republic
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$a Pankrác, Jan $u Center for Advanced Preclinical Imaging (CAPI), First Faculty of Medicine, Charles University, U Nemocnice 5, 120 00 Prague 2, Czech Republic
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$a Šefc, Luděk $u Center for Advanced Preclinical Imaging (CAPI), First Faculty of Medicine, Charles University, U Nemocnice 5, 120 00 Prague 2, Czech Republic
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$a Helman, Karel $u Faculty of Informatics and Statistics, University of Economics, Prague, Czech Republic
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$a Etrych, Tomáš $u Institute of Macromolecular Chemistry, Czech Academy of Sciences, Heyrovský Sq. 2, 162 06 Prague 6, Czech Republic. Electronic address: etrych@imc.cas.cz
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