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Development <strong>of</strong> an inhibitor <strong>of</strong> metastasis<br />
Metastasis remains <strong>the</strong> most serious cause for <strong>the</strong> high mortality<br />
<strong>of</strong> cancer patients. Therefore, <strong>the</strong> search for new targets<br />
and <strong>the</strong> development <strong>of</strong> inhibitors <strong>of</strong> tumor cell resettlement<br />
and metastatic growth has been an ongoing challenge.<br />
One decisive step <strong>of</strong> <strong>the</strong> metastatic cascade is <strong>the</strong> formation<br />
<strong>of</strong> tumor cell aggregates within <strong>the</strong> blood circulation and<br />
<strong>the</strong> subsequent interaction with <strong>the</strong> endo<strong>the</strong>lium.<br />
Previous observations demonstrated that specific liposomes<br />
not only facilitated <strong>the</strong> formation <strong>of</strong> complexes consisting<br />
<strong>of</strong> activated platelets and breast cancer cells in vitro, but<br />
were also found inside <strong>of</strong> <strong>the</strong>se complexes. This finding<br />
induced <strong>the</strong> idea to exploit <strong>the</strong> accumulation <strong>of</strong> vesicles<br />
inside <strong>of</strong> micro thrombi for targeting purposes using a liposomal<br />
formulation containing a cytotoxic substance toge<strong>the</strong>r<br />
with a haemostatic inhibitor. We expected this dual<br />
approach to disturb <strong>the</strong> interaction <strong>of</strong> circulating tumor<br />
cells with platelets and/or with <strong>the</strong> endo<strong>the</strong>lial membrane<br />
by restricting simultaneously platelet and tumor cell functionality.<br />
For this purpose small unilamellar liposomes were designed<br />
to encapsulate Perifosine (OPP) and Dipyridamole (DIP).<br />
These vesicles were characterized for <strong>the</strong>ir physico-chemical<br />
properties and for stability. Under in vitro conditions, complex<br />
formation between platelets and human MT-3 breast<br />
cancer cells, and adhesion <strong>of</strong> platelets to immobilized MT-3<br />
cells could be significantly inhibited with <strong>the</strong> DIP/OPP- liposomes.<br />
In addition, using MT3 breast carcinoma cells in an<br />
experimental metastasis model in nude mice, <strong>the</strong> liposomes<br />
also reduced <strong>the</strong> formation <strong>of</strong> lung metastases. Ongoing<br />
investigations focus on <strong>the</strong> molecular processes involved in<br />
<strong>the</strong> interplay between platelets and tumor cells and on <strong>the</strong><br />
influence specific lipids exert in this context.<br />
In a second study, <strong>the</strong> influence <strong>of</strong> membrane organization<br />
on <strong>the</strong> interaction between tumor cells and endo<strong>the</strong>lial cells<br />
during adhesion was studied. The results indicate a specific<br />
impact <strong>of</strong> domain organization and fluidity <strong>of</strong> <strong>the</strong> cell membrane<br />
on tumor cell binding. A highly fluid plasma mem-<br />
Figure 1. Expression <strong>of</strong> epidermal growth<br />
factor receptor in <strong>the</strong> non-small cell lung<br />
cancer Lu7466; comparison <strong>of</strong> patient<br />
tissue with xenograft (P4) and with <strong>the</strong><br />
A431 epidermoid carcinoma.<br />
144 Cancer Research