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Neuro-Oncology 2006 8(2):119-126; doi:10.1215/15228517-2005-012
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© 2006 by the Society for Neuro-Oncology

Targeting of melanoma brain metastases using engineered neural stem/progenitor cells1

Karen S. Aboody2, Joseph Najbauer, Nils Ole Schmidt, Wendy Yang, Julian K. Wu, Yuzheng Zhuge, Wojciech Przylecki, Rona Carroll, Peter M. Black and George Perides

Divisions of Hematology and Hematopoietic Cell Transplantation and Neurosciences and Beckman Research Institute, City of Hope National Medical Center, Duarte, CA 91010, USA (K.S.A., J.N.); Neurosurgical Oncology Laboratory, Department of Neurosurgery, Brigham and Women's Hospital and Children's Hospital, Harvard Medical School, Boston, MA 02115, USA (K.S.A., N.O.S., W.Y., W.P., R.C., P.M.B.); Department of Neurosurgery, University Hospital Hamburg-Eppendorf, 20246 Hamburg, Germany (N.O.S.); Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA (J.K.W., Y.Z., G.P.); and Departments of Surgery and Neurosurgery, Tufts-New England Medical Center and Tufts University School of Medicine, Boston, MA 02111, USA (J.K.W., G.P.)

2 Address correspondence to Karen S. Aboody, City of Hope National Medical Center and Beckman Research Institute, Miller 109, 1500 East Duarte Road, Duarte, CA 91010-3000 (kaboody{at}coh.org).


   Abstract

Brain metastases are an increasingly frequent and serious clinical problem for cancer patients, especially those with advanced melanoma. Given the extensive tropism of neural stem/progenitor cells (NSPCs) for pathological areas in the central nervous system, we expanded investigations to determine whether NSPCs could also target multiple sites of brain metastases in a syngeneic experimental melanoma model. Using cytosine deaminase-expressing NSPCs (CD-NSPCs) and systemic 5-fluorocytosine (5-FC) pro-drug administration, we explored their potential as a cell-based targeted drug delivery system to disseminated brain metastases. Our results indicate a strong tropism of NSPCs for intracerebral melanoma metastases. Furthermore, in our therapeutic paradigm, animals with established melanoma brain metastasis received intracranial implantation of CD-NSPCs followed by systemic 5-FC treatment, resulting in a significant (71%) reduction in tumor burden. These data provide proof of principle for the use of NSPCs for targeted delivery of therapeutic gene products to melanoma brain metastases.

Keywords: brain metastases, cytosine deaminase, gene therapy, melanoma, neural progenitor cells, neural stem cells, tumor targeting

Received April 28, 2005; Accepted December 15, 2005


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