Liposomal Formulation of Hydroxychloroquine Can Inhibit Autophagy In Vivo

<b>Background/Objectives:</b> Preclinical studies have shown that the anti-malarial drug hydroxychloroquine (HCQ) improves the anti-cancer effects of various therapeutic agents by impairing autophagy. These findings are difficult to translate in vivo as reaching an effective HCQ concentr...

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Main Authors: Wieslawa H. Dragowska, Jagbir Singh, Mohamed Wehbe, Malathi Anantha, Katarina Edwards, Sharon M. Gorski, Marcel B. Bally, Ada W. Y. Leung
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Pharmaceutics
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Online Access:https://www.mdpi.com/1999-4923/17/1/42
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author Wieslawa H. Dragowska
Jagbir Singh
Mohamed Wehbe
Malathi Anantha
Katarina Edwards
Sharon M. Gorski
Marcel B. Bally
Ada W. Y. Leung
author_facet Wieslawa H. Dragowska
Jagbir Singh
Mohamed Wehbe
Malathi Anantha
Katarina Edwards
Sharon M. Gorski
Marcel B. Bally
Ada W. Y. Leung
author_sort Wieslawa H. Dragowska
collection DOAJ
description <b>Background/Objectives:</b> Preclinical studies have shown that the anti-malarial drug hydroxychloroquine (HCQ) improves the anti-cancer effects of various therapeutic agents by impairing autophagy. These findings are difficult to translate in vivo as reaching an effective HCQ concentration at the tumor site for extended times is challenging. Previously, we found that free HCQ in combination with gefitinib (Iressa<sup>®</sup>, ZD1839) significantly reduced tumor volume in immunocompromised mice bearing gefitinib-resistant JIMT-1 breast cancer xenografts. Here, we sought to evaluate whether a liposomal formulation of HCQ could effectively modulate autophagy in vivo and augment treatment outcomes in the same tumor model. <b>Methods:</b> We developed two liposomal formulations of HCQ: a pH-loaded formulation and a formulation based on copper complexation. The pharmacokinetics of each formulation was evaluated in CD1 mice following intravenous administration. An efficacy study was performed in immunocompromised mice bearing established JIMT-1tumors. Autophagy markers in tumor tissue harvested after four weeks of treatment were assessed by Western blot. <b>Results:</b> The liposomal formulations engendered ~850-fold increases in total drug exposure over time relative to the free drug. Both liposomal and free HCQ in combination with gefitinib provided comparable therapeutic benefits (<i>p</i> > 0.05). An analysis of JIMT-1 tumor tissue indicated that the liposomal HCQ and gefitinib combination augmented the inhibition of autophagy in vivo compared to the free HCQ and gefitinib combination as demonstrated by increased LC3-II and p62/SQSTM1 (p62) protein levels. <b>Conclusions:</b> The results suggest that liposomal HCQ has a greater potential to modulate autophagy in vivo compared to free HCQ; however, this did not translate to better therapeutic effects when used in combination with gefitinib to treat a gefitinib-resistant tumor model.
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spelling doaj-art-f8f424ec9a5b4a9885c00477572271ad2025-01-24T13:45:41ZengMDPI AGPharmaceutics1999-49232024-12-011714210.3390/pharmaceutics17010042Liposomal Formulation of Hydroxychloroquine Can Inhibit Autophagy In VivoWieslawa H. Dragowska0Jagbir Singh1Mohamed Wehbe2Malathi Anantha3Katarina Edwards4Sharon M. Gorski5Marcel B. Bally6Ada W. Y. Leung7Department of Experimental Therapeutics, BC Cancer, Vancouver, BC V5Z 1L3, CanadaDepartment of Experimental Therapeutics, BC Cancer, Vancouver, BC V5Z 1L3, CanadaDepartment of Experimental Therapeutics, BC Cancer, Vancouver, BC V5Z 1L3, CanadaDepartment of Experimental Therapeutics, BC Cancer, Vancouver, BC V5Z 1L3, CanadaDepartment of Chemistry, Ångström Laboratory, Uppsala University, 751 20 Uppsala, SwedenCanada’s Michael Smith Genome Sciences Centre, BC Cancer, Vancouver, BC V5Z 4S6, CanadaDepartment of Experimental Therapeutics, BC Cancer, Vancouver, BC V5Z 1L3, CanadaDepartment of Experimental Therapeutics, BC Cancer, Vancouver, BC V5Z 1L3, Canada<b>Background/Objectives:</b> Preclinical studies have shown that the anti-malarial drug hydroxychloroquine (HCQ) improves the anti-cancer effects of various therapeutic agents by impairing autophagy. These findings are difficult to translate in vivo as reaching an effective HCQ concentration at the tumor site for extended times is challenging. Previously, we found that free HCQ in combination with gefitinib (Iressa<sup>®</sup>, ZD1839) significantly reduced tumor volume in immunocompromised mice bearing gefitinib-resistant JIMT-1 breast cancer xenografts. Here, we sought to evaluate whether a liposomal formulation of HCQ could effectively modulate autophagy in vivo and augment treatment outcomes in the same tumor model. <b>Methods:</b> We developed two liposomal formulations of HCQ: a pH-loaded formulation and a formulation based on copper complexation. The pharmacokinetics of each formulation was evaluated in CD1 mice following intravenous administration. An efficacy study was performed in immunocompromised mice bearing established JIMT-1tumors. Autophagy markers in tumor tissue harvested after four weeks of treatment were assessed by Western blot. <b>Results:</b> The liposomal formulations engendered ~850-fold increases in total drug exposure over time relative to the free drug. Both liposomal and free HCQ in combination with gefitinib provided comparable therapeutic benefits (<i>p</i> > 0.05). An analysis of JIMT-1 tumor tissue indicated that the liposomal HCQ and gefitinib combination augmented the inhibition of autophagy in vivo compared to the free HCQ and gefitinib combination as demonstrated by increased LC3-II and p62/SQSTM1 (p62) protein levels. <b>Conclusions:</b> The results suggest that liposomal HCQ has a greater potential to modulate autophagy in vivo compared to free HCQ; however, this did not translate to better therapeutic effects when used in combination with gefitinib to treat a gefitinib-resistant tumor model.https://www.mdpi.com/1999-4923/17/1/42liposomeshydroxychloroquineautophagybreast cancergefitinib
spellingShingle Wieslawa H. Dragowska
Jagbir Singh
Mohamed Wehbe
Malathi Anantha
Katarina Edwards
Sharon M. Gorski
Marcel B. Bally
Ada W. Y. Leung
Liposomal Formulation of Hydroxychloroquine Can Inhibit Autophagy In Vivo
Pharmaceutics
liposomes
hydroxychloroquine
autophagy
breast cancer
gefitinib
title Liposomal Formulation of Hydroxychloroquine Can Inhibit Autophagy In Vivo
title_full Liposomal Formulation of Hydroxychloroquine Can Inhibit Autophagy In Vivo
title_fullStr Liposomal Formulation of Hydroxychloroquine Can Inhibit Autophagy In Vivo
title_full_unstemmed Liposomal Formulation of Hydroxychloroquine Can Inhibit Autophagy In Vivo
title_short Liposomal Formulation of Hydroxychloroquine Can Inhibit Autophagy In Vivo
title_sort liposomal formulation of hydroxychloroquine can inhibit autophagy in vivo
topic liposomes
hydroxychloroquine
autophagy
breast cancer
gefitinib
url https://www.mdpi.com/1999-4923/17/1/42
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