Bone‐Targeted Bortezomib Inhibits Bortezomib‐Resistant Multiple Myeloma in Mice by Providing Higher Levels of Bortezomib in Bone (2024)

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Volume 37 Issue 4 1 April 2022
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Jianguo Tao

Department of Pathology and Laboratory Medicine University of Rochester Medical Center Rochester NY USA

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Venkat Srinivasan

Department of Chemistry University of Rochester Rochester NY USA

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Xiangjiao Yi

Department of Pathology and Laboratory Medicine University of Rochester Medical Center Rochester NY USA

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Yingchun Zhao

Masonic Cancer Center University of Minnesota Minneapolis MN USA

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Hengwei Zhang

Department of Pathology and Laboratory Medicine University of Rochester Medical Center Rochester NY USA

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Xi Lin

Department of Pathology and Laboratory Medicine University of Rochester Medical Center Rochester NY USA

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Xichao Zhou

Department of Pathology and Laboratory Medicine University of Rochester Medical Center Rochester NY USA

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Center for Musculoskeletal Research University of Rochester Medical Center Rochester NY USA

Department of Pathology and Laboratory Medicine University of Rochester Medical Center Rochester NY USA

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Peter W Villalta

Masonic Cancer Center University of Minnesota Minneapolis MN USA

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Frank H Ebetino

BioVinc Pasadena CA USA

Department of Chemistry University of Rochester Rochester NY USA

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Koc Kan Ho

Ionova Life Science Co., Ltd Shenzhen China

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Robert K Boeckman, Jr

Department of Chemistry University of Rochester Rochester NY USA

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Lianping Xing

Center for Musculoskeletal Research University of Rochester Medical Center Rochester NY USA

Department of Pathology and Laboratory Medicine University of Rochester Medical Center Rochester NY USA

Address correspondence to: Lianping Xing, PhD, Department of Pathology and Laboratory Medicine, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA. E‐mail: lianping_xing@urmc.rochester.edu

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Journal of Bone and Mineral Research, Volume 37, Issue 4, 1 April 2022, Pages 629–642, https://doi.org/10.1002/jbmr.4496

Published:

30 December 2021

Article history

Received:

01 October 2021

Revision received:

18 December 2021

Accepted:

21 December 2021

Published:

30 December 2021

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ABSTRACT

Limited treatment options exist for cancer within the bone, as demonstrated by the inevitable, pernicious course of metastatic and blood cancers. The difficulty of eliminating bone‐residing cancer, especially drug‐resistant cancer, necessitates novel, alternative treatments to manipulate tumor cells and their microenvironment, with minimal off‐target effects. To this end, bone‐targeted conjugate (BP‐Btz) was generated by linking bortezomib (Btz, an anticancer, bone‐stimulatory drug) to a bisphosphonate (BP, a targeting ligand) through a cleavable linker that enables spatiotemporally controlled delivery of Btz to bone under acidic conditions for treating multiple myeloma (MM). Three conjugates with different linkers were developed and screened for best efficacy in mouse model of MM. Results demonstrated that the lead candidate BP‐Btz with optimal linker could overcome Btz resistance, reduced tumor burden, bone destruction, or tumor metastasis more effectively than BP or free Btz without thrombocytopenia and neurotoxicity in mice bearing myeloma. Furthermore, pharmaco*kinetic and pharmacodynamic studies showed that BP‐Btz bound to bone matrix, released Btz in acidic conditions, and had a higher local concentration and longer half‐life than Btz in bone. Our findings suggest the potential of bone‐targeted Btz conjugate as an efficacious Btz‐resistant MM treatment mechanism. © 2021 American Society for Bone and Mineral Research (ASBMR).

BONE TARGETING, BORTEZOMIB, MULTIPLE MYELOMA, BONE RESORPTION, BISPHOSPHONATES, DRUG RESISTANCE, SIDE EFFECTS

© 2021 American Society for Bone and Mineral Research (ASBMR).

This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)

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