Evidence map›Paper›PMID 33259959›Full record

ArticleNanomedicine : nanotechnology, biology, and medicine2021

Poly(2-oxazoline) nanoparticle delivery enhances the therapeutic potential of vismodegib for medulloblastoma by improving CNS pharmacokinetics and reducing systemic toxicity.

Duhyeong Hwang, Taylor Dismuke, Andrey Tikunov, Elias P Rosen, John R Kagel, Jacob D Ramsey, Chaemin Lim, William Zamboni, Alexander V Kabanov, Timothy R Gershon and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Nanomedicine : nanotechnology, biology, and medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 56 citations in OpenAlex.

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  10. Mechanistic insights into medulloblastoma relapse.Pharmacology & therapeutics · 2024
    Review
  11. Article
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  13. Article
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  15. Biological ActivityBiomacromolecules · 2023
    Article
  16. Article
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  20. Recent advances in drug delivery and targeting to the brain.Journal of controlled release : official journal of the Controlled Release Society · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

Duhyeong HwangCenter for Nanotechnology in Drug Delivery and Division of Pharmacoengineering and Molecular Pharmaceutics, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, NC, USA.
Taylor DismukeDepartment of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, NC, USA.
Andrey TikunovDepartment of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, NC, USA.
Elias P RosenEshelman School of Pharmacy, University of North Carolina, Chapel Hill, North Carolina, United States.
John R KagelEshelman School of Pharmacy, University of North Carolina, Chapel Hill, North Carolina, United States.
Jacob D RamseyCenter for Nanotechnology in Drug Delivery and Division of Pharmacoengineering and Molecular Pharmaceutics, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, NC, USA.
Chaemin LimCenter for Nanotechnology in Drug Delivery and Division of Pharmacoengineering and Molecular Pharmaceutics, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, NC, USA.
William ZamboniEshelman School of Pharmacy, University of North Carolina, Chapel Hill, North Carolina, United States.
Alexander V KabanovCenter for Nanotechnology in Drug Delivery and Division of Pharmacoengineering and Molecular Pharmaceutics, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, NC, USA; Laboratory of Chemical Design of Bionanomaterials, Faculty of Chemistry, M.V. Lomonosov Moscow State University, Moscow, Russia.
Timothy R GershonDepartment of Neurology, UNC School of Medicine, University of North Carolina, Chapel Hill, NC, USA; Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA; Neuroscience Center, University of North Carolina, Chapel Hill, NC, USA. Electronic address: gershont@neurology.unc.edu.
Marina Sokolsky-Papkov PhDCenter for Nanotechnology in Drug Delivery and Division of Pharmacoengineering and Molecular Pharmaceutics, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, NC, USA. Electronic address: msokolsk@email.unc.edu.
University of North Carolina at Chapel Hill · USUNC Lineberger Comprehensive Cancer Center

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI David Darr · 1985 to 2026
$201.5M
PILOT AND FEASIBILITY STUDIESP30DK034987 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Temitope O. Keku · 1985 to 2026
$30.5M
Small Animal Imaging CoreU54CA198999 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LI, ZIBO · 2015 to 2019
$11.9M
Bcl-xL-regulated apoptosis in cerebellar development and medulloblastoma treatmentR01NS102627 · NINDS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GERSHON, TIMOTHY · 2018 to 2022
$1.8M
Defining the crucial role of MAGOH in cerebellar development and the potential for targeting the EJC in medulloblastoma treatmentR01NS106227 · NINDS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GERSHON, TIMOTHY · 2018 to 2023
$1.7M
Glycolytic regulation of cerebellar development and medulloblastoma tumorigenesisR01NS088219 · NINDS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GERSHON, TIMOTHY · 2015 to 2019
$1.6M
NCI NIH HHS P30 CA016086NCI NIH HHS U54 CA198999NIDDK NIH HHS P30 DK034987NINDS NIH HHS R01 NS088219NINDS NIH HHS R01 NS102627NINDS NIH HHS R01 NS106227
6 · The paper itself

Abstract

We report a nanoparticle formulation of the SHH-pathway inhibitor vismodegib that improves efficacy for medulloblastoma, while reducing toxicity. Limited blood-brain barrier (BBB) penetration and dose-limiting extitle/citraneural toxicities complicate systemic therapies for brain tumors. Vismodegib is FDA-approved for SHH-driven basal cell carcinoma, but implementation for medulloblastoma has been limited by inadequate efficacy and excessive bone toxicity. To address these issues through optimized drug delivery, we formulated vismodegib in polyoxazoline block copolymer micelles (POx-vismo). We then evaluated POx-vismo in transgenic mice that develop SHH-driven medulloblastomas with native vasculature and tumor microenvironment. POx-vismo improved CNS pharmacokinetics and reduced bone toxicity. Mechanistically, the nanoparticle carrier did not enter the CNS, and acted within the vascular compartment to improve drug delivery. Unlike conventional vismodegib, POx-vismo extended survival in medulloblastoma-bearing mice. Our results show the broad potential for non-targeted nanoparticle formulation to improve systemic brain tumor therapy, and specifically to improve vismodegib therapy for SHH-driven cancers.

Indexed as

Drug Delivery SystemsAnilidesAnimalsBiological AvailabilityCentral Nervous SystemCerebellar NeoplasmsDisease Models, AnimalDrug CarriersMedulloblastomaMiceMicellesNanoparticlesOxazolesParticle SizeProtein BindingPyridinesAnilidesDrug CarriersHhAntag691MicellesOxazolespoly(2-oxazoline)PyridinesSerum AlbuminMedulloblastomaNanomedicinesPolymeric micellesSonic-hedgehog pathwayVismodegib

Identifiers

PMID33259959
PMCPMC8160025
OpenAlexW3107716592

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.