Cancer is still one of the major causes of death worldwide. For women, breast cancer is the second most deadly type of cancer after lung cancer. Surgery, radio and chemotherapy remain the most common practices to date to fight this disease. While surgery and radiotherapy are local treatments –that is, they are directed only to the affected tissue–, they are rarely applied alone. Typically, chemotherapy is additionally prescribed to patients either because the cancer is too advanced or as prevention against metastases. As a systemic treatment, chemotherapy leads to severe side effects by damaging not only cancerous cells but also healthy ones. Moreover, even radiotherapy is often applied to areas of the body suspected to be susceptible to metastases, even before they become visible in a CT scan or MRI, damaging potentially healthy sites.
The ideal cancer therapy should be targeted only to the cancer cells, should be able to act to the same extent on the primary tumour and the metastases, should be effective and affordable.
In this project InCanTeSiMo, we apply synthetic biology approaches to develop a cancer therapy meeting several of the requirements listed above: targeted, effective, affordable.
To make the treatment targeted to cancer cells, we exploit the enhanced permeability and retention effect typical of the cancer microenvironment that results in a natural accumulation of nanoparticles of sizes ranging from 10-500 nm at the site of cancer. These nanoparticles carry on their surface specific ligands binding to receptors overexpressed on the surface of cancer cells. Once internalized by the cancer cells, the nanoparticles deliver their cargo, which is an agent able to trigger the destruction of the cancer cells. To improve on specificity, our aim is to use cargo able to distinguish cancer cells from healthy ones and act only there, leaving healthy cells in which the nanoparticles might accidentally enter unaffected. To make the treatment effective, we aim to evoke the patient’s own immune system, by employing nanoparticles that can activate the immune system. To make the treatment affordable, we aim to develop novel, more cost-effective strategies to obtain the nanoparticles and to substitute the antibodies generally used to target cancer cells with small peptides or protein binders such as nanobodies, monobodies or repebodies.