This project will culminate in the development of a combinatorial therapy that enhances high-frequency irreversible electroporation (H-FIRE) focal ablation, surpassing traditional therapies in terms of ability to selectively target infiltrative cells beyond the tumor margin of glioblastoma (GBM). H-FIRE is a new, minimally invasive ablation technique that involves delivering a series of electric pulses that are low in energy, but intense (~1000 V) and short (~1 us) to targeted tissue for approximately 5 minutes. These pulses destabilize the cell membranes of the targeted tissue, inducing cell death without causing thermal damage. H-FIRE creates complete and predictable cell ablation with a sharp transition between normal and necrotic tissue. Furthermore, H-FIRE preserves important tissue components such as extracellular matrix, myelin sheaths, blood vessels, connective tissue, and nerves. We hypothesize that infiltrative cells (beyond the H-FIRE treated zone) can be selectively killed using a low dose of an anti-GBM drug in combination with H-FIRE, resulting in complete regression of tumors while preventing infiltration beyond the tumor margins. For tumor cells outside the zone of tissue ablation, there is a non-destructive increase in blood-brain barrier permeability, thus, making them more susceptible to the administered agents and thus making the combination of IRE and adjuvant agents synergistic. By focusing on brain cancer, we will be directly addressing the need to develop alternative approaches to radiation and chemotherapy, both of which have adverse side effects and limited efficacy. The project has three Specific Aims.
In Aim 1, we will develop optimized treatment parameters for H-FIRE targeting penetration into the infiltrative niche of GBM, with a combination of H-FIRE and delivery of liposomal doxorubicin tested in a 3D micro-engineered tumor/blood-brain-barrier model (BBB).
In Aim 2, we will leverage rodent models of invasive GBM for both 3D model validation, and testing of the efficacy of combinatorial treatment protocols in a more physiological relevant in vivo setting.
In Aim 3, we will assess our combinatorial treatment strategy to treat spontaneous brain tumors in canine patients. If successful, this study will provide the foundation for a new form of cancer therapy capable of surpassing conventional treatments for targeting of the bulk tumor, as well as the infiltrative GBM cells beyond the tumor margin. If successful, this hybrid approach will eliminate the likelihood of tumor recurrence, while preserving the vital healthy surrounding tissue and minimizing the adverse side effects that are associated with standard therapies.

Public Health Relevance

High-frequency irreversible electroporation (H-FIRE) is a new, minimally invasive, non-thermal focal ablation technique that kills cells through loss of homeostasis induced by a series of low-energy electric pulses. This technique offers several potential advantages for the treatment of glioblastoma (GBM), including preservation of nerves, connective tissue and major blood vessels, the potential for targeted ablation of malignant cells based on their altered morphologies, as well as enabling localized and reversible disruption of the blood-brain- barrier for improved delivery of adjuvant chemotherapies. In this project we will test our hypothesis that a combinatorial H-FIRE therapy will lead to significantly enlarged treatment volumes and selective removal of infiltrative cells, conducting studies in 3D tissue engineered and rodent GBM models, as well as spontaneous canine GBM which is an excellent and proven translational model.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA213423-04
Application #
9836618
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Hartshorn, Christopher
Project Start
2017-01-01
Project End
2021-12-31
Budget Start
2020-01-01
Budget End
2020-12-31
Support Year
4
Fiscal Year
2020
Total Cost
Indirect Cost
Name
Virginia Polytechnic Institute and State University
Department
Engineering (All Types)
Type
Biomed Engr/Col Engr/Engr Sta
DUNS #
003137015
City
Blacksburg
State
VA
Country
United States
Zip Code
24061
Goswami, Ishan; Perry, Justin B; Allen, Mitchell E et al. (2018) Influence of Pulsed Electric Fields and Mitochondria-Cytoskeleton Interactions on Cell Respiration. Biophys J 114:2951-2964
Sweeney, Daniel C; Douglas, Temple A; Davalos, Rafael V (2018) Characterization of Cell Membrane Permeability In Vitro Part II: Computational Model of Electroporation-Mediated Membrane Transport. Technol Cancer Res Treat 17:1533033818792490
Wasson, Elisa M; Ivey, Jill W; Verbridge, Scott S et al. (2017) The Feasibility of Enhancing Susceptibility of Glioblastoma Cells to IRE Using a Calcium Adjuvant. Ann Biomed Eng 45:2535-2547
Bonakdar, M; Graybill, P M; Davalos, R V (2017) A microfluidic model of the blood-brain barrier to study permeabilization by pulsed electric fields. RSC Adv 7:42811-42818
Mercadal, Borja; Arena, Christopher B; Davalos, Rafael V et al. (2017) Avoiding nerve stimulation in irreversible electroporation: a numerical modeling study. Phys Med Biol 62:8060-8079
Ivey, Jill W; Latouche, Eduardo L; Richards, Megan L et al. (2017) Enhancing Irreversible Electroporation by Manipulating Cellular Biophysics with a Molecular Adjuvant. Biophys J 113:472-480