S.-JA TSENGLaio Z.-X.Kao S.-H.Zeng Y.-F.Huang K.-Y.Li H.-J.Yang C.-L.Deng Y.-F.Huang C.-F.Yang S.-C.PAN-CHYR YANGKempson I.M.2020-12-022020-12-0220152041-1723https://www.scopus.com/inward/record.uri?eid=2-s2.0-84924347681&doi=10.1038%2fncomms7456&partnerID=40&md5=97088ca4a366c1f41aac87931c7a0515https://scholars.lib.ntu.edu.tw/handle/123456789/523521Anticancer therapies are often compromised by nonspecific effects and challenged by tumour environments' inherent physicochemical and biological characteristics. Often, therapeutic effect can be increased by addressing multiple parameters simultaneously. Here we report on exploiting extravasation due to inherent vascular leakiness for the delivery of a pH-sensitive polymer carrier. Tumours' acidic microenvironment instigates a charge reversal that promotes cellular internalization where endosomes destabilize and gene delivery is achieved. We assess our carrier with an aggressive non-small cell lung carcinoma (NSCLC) in vivo model and achieve >30% transfection efficiency via systemic delivery. Rejuvenation of the p53 apoptotic pathway as well as expression of KillerRed protein for sensitization in photodynamic therapy (PDT) is accomplished. A single administration greatly suppresses tumour growth and extends median animal survival from 28 days in control subjects to 68 days. The carrier has capacity for multiple payloads for greater therapeutic response where inter-individual variability can compromise efficacy. ? 2015 Macmillan Publishers Limited. All rights reserved.[SDGs]SDG3protein p53; reactive oxygen metabolite; 3-aminoglutaric acid; 4',6 diamidino 2 phenylindole; dimethyl sulfoxide; glutamic acid derivative; green fluorescent protein; indole derivative; killer red protein, Anthomedusae; protein p53; apoptosis; gene expression; pH; physicochemical property; polymer; protein; tumor; animal cell; animal experiment; apoptosis; Article; cancer gene therapy; cancer inhibition; controlled study; endosome; female; gene targeting; genetic transfection; human; human cell; in vivo gene transfer; in vivo study; internalization; mouse; non small cell lung cancer; nonhuman; pH; photodynamic therapy; protein expression; radiosensitization; treatment response; tumor microenvironment; animal; apoptosis; Bagg albino mouse; Carcinoma, Non-Small-Cell Lung; gene transfer; metabolism; nuclear magnetic resonance spectroscopy; photochemotherapy; physiology; procedures; tumor cell line; TUNEL assay; Animalia; Animals; Apoptosis; Carcinoma, Non-Small-Cell Lung; Cell Line, Tumor; Dimethyl Sulfoxide; Endosomes; Gene Transfer Techniques; Glutamates; Green Fluorescent Proteins; Humans; Hydrogen-Ion Concentration; In Situ Nick-End Labeling; Indoles; Magnetic Resonance Spectroscopy; Mice; Mice, Inbred BALB C; Photochemotherapy; Tumor Microenvironment; Tumor Suppressor Protein p53journal article10.1038/ncomms7456257393722-s2.0-84924347681