Li Hongwei, Wen Yuming, Wang Changmei
West China College of Stomatology, Sichuan University, Chengdu 610041, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2003 Apr 20;21(2):112-3, 139.
The purpose of this study was to investigate the cisplatin release in peripheral blood and tumor tissue after cisplatin-loaded albumin microspheres (CDDP-AMS) were infused through lingual artery for treating carcinoma of tongue.
Anticancer agent cisplatin was encapsulated with biodegradable and non-antigenic albumin. The cisplatin-loaded albumin microspheres, which were 56.3 microns in diameter, were used for treating 7 patients with squamous carcinoma of tongue by infusing through lingual artery. The cisplatin in peripheral venous blood and carcinoma tissue were measured for analyzing the drug release in vivo.
Concentration of the drug in peripheral venous blood increased to the highest level in 90 minutes after CDDP-AMS was infused through lingual arterial and still could be detected until 10th day. The cisplatin concentration in tumor tissue kept considerably stable and could be detected until 17 days.
CDDP-AMS had the effect of controlled release in vive. Effective and steady local drug concentration played the role of killing tumor cells, the low concentration in peripheral blood reduced the side effects of cisplatin to minimum as well. It is concluded that CDDP-AMS is a useful and recommendable method for treating the carcinoma of tongue.
本研究旨在探讨经舌动脉灌注顺铂白蛋白微球(CDDP - AMS)治疗舌癌后,外周血及肿瘤组织中顺铂的释放情况。
用可生物降解且无抗原性的白蛋白包裹抗癌药物顺铂。将直径为56.3微米的顺铂白蛋白微球通过舌动脉灌注用于治疗7例舌鳞状细胞癌患者。检测外周静脉血和癌组织中的顺铂,以分析药物在体内的释放情况。
经舌动脉灌注CDDP - AMS后,外周静脉血中药物浓度在90分钟时升至最高水平,直至第10天仍可检测到。肿瘤组织中的顺铂浓度保持相当稳定,直至第17天仍可检测到。
CDDP - AMS在体内具有控释作用。有效且稳定的局部药物浓度起到杀伤肿瘤细胞的作用,外周血中低浓度则将顺铂的副作用降至最低。结论是,CDDP - AMS是治疗舌癌的一种有用且值得推荐的方法。