Schiffelers Raymond M, Metselaar Josbert M, Fens Marcel H A M, Janssen Adriënne P C A, Molema Grietje, Storm Gert
Department of Pharmaceutics, Utrecht Institute for Pharmaceutical Sciences (UIPS), Utrecht, The Netherlands.
Neoplasia. 2005 Feb;7(2):118-27. doi: 10.1593/neo.04340.
Glucocorticoids can inhibit solid tumor growth possibly due to an inhibitory effect on angiogenesis. The antitumor effects of the free drugs have only been observed using treatment schedules based on high and frequent dosing for prolonged periods of time. As long-circulating liposomes accumulate at sites of malignancy, we investigated the tumor-inhibiting potential of liposome-encapsulated prednisolone phosphate. Liposomal prednisolone phosphate could inhibit tumor growth dose-dependently, with 80% to 90% tumor growth inhibition of subcutaneous B16.F10 melanoma and C26 colon carcinoma murine tumor models at 20 mg/kg by single or weekly doses. Prednisolone phosphate in the free form was completely ineffective at this low-frequency treatment schedule, even when administered at a dose of 50 mg/kg. In vitro studies did not show an inhibitory effect of prednisolone (phosphate) on tumor cell, nor on endothelial cell proliferation. Histologic evaluation revealed that liposomal prednisolone phosphate-treated tumors contained a center with areas of picnotic/necrotic cells, which were not apparent in untreated tumors or tumors treated with the free drug. In conclusion, the present study shows potent antitumor effects of liposomal formulations of glucocorticoids in a low dose and low-frequency schedule, offering promise for liposomal glucocorticoids as novel antitumor agents.
糖皮质激素可能由于对血管生成的抑制作用而抑制实体瘤生长。游离药物的抗肿瘤作用仅在基于长时间高剂量频繁给药的治疗方案中观察到。由于长循环脂质体在恶性肿瘤部位蓄积,我们研究了脂质体包裹的磷酸泼尼松龙的抑瘤潜力。脂质体磷酸泼尼松龙可剂量依赖性地抑制肿瘤生长,在皮下B16.F10黑色素瘤和C26结肠癌小鼠肿瘤模型中,单次或每周剂量为20mg/kg时,肿瘤生长抑制率为80%至90%。在这种低频治疗方案下,游离形式的磷酸泼尼松龙完全无效,即使以50mg/kg的剂量给药。体外研究未显示泼尼松龙(磷酸盐)对肿瘤细胞或内皮细胞增殖有抑制作用。组织学评估显示,脂质体磷酸泼尼松龙治疗的肿瘤含有一个中心,其中有固缩/坏死细胞区域,在未治疗的肿瘤或游离药物治疗的肿瘤中不明显。总之,本研究表明糖皮质激素脂质体制剂在低剂量和低频方案中具有强大的抗肿瘤作用,为脂质体糖皮质激素作为新型抗肿瘤药物带来了希望。