Laginha Kimberley M, Verwoert Sylvia, Charrois Gregory J R, Allen Theresa M
Department of Pharmacology, University of Alberta, Edmonton, Alberta, Canada.
Clin Cancer Res. 2005 Oct 1;11(19 Pt 1):6944-9. doi: 10.1158/1078-0432.CCR-05-0343.
Pharmacokinetic studies on liposomal drugs have previously measured total drug levels in tumors, which include non-bioavailable drug. However, drugs must be released from liposomes to have activity. We have developed a method for measuring levels of bioavailable (released) doxorubicin in vivo in tumors that will allow therapeutic activity to be correlated with bioavailable drug levels.
Mice orthotopically implanted with mammary carcinoma (4T1) were injected i.v. 10 days after implantation with free doxorubicin or formulations of liposomal doxorubicin with different drug release rates. Tumors were excised at various times after injection, and total tumor doxorubicin levels were determined by acidified isopropanol extraction of whole tumor homogenates. Bioavailable doxorubicin levels were determined by extraction of doxorubicin from isolated tumor nuclei.
Free doxorubicin had high levels of bioavailability in tumor tissue; 95% of the total doxorubicin in tumors was bound to nuclear DNA by 24 hours after injection. Administration of Doxil, a slow release liposomal formulation of doxorubicin, gave an area under the time-versus-concentration curve (AUC) for total doxorubicin 7 days after injection that was 87-fold higher than that obtained for free doxorubicin, and 49% of the liposomal doxorubicin was bioavailable. For liposomes with a more rapid doxorubicin release rate, by 7 days after injection, the AUC(0-7 days) for total doxorubicin was only 14-fold higher than that for free doxorubicin and only 27% of liposomal doxorubicin was bioavailable.
This technique allows correlations to be made between drug bioavailability and therapeutic activity and will help in the rational design of drug carriers.
以往关于脂质体药物的药代动力学研究测量的是肿瘤中的总药物水平,其中包括无生物活性的药物。然而,药物必须从脂质体中释放出来才能发挥活性。我们开发了一种在肿瘤体内测量生物可利用(释放)阿霉素水平的方法,该方法可使治疗活性与生物可利用药物水平相关联。
将乳腺癌(4T1)原位植入小鼠体内,植入10天后静脉注射游离阿霉素或不同药物释放速率的脂质体阿霉素制剂。注射后在不同时间切除肿瘤,通过酸化异丙醇提取全肿瘤匀浆来测定肿瘤中阿霉素的总水平。通过从分离的肿瘤细胞核中提取阿霉素来测定生物可利用的阿霉素水平。
游离阿霉素在肿瘤组织中的生物利用度很高;注射后24小时,肿瘤中95%的总阿霉素与核DNA结合。给予阿霉素的缓释脂质体制剂Doxil后,注射7天后总阿霉素的时间-浓度曲线下面积(AUC)比游离阿霉素高87倍,且49%的脂质体阿霉素具有生物活性。对于阿霉素释放速率更快的脂质体,注射7天后,总阿霉素的AUC(0 - 7天)仅比游离阿霉素高14倍,且只有27%的脂质体阿霉素具有生物活性。
该技术可使药物生物利用度与治疗活性相关联,并将有助于药物载体的合理设计。