Toge T, Jinushi K, Sawamura A, Matsuki K
Dept. of Surgery, Research Institute for Nuclear Medicine and Biology, Hiroshima University, Japan.
Gan To Kagaku Ryoho. 1991 Aug;18(10):1677-80.
A suspension of zinostatin stimalamer (YM881), an antitumor protein antibiotic in iodized poppy oil-fatty acid ester, was injected into the hepatic artery of 2 patients who received surgical treatment of hepatic tumors. Single doses of 4 mg of zinostatin stimalamer were injected into the hepatic artery by Seldinger's method. Two and 4 weeks after the dose, tissue samples were collected from the tumor and non-tumor regions close to and distant (normal tissues) from the tumor, and zinostatin stimalamer concentrations in these tissues were assayed by RIA. In one of the two patients, plasma concentrations of the drug were also assayed. Concentrations of zinostatin stimalamer in the tumor tissues (381.8 ng/g) were about 55 times greater than those in the normal tissue (6.9 ng/g) in patient No. 1 (week 4), and about 17 times in patients No. 2 (13.9 ng/g in the normal tissue and 229.8 ng/g in the tumor tissues in week 2). Plasma concentrations were assayed in patient No. 2, and were 510.3 ng/ml after one hr., 385.3 ng/ml after 3 hrs., 184.4 ng/ml after 6 hrs., and 45.4 ng/ml after 24 hrs., with a half life of 7.1 hrs. These results indicate that zinostatin stimalamer suspended in iodized poppy oil fatty acid ester persisted in the hepatic tumor tissues at the high concentrations, when injected into the hepatic artery, but was eliminated fairly rapidly from the plasma.
将抑癌蛋白抗生素新制癌菌素斯他莫(YM881)悬浮于碘化罂粟油脂肪酸酯中,对2例接受肝脏肿瘤手术治疗的患者进行肝动脉注射。采用Seldinger法经肝动脉单次注射4mg新制癌菌素斯他莫。给药后2周和4周,从肿瘤及肿瘤周边和远处(正常组织)的非肿瘤区域采集组织样本,采用放射免疫分析法(RIA)测定这些组织中新制癌菌素斯他莫的浓度。在2例患者中的1例还检测了药物的血浆浓度。第1例患者(第4周)肿瘤组织中新制癌菌素斯他莫的浓度(381.8ng/g)约为正常组织(6.9ng/g)的55倍,第2例患者(第2周)约为17倍(正常组织为13.9ng/g,肿瘤组织为229.8ng/g)。对第2例患者检测了血浆浓度,给药1小时后为510.3ng/ml,3小时后为385.3ng/ml,6小时后为184.4ng/ml,24小时后为45.4ng/ml,半衰期为7.1小时。这些结果表明,碘化罂粟油脂肪酸酯混悬的新制癌菌素斯他莫经肝动脉注射后,在肝脏肿瘤组织中能持续保持高浓度,但从血浆中清除较快。