Woo Janet, Chiu Gigi N C, Karlsson Göran, Wasan Ellen, Ickenstein Ludger, Edwards Katarina, Bally Marcel B
Department of Advanced Therapeutics, British Columbia Cancer Agency, 675 West 10th Avenue, Vancouver, BC, Canada V5Z 1L3.
Int J Pharm. 2008 Feb 12;349(1-2):38-46. doi: 10.1016/j.ijpharm.2007.07.020. Epub 2007 Jul 24.
A conventional, cholesterol-containing liposome formulation of cisplatin has demonstrated insignificant activity in clinical trials, due in part, to insufficient release of encapsulated content following localization within solid tumors. For this reason, the development of a triggered release liposome formulation is desirable. In this report, cisplatin was encapsulated into lysolipid-containing thermosensitive liposomes (LTSL) using a novel technique, which relies on the equilibration of cisplatin across the liposomal membrane at temperatures above the gel-to-liquid crystalline phase transition temperature (TC) of the bulk phospholipid. Mild heating and drug loading into LTSL did not induce morphological changes of the liposomes. In vitro data demonstrated that >95% of encapsulated cisplatin was released from LTSL within 5 min following mild heating at 42 degrees C, while <5% was released at 37 degrees C. Under similar conditions, lysolipid-free thermosensitive liposomes exhibited 70% release of cisplatin at 42 degrees C, and cholesterol-containing liposomes exhibited negligible drug release at 42 degrees C. The pharmacokinetic profiles of LTSL- and TSL-cisplatin indicated that these formulations were rapidly eliminated from circulation (terminal t(1/2) of 1.09 and 2.83 h, respectively). The therapeutic utility of LTSL-cisplatin formulation will be based on strategies where hyperthermia is applied prior to the administration of the liposomal drug-a strategy similar to that used in the clinical assessment of LTSL-doxorubicin formulation.
顺铂的传统含胆固醇脂质体制剂在临床试验中显示出的活性微不足道,部分原因是其包封物在实体瘤内定位后释放不足。因此,开发一种触发释放脂质体制剂是很有必要的。在本报告中,使用一种新技术将顺铂包封到含溶血脂质的热敏脂质体(LTSL)中,该技术依赖于在高于主体磷脂的凝胶-液晶相转变温度(TC)的温度下顺铂跨脂质体膜的平衡。温和加热和顺铂加载到LTSL中不会引起脂质体的形态变化。体外数据表明,在42℃温和加热后5分钟内超过95%的包封顺铂从LTSL中释放出来,而在37℃时释放量小于5%。在类似条件下,不含溶血脂质的热敏脂质体在42℃时顺铂释放率为70%,含胆固醇脂质体在42℃时药物释放可忽略不计。LTSL-顺铂和TSL-顺铂的药代动力学曲线表明这些制剂从循环中迅速消除(终末t(1/2)分别为1.09和2.83小时)。LTSL-顺铂制剂的治疗效用将基于在脂质体药物给药前应用热疗的策略——这一策略类似于LTSL-阿霉素制剂临床评估中使用的策略。