Fens M H A M, Hill K J, Issa J, Ashton S E, Westwood F R, Blakey D C, Storm G, Ryan A J, Schiffelers R M
Department of Pharmaceutics, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands.
Br J Cancer. 2008 Oct 21;99(8):1256-64. doi: 10.1038/sj.bjc.6604675. Epub 2008 Sep 16.
Vascular disrupting agents (VDAs) are able to affect selectively tumour endothelial cell morphology resulting in vessel occlusion and widespread tumour cell necrosis. However, single-agent antitumour activity of VDAs is typically limited, as tumour regrowth occurs rapidly following drug treatment. To improve the therapeutic effectiveness of VDAs, we investigated liposomal targeting using ZD6126 as a model VDA. ZD6126 is a phosphate-prodrug of the tubulin-binding vascular disrupting agent ZD6126 phenol. ZD6126 was encapsulated into long circulating PEG-liposomes for passive targeting and PEG-liposomes conjugated with peptide ligands containing the RGD-motif for active targeting to alpha(v)-integrins on tumour endothelial cells. ZD6126 could be stably encapsulated, and liposomes displayed minimal leakage in vitro (<10% in 3 weeks). In vivo, upon intravenous injection, free ZD6126 was rapidly converted into ZD6126 phenol, which was cleared from the circulation within minutes. In contrast, ZD6126 encapsulated into either RGD-targeted or PEG liposomes showed prolonged blood circulation times (t(1/2)=10 h), and ZD6126 phenol exposure was also prolonged (t(1/2)=8 h). Both liposomal formulations displayed tumour accumulation plus hepatosplenic uptake by local macrophages. The altered pharmacokinetics and tissue distribution profiles of both liposomal ZD6126 formulations resulted both in single-dose and multiple-dose regimes, in improved therapeutic efficacy in established murine B16.F10 melanomas compared with free ZD6126. The passively and actively targeted liposomes showed equal antitumour efficacy, indicating that delivery of ZD6126 to the tumour tissue may suffice to disrupt tumour blood vessels without the need for specific targeting to the tumour endothelium.
血管破坏剂(VDAs)能够选择性地影响肿瘤内皮细胞形态,导致血管闭塞和广泛的肿瘤细胞坏死。然而,VDAs的单药抗肿瘤活性通常有限,因为药物治疗后肿瘤会迅速复发。为了提高VDAs的治疗效果,我们以ZD6126作为模型VDAs研究了脂质体靶向作用。ZD6126是微管结合型血管破坏剂ZD6126酚的磷酸前药。ZD6126被包裹于长循环PEG脂质体中用于被动靶向,以及与含有RGD基序的肽配体偶联的PEG脂质体用于主动靶向肿瘤内皮细胞上的α(v)整合素。ZD6126能够被稳定包裹,并且脂质体在体外显示出最小的渗漏(3周内<10%)。在体内,静脉注射后,游离的ZD6126迅速转化为ZD6126酚,并在数分钟内从循环中清除。相比之下,包裹于RGD靶向或PEG脂质体中的ZD6126显示出延长的血液循环时间(t(1/2)=10小时),并且ZD6126酚的暴露时间也延长了(t(1/2)=8小时)。两种脂质体制剂均显示出肿瘤蓄积以及局部巨噬细胞对肝脾的摄取。两种脂质体ZD6126制剂改变的药代动力学和组织分布特征,在单剂量和多剂量给药方案中,与游离ZD6126相比,均提高了对已建立的小鼠B16.F10黑色素瘤的治疗效果。被动和主动靶向脂质体显示出同等的抗肿瘤疗效,表明将ZD6126递送至肿瘤组织可能足以破坏肿瘤血管,而无需特异性靶向肿瘤内皮。