Department of Biomedical Engineering, Yale University, New Haven, Connecticut, USA.
Nanomedicine. 2009 Dec;5(4):410-8. doi: 10.1016/j.nano.2009.02.002. Epub 2009 Mar 31.
We hypothesize that the efficacy of doxorubicin (DOX) can be maximized and dose-limiting cardiotoxicity minimized by controlled release from PEGylated nanoparticles. To test this hypothesis, a unique surface modification technique was used to create PEGylated poly(lactic-co-glycolic acid) (PLGA) nanoparticles encapsulating DOX. An avidin-biotin coupling system was used to control poly(ethylene glycol) conjugation to the surface of PLGA nanoparticles, of diameter approximately 130 nm, loaded with DOX to 5% (wt/wt). Encapsulation in nanoparticles did not compromise the efficacy of DOX; drug-loaded nanoparticles were found to be at least as potent as free DOX against A20 murine B-cell lymphoma cells in culture and of comparable efficacy against subcutaneously implanted tumors. Cardiotoxicity in mice as measured by echocardiography, serum creatine phosphokinase (CPK), and histopathology was reduced for DOX-loaded nanoparticles as compared with free DOX. Administration of 18 mg/kg of free DOX induced a sevenfold increase in CPK levels and significant decreases in left ventricular fractional shortening over control animals, whereas nanoparticle-encapsulated DOX produced none of these pathological changes.
The efficacy of doxorubicin (DOX) may be maximized and dose-limiting cardiotoxicity minimized by controlled release from PEGylated nanoparticles. Administration of 18 mg/kg of free DOX induced a sevenfold increase in CPK levels and significant decreases in left ventricular fractional shortening in mice, whereas nanoparticle-encapsulated DOX produced none of these pathological changes.
我们假设通过 PEG 化纳米粒从控释来最大化阿霉素(DOX)的疗效并最小化剂量限制性心脏毒性。为了验证这一假设,使用了一种独特的表面修饰技术来制备包载 DOX 的 PEG 化聚(乳酸-共-乙醇酸)(PLGA)纳米粒。亲和素-生物素偶联系统用于控制 DOX 载量为 5%(wt/wt)的、直径约为 130nm 的 PLGA 纳米粒表面的聚乙二醇(PEG)接枝。纳米粒包载并未影响 DOX 的疗效;与游离 DOX 相比,载药纳米粒在体外对 A20 鼠 B 细胞淋巴瘤细胞的效力至少相同,对皮下植入的肿瘤也具有相当的疗效。与游离 DOX 相比,载药纳米粒可降低阿霉素诱导的心脏毒性,这通过超声心动图、血清肌酸磷酸激酶(CPK)和组织病理学来测量。18mg/kg 游离 DOX 的给予导致 CPK 水平增加 7 倍,并使对照动物的左心室短轴缩短分数显著降低,而纳米粒包载的 DOX 则不会产生这些病理变化。
通过 PEG 化纳米粒从控释来最大化阿霉素(DOX)的疗效并最小化剂量限制性心脏毒性。给予 18mg/kg 游离 DOX 导致 CPK 水平增加 7 倍,并使小鼠的左心室短轴缩短分数显著降低,而纳米粒包载的 DOX 则不会产生这些病理变化。