Di Venosa Gabriela, Hermida Laura, Fukuda Haydée, Defain María Victoria, Rodriguez Lorena, Mamone Leandro, MacRobert Alexander, Casas Adriana, Batlle Alcira
Centro de Investigaciones sobre Porfirinas y Porfirias (CIPYP), CONICET and Hospital de Clínicas José de San Martín, University of Buenos Aires, Ciudad de Buenos Aires, Argentina.
J Photochem Photobiol B. 2009 Aug 3;96(2):152-8. doi: 10.1016/j.jphotobiol.2009.06.001. Epub 2009 Jun 7.
ALA administration has been used to induce the endogenous photosensitiser Protoporphyrin IX for photodynamic therapy (PDT) of tumours. However, the hydrophilic nature of ALA limits its ability to penetrate through skin restricting the use of ALA-PDT to superficial diseases. Lipophilic derivatives of ALA such as ALA Undecanoyl ester (Und-ALA) were designed to have better diffusing properties. However, Und-ALA, applied topically on the skin over the tumour, induced low porphyrin content. To improve Und-ALA efficacy we tested the efficacy of Und-ALA as porphyrin inducer, delivered in phosphatidylcholine and phosphatidylglycerol (PC-PG) or phosphatidylcholine and phosphatidic acid (PC-PA) liposomal formulations. Entrapment of Und-ALA into PC-PA or PC-PG liposomes resulted in a dramatic impairment of toxicity in the mammary tumour LM3 cells. However, liposomal Und-ALA induced lower intracellular porphyrin content compared to free ALA, although total porphyrins content (intracellular+media) from free Und-ALA resulted equal compared to liposomal Und-ALA, due to induction of porphyrins release induced by the latter. Topical administration of Und-ALA in PC-PG or PC-PA liposomes over the skin of LM3 subcutaneously injected mice, induced equal amount of tumour porphyrins as compared to free Und-ALA. The kinetics of porphyrins synthesis from Und-ALA is similar for free and liposomal formulations both in vivo and in vitro, showing that release of Und-ALA from liposomes is not gradual and suggesting that liposome membranes either fuses or binds to the cell membranes. To sum up, the incorporation of Und-ALA into liposomes of PC-PA or PC-PG composition does not improve the rate of porphyrin synthesis either in vitro or in vivo, due to a massive release of extracellular porphyrins and a poor cytoplasmatic release of the liposome content. The design of new liposome compositions either favouring endocytosis or coated with natural polymers to prevent Und-ALA interaction with cellular membrane are desired to overcome intracellular porphyrin release after long-chained ALA esters treatment.
氨基乙酰丙酸(ALA)给药已被用于诱导内源性光敏剂原卟啉IX,用于肿瘤的光动力疗法(PDT)。然而,ALA的亲水性限制了其穿透皮肤的能力,从而将ALA-PDT的使用局限于浅表疾病。ALA的亲脂性衍生物,如十一烷酰基ALA酯(Und-ALA),旨在具有更好的扩散特性。然而,将Und-ALA局部应用于肿瘤上方的皮肤时,诱导的卟啉含量较低。为了提高Und-ALA的疗效,我们测试了以磷脂酰胆碱和磷脂酰甘油(PC-PG)或磷脂酰胆碱和磷脂酸(PC-PA)脂质体制剂递送的Und-ALA作为卟啉诱导剂的疗效。将Und-ALA包封到PC-PA或PC-PG脂质体中导致乳腺肿瘤LM3细胞的毒性显著降低。然而,与游离ALA相比,脂质体Und-ALA诱导的细胞内卟啉含量较低,尽管游离Und-ALA的总卟啉含量(细胞内+培养基)与脂质体Und-ALA的相等,这是由于后者诱导了卟啉释放。将PC-PG或PC-PA脂质体中的Und-ALA局部应用于皮下注射LM3小鼠的皮肤,与游离Und-ALA相比,诱导的肿瘤卟啉量相等。游离和脂质体制剂中Und-ALA合成卟啉的动力学在体内和体外相似,表明Und-ALA从脂质体中的释放不是渐进的,这表明脂质体膜要么与细胞膜融合,要么与细胞膜结合。总之,由于细胞外卟啉的大量释放和脂质体内容物的细胞质释放不佳,将Und-ALA掺入PC-PA或PC-PG组成的脂质体中在体外或体内均未提高卟啉合成率。需要设计有利于内吞作用或涂覆天然聚合物以防止Und-ALA与细胞膜相互作用的新脂质体组合物,以克服长链ALA酯处理后细胞内卟啉的释放。