Izumoto S, Arita N, Hayakawa T, Ohnishi T, Hiraga S, Taki T, Yamamoto H
Dept. of Neurosurgery, Osaka University Medical School, Japan.
Gan To Kagaku Ryoho. 1991 Mar;18(3):371-5.
Intra-arterial infusion chemotherapy has been applied for the treatment of malignant brain tumors to increase the distribution of the drug into the tumor. MX2, a new morpholinoanthracycline, is a lipophilic compound, and has a strong antineoplastic effect against human and rat glioma cells. In this report, the acute toxicity and distribution of MX2 after intracarotid injection were studied using female Wistar rats weighing 150 g. To test the acute toxicity, various doses ranging 1.5 to 6 mg/kg was administered. All rats died within 4 days when received more than 3 mg/kg of intra-arterial or intravenous MX2. No rats died if the dose was reduced to less than 2 mg/kg. For the purpose to examine distribution in the brain, rats which received 2 mg/kg of intra-carotid MX2 were killed 5 to 120 min. after injection. The level of MX2 in the ipsilateral brain tissue reached to the maximum 5 min. after injection, and then rapidly decreased. The maximum concentration of MX2 in the ipsilateral brain was 25-fold higher than that in the contralateral brain, and 20-fold higher than that after intravenous injection of the same dose. The AUC (area under the curve) in the ipsilateral brain after intra-carotid injection was 8.0-fold higher than that in the contralateral brain, and 7.3-fold higher than that after intravenous injection of the same dose. These results indicate that intra-carotid administration can increase the distribution of MX2 in the normal brain.
动脉内灌注化疗已被应用于恶性脑肿瘤的治疗,以增加药物在肿瘤中的分布。MX2是一种新型吗啉代蒽环类药物,是一种亲脂性化合物,对人和大鼠胶质瘤细胞具有很强的抗肿瘤作用。在本报告中,使用体重150 g的雌性Wistar大鼠研究了颈动脉注射后MX2的急性毒性和分布。为了测试急性毒性,给予1.5至6 mg/kg的不同剂量。当动脉内或静脉内给予超过3 mg/kg的MX2时,所有大鼠在4天内死亡。如果剂量降至2 mg/kg以下,则无大鼠死亡。为了检查在脑中的分布,在注射后5至120分钟处死接受2 mg/kg颈动脉内MX2的大鼠。同侧脑组织中MX2的水平在注射后5分钟达到最高,然后迅速下降。同侧脑中MX2的最大浓度比 contralateral脑高25倍,比相同剂量静脉注射后高20倍。颈动脉内注射后同侧脑的AUC(曲线下面积)比 contralateral脑高8.0倍,比相同剂量静脉注射后高7.3倍。这些结果表明,颈动脉内给药可以增加MX2在正常脑中的分布。 (注:原文中contralateral拼写错误,正确应为contralateral,意为对侧的)