R&D Division, Katayama Chemical Industries Co, LTD, Minoh, Osaka 562-0015, Japan.
Int J Pharm. 2010 May 31;391(1-2):274-83. doi: 10.1016/j.ijpharm.2010.02.030. Epub 2010 Mar 6.
Although intravenous administration of high levels of cisplatin (CDDP) are limited due to its severe side effects, efficient delivery of CDDP directly to the tumor should improve the therapeutic response while potentially by-passing significant side effects. High loading of CDDP into liposomes is one technique that could be used as a potential drug delivery system. Since cis-diamminedinitratoplatinum (CDDP3) is highly soluble in water and converts to CDDP in the presence of chloride ions, we encapsulated CDDP3 into liposomes in the absence of chloride ions and supplemented chloride ions to prepare CDDP-encapsulated liposomes (CDDP-Lip) resulting in a significantly improved loading efficiency of CDDP. We further conjugated the CDDP-Lip with Sialyl Lewis(X) (CDDP-SLX-Lip) because we previously demonstrated Sialyl Lewis(X) enhanced efficient accumulation of liposomes into tumors in vivo. CDDP-SLX-Lip treated mice showed a survival rate of 75% at 14 days even if a lethal level of CDDP was injected into mice. Loss of body weight was negligible and no histological abnormality was found in a variety of normal tissues. Accumulation of CDDP-SLX-Lip was about 6 times more than that of CDDP-Lip or CDDP. As the result, there was better antitumor activity of CDDP-SLX-Lip than that of CDDP-Lip with significantly less toxic effects in normal tissues.
虽然静脉内给予高剂量顺铂(CDDP)会因其严重的副作用而受到限制,但将 CDDP 直接递送至肿瘤部位应该会提高治疗反应,同时可能避免严重的副作用。将 CDDP 高效负载到脂质体中是一种可用于潜在药物递送系统的技术。由于顺二氨二氯铂(CDDP3)在水中高度溶解,并在氯离子存在下转化为 CDDP,因此我们在不存在氯离子的情况下将 CDDP3 包封到脂质体中,并补充氯离子来制备包封 CDDP 的脂质体(CDDP-Lip),从而显著提高了 CDDP 的负载效率。我们进一步将 CDDP-Lip 与唾液酸化路易斯 X(CDDP-SLX-Lip)缀合,因为我们之前证明了唾液酸化路易斯 X 增强了脂质体在体内向肿瘤的有效积累。即使向小鼠注射致死剂量的 CDDP,用 CDDP-SLX-Lip 治疗的小鼠在 14 天时的存活率仍达到 75%。体重减轻可忽略不计,各种正常组织中均未发现组织学异常。CDDP-SLX-Lip 的积累量约为 CDDP-Lip 或 CDDP 的 6 倍。因此,CDDP-SLX-Lip 的抗肿瘤活性优于 CDDP-Lip,而对正常组织的毒性作用明显较小。