Department of Pharmaceutics, Utrecht Institute for Pharmaceutical Sciences (UIPS), Utrecht University, Utrecht, The Netherlands.
Biomaterials. 2010 Oct;31(30):7797-804. doi: 10.1016/j.biomaterials.2010.07.005. Epub 2010 Jul 31.
Doxorubicin (DOX) is clinically applied in cancer therapy, but its use is associated with dose limiting severe side effects. Core-crosslinked biodegradable polymeric micelles composed of poly(ethylene glycol)-b-poly[N-(2-hydroxypropyl) methacrylamide-lactate] (mPEG-b-p(HPMAm-Lac(n))) diblock copolymers have shown prolonged circulation in the blood stream upon intravenous administration and enhanced tumor accumulation through the enhanced permeation and retention (EPR) effect. However a (physically) entrapped anticancer drug (paclitaxel) was previously shown to be rapidly eliminated from the circulation, likely because the drug was insufficiently retained in the micelles. To fully exploit the EPR effect for drug targeting, a DOX methacrylamide derivative (DOX-MA) was covalently incorporated into the micellar core by free radical polymerization. The structure of the doxorubicin derivative is susceptible to pH-sensitive hydrolysis, enabling controlled release of the drug in acidic conditions (in either the intratumoral environment and/or the endosomal vesicles). 30-40% w/w of the added drug was covalently entrapped, and the micelles with covalently entrapped DOX had an average diameter of 80 nm. The entire drug payload was released within 24 h incubation at pH 5 and 37 degrees C, whereas only around 5% release was observed at pH 7.4. DOX micelles showed higher cytotoxicity in B16F10 and OVCAR-3 cells compared to DOX-MA, likely due to cellular uptake of the micelles via endocytosis and intracellular drug release in the acidic organelles. The micelles showed better anti-tumor activity than free DOX in mice bearing B16F10 melanoma carcinoma. The results presented in this paper show that mPEG-b-p(HPMAm-Lac(n)) polymeric micelles with covalently entrapped doxorubicin is a system highly promising for the targeted delivery of cytostatic agents.
阿霉素(DOX)在癌症治疗中得到临床应用,但它的使用与剂量限制的严重副作用有关。由聚乙二醇-b-聚[N-(2-羟丙基)甲基丙烯酰胺-乳酸](mPEG-b-p(HPMAm-Lac(n)))嵌段共聚物组成的核交联可生物降解聚合物胶束在静脉注射后表现出在血液中延长的循环时间,并通过增强的渗透和保留(EPR)效应增强肿瘤积累。然而,先前已经表明,(物理)包封的抗癌药物(紫杉醇)从循环中迅速消除,可能是因为药物在胶束中保留不足。为了充分利用 EPR 效应进行药物靶向,阿霉素甲基丙烯酰胺衍生物(DOX-MA)通过自由基聚合共价结合到胶束核中。该阿霉素衍生物的结构易发生 pH 敏感水解,使药物在酸性条件下(无论是在肿瘤内环境和/或内体小泡中)能够控制释放。加入的药物有 30-40%w/w 被共价包封,并且具有共价包封 DOX 的胶束平均直径为 80nm。在 pH5 和 37 摄氏度孵育 24 小时内,整个药物有效负载完全释放,而在 pH7.4 时仅观察到约 5%的释放。与 DOX-MA 相比,DOX 胶束在 B16F10 和 OVCAR-3 细胞中表现出更高的细胞毒性,这可能是由于通过胞吞作用和在酸性细胞器中的细胞内药物释放来摄取胶束。与游离 DOX 相比,胶束在携带 B16F10 黑色素瘤癌的小鼠中显示出更好的抗肿瘤活性。本文介绍的结果表明,具有共价包封阿霉素的 mPEG-b-p(HPMAm-Lac(n)) 聚合物胶束是一种非常有前途的用于细胞毒性药物靶向递送的系统。
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