新型载多柔比星磷脂微泡用于靶向肿瘤治疗的体内特征研究。
New doxorubicin-loaded phospholipid microbubbles for targeted tumor therapy: in-vivo characterization.
机构信息
Department of Pharmaceutical Technology and Biopharmaceutics, Ludwig-Maximilians University, Munich, Germany.
出版信息
J Control Release. 2010 Dec 20;148(3):368-72. doi: 10.1016/j.jconrel.2010.09.004. Epub 2010 Sep 22.
Doxorubicin(DOX) is a potent chemotherapy drug that is often limited by severe adverse effects such as cardiac toxicity and myelosupression. Drug targeting with non invasive techniques would be desirable, aiming at increased local drug concentration and reduced systemic side effects. Ultrasound(US) targeted destruction of drug loaded microbubbles(MBs) has evolved as a promising strategy for non invasive local gene and drug delivery. A recently developed novel DOX-loaded microbubble (DOX-MB) formulation was previously tested in-vitro, with optimal DOX loading capacity, ideal physical characteristics and preserved antiproliferative efficacy. The aim of this study was to evaluate applicability and efficacy of DOX-loaded MBs in a pancreas carcinoma model of the rat. First, immediate toxicity was tested in rats ruling out in-vivo MB agglomeration/capillary adhesion with subsequent embolisation/occlusion of the pulmonary vasculature. In a second set of experiments, tumors derived from pancreas carcinomas were implanted in both flanks of Lewis rats. After establishing the tumors, DOX-MBs were administered intravenously while one of the two tumors was exposed to US (1.3 MHz; mechanical index 1.6). DOX tissue concentration was measured in tumors and control organs after the experiment. Finally, efficacy of US targeted destruction of DOX-MBs in tumors was studied, looking at tumor growth after two therapeutic applications. All rats survived the DOX-MB administration without any sign of embolisation/occlusion of the pulmonary vasculature. US targeted destruction of DOX-MBs leads to a 12-fold higher tissue concentration of DOX and a significantly lower tumor growth in the target tumor compared to the contralateral control tumor. In conclusion, novel DOX-loaded MBs can be safely administered to rats, leading to a relevant increase in local drug concentration and reduction in tumor growth.
阿霉素(DOX)是一种有效的化疗药物,但常因其严重的不良反应而受到限制,如心脏毒性和骨髓抑制。采用非侵入性技术进行药物靶向治疗是可取的,旨在增加局部药物浓度,减少全身副作用。超声(US)靶向破坏载药微泡(MB)已成为非侵入性局部基因和药物传递的一种有前途的策略。最近开发的一种新型 DOX 载药微泡(DOX-MB)制剂在体外进行了测试,具有最佳的 DOX 载药能力、理想的物理特性和保留的抗增殖作用。本研究旨在评估 DOX 载药 MB 在大鼠胰腺癌细胞模型中的适用性和疗效。首先,在大鼠中进行了即时毒性测试,排除了体内 MB 聚集/毛细血管黏附,随后导致肺血管栓塞/闭塞。在第二组实验中,将来源于胰腺癌细胞的肿瘤植入 Lewis 大鼠的两侧。在建立肿瘤后,将 DOX-MB 静脉内给药,同时对其中一个肿瘤进行超声(1.3 MHz;机械指数 1.6)处理。实验后测量肿瘤和对照器官中的 DOX 组织浓度。最后,研究了 US 靶向破坏 DOX-MB 在肿瘤中的疗效,观察了两次治疗应用后肿瘤的生长情况。所有大鼠在接受 DOX-MB 给药后均存活,没有肺血管栓塞/闭塞的迹象。US 靶向破坏 DOX-MB 可使 DOX 的组织浓度增加 12 倍,并显著降低靶肿瘤与对侧对照肿瘤的生长。总之,新型 DOX 载药 MB 可安全地给予大鼠,可显著增加局部药物浓度,降低肿瘤生长。