Department of Surgery, Division of Surgical Oncology, University of Tokyo, Tokyo, Japan.
Cancer Sci. 2011 Jan;102(1):200-5. doi: 10.1111/j.1349-7006.2010.01747.x. Epub 2010 Oct 13.
Intraperitoneal (i.p.) administration of paclitaxel nanoparticles (PTX-30W) prepared by solubulization with the amphiphilic copolymer of 2-methacryloxyethyl phosphorylcholine and n-butyl methacrylate can efficiently suppress the growth of peritoneal metastasis. In this study, we characterized the drug distribution of i.p. injected PTX-30W in peritoneal tumor and liver in a mouse model using MKN45, human gastric cancer cells. Oregon green-conjugated PTX-30W showed perivascular accumulation in MKN45 tumor in the peritoneum at 24 h after intravenous (i.v.) injection; however, the amount of PTX in tumor was markedly less than that in liver. In contrast, a larger amount of PTX accumulated in the peripheral area of disseminated nodules at 1 h after i.p. injection and the area gradually enlarged. The depth of PTX infiltration reached 1 mm from the tumor surface at 48 h after i.p. injection, and the fluorescence intensity was markedly greater than that in liver. Interestingly, i.p. injected PTX preferentially accumulated in relatively hypovascular areas, and many tumor cells in the vicinity of PTX accumulation showed apoptosis. This unique accumulation pattern and lesser washout in hypovascular areas are thought to be attributable to the superior penetrating activity of PTX-30W, and thus, PTX-30W is considered to be highly suitable for i.p. chemotherapy for peritoneal dissemination.
腹腔内(i.p.)给予通过两亲性共聚物 2-甲氧基乙基磷酰胆碱和正丁基甲基丙烯酸酯的增溶作用制备的紫杉醇纳米颗粒(PTX-30W)可有效抑制腹膜转移的生长。在这项研究中,我们使用人胃癌细胞 MKN45 对小鼠模型中 i.p.注射的 PTX-30W 在腹膜肿瘤和肝脏中的药物分布进行了表征。在静脉(i.v.)注射后 24 小时,Oregon green 缀合的 PTX-30W 在腹膜中的 MKN45 肿瘤中表现出血管周围积聚;然而,肿瘤中的 PTX 量明显少于肝脏中的量。相比之下,在 i.p.注射后 1 小时,在散布的结节的外周区域中积聚了更多的 PTX,并且该区域逐渐扩大。在 i.p.注射后 48 小时,PTX 的渗透深度达到距肿瘤表面 1 毫米,荧光强度明显大于肝脏中的强度。有趣的是,i.p.注射的 PTX 优先积聚在相对低血管区域,并且在 PTX 积聚附近的许多肿瘤细胞显示出凋亡。这种独特的积聚模式和在低血管区域中的较少冲洗被认为归因于 PTX-30W 的优越穿透活性,因此,PTX-30W 被认为非常适合用于腹膜扩散的 i.p.化疗。