Csernus V J, Szende B, Groot K, Redding T W, Schally A V
Endocrine Polypeptide and Cancer Institute, V.A. Medical Center, New Orleans, LA.
Arzneimittelforschung. 1990 Feb;40(2 Pt 1):111-8.
Highly potent antagonistic analogs of luteinizing hormone-releasing hormone (LHRH), free of edematogenic effects have been developed. These analogs proved to be potent inhibitors of LH, follicle stimulating hormone (FSH) and sex steroid levels in animals and human beings. The clinical utility of these compounds would be greatly enhanced by a sustained delivery system, capable of maintaining therapeutic peptide levels in blood over an extended period of time. Consequently, long acting formulations of microcapsules were prepared from one of the most potent antagonists, [Ac-3-(2-naphthyl)-D-Ala1, D-Phe (pCl)2, 3-(3-pyridyl)-D-Ala3, D-Cit6, D-Ala10] LHRH (SB-75). The microcapsules consisted of 2% w/w SB-75 in poly-DL-lactide-co-glycolide (PLGA), a biocompatible, biodegradable polymer. To facilitate pharmacokinetic studies necessary for experimental and clinical investigation of the microencapsulated analog, a highly sensitive and specific radioimmunoassay was developed. The antibody against SB-75 was generated in rabbits. No significant cross-reaction could be detected with several natural peptides and analogs tested. The sensitivity of the assay is 0.6 pg/tube. The RIA is suitable for direct determination of SB-75 level in 20 microliters serum. The two lots of SB-75 microcapsules exhibited different pharmacokinetic release patterns. Single intramuscular injection of 20 mg SB-75 microcapsules, PLGA batch No. 001, into female rats maintained elevated serum SB-75 levels for three weeks. The suppression of LH secretion during this period was indicated by histological findings. The ovaries in the treated group were polyfollicular and no corpora lutea were present, indicating a prolonged ovarian inactivity due to LH deprivation.(ABSTRACT TRUNCATED AT 250 WORDS)
已研发出高效的促黄体生成激素释放激素(LHRH)拮抗类似物,且无致水肿作用。这些类似物被证明是动物和人类体内促黄体生成素(LH)、促卵泡激素(FSH)和性类固醇水平的有效抑制剂。能够在较长时间内维持血液中治疗性肽水平的持续给药系统,将极大地提高这些化合物的临床应用价值。因此,用最有效的拮抗剂之一[Ac-3-(2-萘基)-D-Ala1, D-Phe (pCl)2, 3-(3-吡啶基)-D-Ala3, D-Cit6, D-Ala10]LHRH(SB-75)制备了长效微胶囊制剂。微胶囊由2% w/w的SB-75与聚-DL-丙交酯-共-乙交酯(PLGA)组成,PLGA是一种生物相容性、可生物降解的聚合物。为便于对微囊化类似物进行实验和临床研究所需的药代动力学研究,开发了一种高度灵敏且特异的放射免疫分析方法。抗SB-75抗体是在兔体内产生的。对几种测试的天然肽和类似物未检测到明显的交叉反应。该分析方法的灵敏度为0.6 pg/管。该放射免疫分析适用于直接测定20微升血清中的SB-75水平。两批SB-75微胶囊呈现出不同的药代动力学释放模式。向雌性大鼠单次肌内注射20 mg的PLGA批号为001的SB-75微胶囊,可使血清SB-75水平在三周内保持升高。在此期间,组织学结果表明LH分泌受到抑制。治疗组的卵巢多卵泡,无黄体存在,表明由于LH缺乏导致卵巢长期无活性。(摘要截短至250字)