New Jersey Center for Biomaterials, Department of Chemistry and Chemical Biology, Rutgers, The State University of New Jersey, 145 Bevier Road, Piscataway, NJ 08854, United States.
Eur J Pharm Sci. 2012 Feb 14;45(3):320-9. doi: 10.1016/j.ejps.2011.11.017. Epub 2011 Dec 3.
Paclitaxel (PTX) has gained widespread clinical use yet its administration is associated with significant toxicity. In the present study, the toxicity and anti-tumor efficacy of tyrosine-derived nanospheres (NSP) for the delivery of PTX was compared to a clinical formulation of PTX in PBS-diluted Cremophor® EL (PTX-CrEL-D). Maximum tolerated dose was determined using a concentration series of PTX in NSP and CrEL-D, with toxicity assessed by measuring changes in body weight. Healthy mice administered PTX-NSP continued to gain weight normally while treatment with PTX-CrEL-D resulted in significant weight loss that failed to recover following treatment. Even at the dose of 50mg/kg, PTX-NSP showed better tolerance than 25mg/kg of PTX-CrEL-D. Xenograft studies of breast cancer revealed that the anti-tumor efficacy of PTX-NSP was equal to that of PTX-CrEL-D in tumors originating from both MDA-MB-435 and ZR-75-1 cancer lines. Larger volume of distribution and longer half-life were measured for PTX-NSP administration compared to those reported in the literature for a CrEL formulation. This trend suggests the potential for improved therapeutic index of PTX when administered via NSP. The findings reported here confirm that the NSP formulation is an efficient method for PTX administration with significant increase in maximum tolerated dose, offering possible clinical implications in the treatment of breast tumors.
紫杉醇(PTX)已广泛应用于临床,但它的给药与显著毒性相关。在本研究中,将酪氨酸衍生纳米球(NSP)载药系统用于 PTX 给药的毒性和抗肿瘤疗效与 PBS 稀释的 Cremophor® EL(PTX-CrEL-D)中的临床制剂进行了比较。通过 PTX 在 NSP 和 CrEL-D 中的浓度系列确定最大耐受剂量,并通过测量体重变化来评估毒性。给予 PTX-NSP 的健康小鼠体重正常增加,而用 PTX-CrEL-D 治疗则导致明显的体重减轻,在治疗后无法恢复。即使在 50mg/kg 的剂量下,PTX-NSP 的耐受性也优于 25mg/kg 的 PTX-CrEL-D。乳腺癌的异种移植研究表明,PTX-NSP 的抗肿瘤疗效与源自 MDA-MB-435 和 ZR-75-1 癌细胞系的肿瘤的 PTX-CrEL-D 相当。与文献中报道的 CrEL 制剂相比,PTX-NSP 给药后测得的分布容积更大,半衰期更长。这一趋势表明,当通过 NSP 给药时,PTX 的治疗指数可能会提高。本研究结果证实,NSP 制剂是一种有效的 PTX 给药方法,可显著提高最大耐受剂量,可能为治疗乳腺癌带来临床意义。