Department of Biomedical Science, College of Medicine, The Catholic University of Korea, 505 Banpo-dong, Seocho-ku, Seoul 137-701, South Korea.
Arch Pharm Res. 2013 Jan;36(1):94-101. doi: 10.1007/s12272-013-0013-x.
Poly(organophosphazene), a novel thermosensitive hydrogel, is an injectable drug delivery system (DDS) that transforms from sol to gel at body temperature. Paclitaxel (PTX) is a mitotic inhibitor used in the treatment of various solid tumors. Due to its poor solubility in water and efflux systems in the gastrointestinal tract, PTX is a good candidate for local DDS. Here, we evaluated the penetration kinetics of PTX released from the PTX-poly(organophosphazene) hydrogel mixture in multicellular layers (MCLs) of human cancer cells. We also investigated the tumor pharmacokinetics of PTX (60 mg/kg) when administered as an intratumoral injection using poly(organophosphazene) in mice with human tumor xenografts. When PTX was formulated at 0.6 % w/w into a 10 % w/w hydrogel, the in vitro and in vivo release were found to be 40 and 90 % of the dose, respectively, in a sustained manner over 4 weeks. Exposure of MCLs to PTX-hydrogel showed time-dependent drug penetration and accumulation. In mice, the hydrogel mass was well retained over 6 weeks, and the PTX concentration in the tumor tissue was maximal at 14 days, which rapidly decreased and coincided with rebound tumor growth after 14 days of suppression. These data indicate that PTX-hydrogel should be intratumorally injected every 14 days, or drug release duration should be prolonged in order to achieve a long-term antitumor effect. Overall, poly(organophosphazene) represents a novel thermosensitive DDS for intratumoral delivery of PTX, which can accommodate a large dose of the drug in addition to reducing its systemic exposure by restricting biodistribution to tumor tissue alone.
聚(有机磷腈)是一种新型的温敏水凝胶,是一种可在体温下由溶胶转变为凝胶的注射型药物递送系统(DDS)。紫杉醇(PTX)是一种有丝分裂抑制剂,用于治疗各种实体瘤。由于其在水中的溶解度差和胃肠道中的外排系统,PTX 是局部 DDS 的良好候选药物。在这里,我们评估了 PTX 从 PTX-聚(有机磷腈)水凝胶混合物在人癌细胞的多层(MCL)中释放的渗透动力学。我们还研究了将 PTX(60mg/kg)作为肿瘤内注射剂使用聚(有机磷腈)在携带人肿瘤异种移植物的小鼠中的肿瘤药代动力学。当将 PTX 以 0.6%w/w 的比例配制到 10%w/w 的水凝胶中时,在 4 周的时间内,体外和体内释放分别以持续的方式达到了剂量的 40%和 90%。将 MCL 暴露于 PTX-水凝胶中显示出时间依赖性的药物渗透和积累。在小鼠中,水凝胶质量在 6 周内保持良好,肿瘤组织中的 PTX 浓度在 14 天时达到最大值,然后迅速下降,并在 14 天的抑制后与肿瘤反弹生长相吻合。这些数据表明,PTX-水凝胶应每隔 14 天进行肿瘤内注射,或者应延长药物释放时间,以实现长期的抗肿瘤效果。总的来说,聚(有机磷腈)代表了一种用于肿瘤内递送 PTX 的新型温敏 DDS,它可以容纳大剂量的药物,同时通过将药物的生物分布仅限于肿瘤组织来减少其全身暴露。
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