Institute for Drug Research, School of Pharmacy, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem 91120, Israel.
Proc Natl Acad Sci U S A. 2013 Oct 22;110(43):17498-503. doi: 10.1073/pnas.1313839110. Epub 2013 Oct 7.
An original oral formulation of docetaxel nanocapsules (NCs) embedded in microparticles elicited in rats a higher bioavailability compared with the i.v. administration of the commercial docetaxel solution, Taxotere. In the present study, various animal studies were designed to elucidate the absorption process of docetaxel from such a delivery system. Again, the docetaxel NC formulation elicited a marked enhanced absorption compared with oral Taxotere in minipigs, resulting in relative bioavailability and Cmax values 10- and 8.4-fold higher, respectively, confirming the previous rat study results. It was revealed that orally absorbed NCs altered the elimination and distribution of docetaxel, as shown in the organ biodistribution rat study, due to their reinforced coating, while transiting through the enterocytes by surface adsorption of apoproteins and phospholipids. These findings were demonstrated by the cryogenic-temperature transmission electron microscopy results and confirmed by the use of a chylomicron flow blocker, cycloheximide, that prevented the oral absorption of docetaxel from the NC formulation in an independent pharmacokinetic study. The lipoproteinated NCs reduced the docetaxel release in plasma and its distribution among the organs. The improved anticancer activity compared with i.v. Taxotere, observed in the metastatic lung cancer model in Severe Combined Immune Deficiency-beige (SCID-bg) mice, should be attributed to the extravasation effect, leading to the lipoproteinated NC accumulation in lung tumors, where they exert a significant therapeutic action. To the best of our knowledge, no study has reported that the absorption of NCs was mediated by a lymphatic process and reinforced during their transit.
一种将多西紫杉醇纳米胶囊(NCs)嵌入微粒中的口服制剂在大鼠体内引发的生物利用度高于静脉注射的商业多西紫杉醇溶液 Taxotere。在本研究中,设计了各种动物研究来阐明从这种递药系统中吸收多西紫杉醇的过程。同样,与口服 Taxotere 相比,多西紫杉醇 NC 制剂在小型猪中引发了明显增强的吸收,相对生物利用度和 Cmax 值分别提高了 10 倍和 8.4 倍,证实了之前在大鼠中的研究结果。结果表明,口服吸收的 NCs 通过表面吸附载脂蛋白和磷脂,改变了多西紫杉醇的消除和分布,如在大鼠器官分布研究中所示,这归因于它们强化的涂层。这些发现通过低温透射电子显微镜结果得到证实,并通过使用乳糜微粒流阻断剂环已酰亚胺在独立的药代动力学研究中得到证实,该阻断剂阻止了 NC 制剂中多西紫杉醇的口服吸收。脂蛋白化的 NCs 减少了多西紫杉醇在血浆中的释放及其在器官中的分布。与静脉注射 Taxotere 相比,在严重联合免疫缺陷 beige(SCID-bg)小鼠转移性肺癌模型中观察到的抗癌活性提高,应归因于外渗效应,导致脂蛋白化的 NC 在肺肿瘤中积累,从而发挥显著的治疗作用。据我们所知,没有研究报道 NC 的吸收是通过淋巴过程介导的,并在其转运过程中得到加强。