Lu Jianqin, Zhao Wenchen, Huang Yixian, Liu Hao, Marquez Rebecca, Gibbs Robert B, Li Jiang, Venkataramanan Raman, Xu Liang, Li Shulin, Li Song
Center for Pharmacogenetics, ‡Department of Pharmaceutical Sciences, School of Pharmacy, and §University of Pittsburgh Cancer Institute, University of Pittsburgh , Pittsburgh, Pennsylvania 15261, United States.
Mol Pharm. 2014 Nov 3;11(11):4164-78. doi: 10.1021/mp500389v. Epub 2014 Sep 29.
Doxorubicin (DOX) is one of the most commonly used antineoplastic agents, but its clinical application is oftentimes coupled with severe side effects. Selective delivery of DOX to tumors via nanosized drug carrier represents an attractive approach to this problem. Previously, we developed a dual functional nanomicellar carrier, PEG5K-embelin2 (PEG5K-EB2), which was able to deliver paclitaxel (PTX) selectively to tumors and to achieve an enhanced therapeutic effect. In the present study, we examined the utility of PEG5K-EB2 to deliver DOX to tumors. In addition, folic acid (FA) was coupled to the surface of the PEG5K-EB2 micelles (FA-PEG5K-EB2) to further improve the selective targetability of the system. DOX-loaded PEG5K-EB2 micelles were uniformly spherical particles with a diameter of approximately 20 nm. Incorporation of FA had minimal effect on the size of the particles. The DOX loading efficiency was as high as 91.7% and 93.5% for PEG5K-EB2 and FA-PEG5K-EB2, respectively. DOX formulated in PEG5K-EB2 micelles (with or without FA decoration) demonstrated sustained kinetics of DOX release compared to free DOX. FA-PEG5K-EB2 significantly facilitated the intracellular uptake of DOX over free DOX and PEGylated liposomal DOX (Doxil) in breast cancer cells, 4T1.2, and drug resistant cells, NCI/ADR-RES. P-gp ATPase assay showed that PEG5K-EB2 significantly inhibited the function of the P-gp efflux pump. The maximum tolerated dose of DOX-loaded PEG5K-EB2 micelles was 15 mg/kg in mice, which was 1.5-fold greater than that for free DOX. Pharmacokinetics (PK) and biodistribution studies showed that both types of DOX-loaded micelles, especially FA-PEG5K-EB2, were able to significantly prolong the blood circulation time of DOX and facilitate its preferential accumulation at the tumor tissue. Finally, DOX/PEG5K-EB2 mixed micelles demonstrated significantly enhanced tumor growth inhibitory effect with minimal toxicity in comparison to free DOX and Doxil and the antitumor activity was further enhanced after the decoration by folic acid. Our data suggest that FA-PEG5K-EB2 micelles represent a promising DOX delivery system that warrants more study in the future.
阿霉素(DOX)是最常用的抗肿瘤药物之一,但其临床应用常常伴随着严重的副作用。通过纳米级药物载体将DOX选择性递送至肿瘤是解决这一问题的一种有吸引力的方法。此前,我们开发了一种双功能纳米胶束载体,聚乙二醇5000-紫铆素2(PEG5K-EB2),它能够将紫杉醇(PTX)选择性递送至肿瘤并实现增强的治疗效果。在本研究中,我们考察了PEG5K-EB2将DOX递送至肿瘤的效用。此外,叶酸(FA)偶联至PEG5K-EB2胶束表面(FA-PEG5K-EB2)以进一步提高该系统的选择性靶向性。负载DOX的PEG5K-EB2胶束是直径约为20 nm的均匀球形颗粒。FA的掺入对颗粒大小影响极小。PEG5K-EB2和FA-PEG5K-EB2的DOX负载效率分别高达91.7%和93.5%。与游离DOX相比,负载于PEG5K-EB2胶束(有或无FA修饰)中的DOX表现出持续的释放动力学。在乳腺癌细胞4T1.2和耐药细胞NCI/ADR-RES中,FA-PEG5K-EB2比游离DOX和聚乙二醇化脂质体DOX(多柔比星脂质体)更显著地促进了DOX的细胞内摄取。P-糖蛋白ATP酶测定表明PEG5K-EB2显著抑制P-糖蛋白外排泵的功能。负载DOX的PEG5K-EB2胶束在小鼠中的最大耐受剂量为15 mg/kg,比游离DOX高1.5倍。药代动力学(PK)和生物分布研究表明,两种负载DOX的胶束,尤其是FA-PEG5K-EB2,都能够显著延长DOX的血液循环时间并促进其在肿瘤组织中的优先蓄积。最后,与游离DOX和多柔比星脂质体相比,DOX/PEG5K-EB2混合胶束表现出显著增强的肿瘤生长抑制作用且毒性最小,并且在叶酸修饰后抗肿瘤活性进一步增强。我们的数据表明,FA-PEG5K-EB2胶束是一种有前景的DOX递送系统,值得未来进行更多研究。