Kai Marc P, Keeler Amanda W, Perry Jillian L, Reuter Kevin G, Luft J Christopher, O'Neal Sara K, Zamboni William C, DeSimone Joseph M
Department of Chemical and Biomolecular Engineering, North Carolina State University, 911 Partners Way, Raleigh, NC 27599, USA.
Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, 257 Caudill Lab, Chapel Hill, NC 27599, USA.
J Control Release. 2015 Apr 28;204:70-7. doi: 10.1016/j.jconrel.2015.03.001. Epub 2015 Mar 3.
Cisplatin is a cytotoxic drug used as a first-line therapy for a wide variety of cancers. However, significant renal and neurological toxicities limit its clinical use. It has been documented that drug toxicities can be mitigated through nanoparticle formulation, while simultaneously increasing tumor accumulation through the enhanced permeation and retention effect. Circulation persistence is a key characteristic for exploiting this effect, and to that end we have developed long-circulating, PEGylated, polymeric hydrogels using the Particle Replication In Non-wetting Templates (PRINT®) platform and complexed cisplatin into the particles (PRINT-Platin). Sustained release was demonstrated, and drug loading correlated to surface PEG density. A PEG Mushroom conformation showed the best compromise between particle pharmacokinetic (PK) parameters and drug loading (16wt.%). While the PK profile of PEG Brush was superior, the loading was poor (2wt.%). Conversely, the drug loading in non-PEGylated particles was better (20wt.%), but the PK was not desirable. We also showed comparable cytotoxicity to cisplatin in several cancer cell lines (non-small cell lung, A549; ovarian, SKOV-3; breast, MDA-MB-468) and a higher MTD in mice (10mg/kg versus 5mg/kg). The pharmacokinetic profiles of drug in plasma, tumor, and kidney indicate improved exposure in the blood and tumor accumulation, with concurrent renal protection, when cisplatin was formulated in a nanoparticle. PK parameters were markedly improved: a 16.4-times higher area-under-the-curve (AUC), a reduction in clearance (CL) by a factor of 11.2, and a 4.20-times increase in the volume of distribution (Vd). Additionally, non-small cell lung and ovarian tumor AUC was at least twice that of cisplatin in both models. These findings suggest the potential for PRINT-Platin to improve efficacy and reduce toxicity compared to current cisplatin therapies.
顺铂是一种细胞毒性药物,用作多种癌症的一线治疗药物。然而,严重的肾脏和神经毒性限制了其临床应用。有文献记载,药物毒性可通过纳米颗粒制剂减轻,同时通过增强渗透和滞留效应增加肿瘤蓄积。循环持久性是利用这种效应的关键特征,为此我们使用非湿润模板中的颗粒复制(PRINT®)平台开发了长循环、聚乙二醇化的聚合物水凝胶,并将顺铂复合到颗粒中(PRINT-铂)。证明了其缓释效果,药物负载量与表面聚乙二醇密度相关。聚乙二醇蘑菇构象在颗粒药代动力学(PK)参数和药物负载量(16wt.%)之间显示出最佳平衡。虽然聚乙二醇刷状构象的PK曲线更优,但负载量较差(2wt.%)。相反,非聚乙二醇化颗粒中的药物负载量更好(20wt.%),但PK不理想。我们还在几种癌细胞系(非小细胞肺癌,A549;卵巢癌,SKOV-3;乳腺癌,MDA-MB-468)中显示出与顺铂相当的细胞毒性,并且在小鼠中的最大耐受剂量更高(10mg/kg对5mg/kg)。当顺铂制成纳米颗粒时,药物在血浆、肿瘤和肾脏中的药代动力学曲线表明血液中的暴露量增加和肿瘤蓄积增加,并同时具有肾脏保护作用。PK参数显著改善:曲线下面积(AUC)高16.4倍,清除率(CL)降低11.2倍,分布容积(Vd)增加4.20倍。此外,在两种模型中,非小细胞肺癌和卵巢肿瘤的AUC至少是顺铂的两倍。这些发现表明,与目前的顺铂疗法相比,PRINT-铂具有提高疗效和降低毒性的潜力。