Zhang Li, Liu Zhong-Hong, Cheng Xun-Guan, Xia Zhu, Liu Yu, Yu Yu
Research Laboratory of Medicinal Chemistry and Biomaterials, Chongqing Pharmaceutical Engineering Research Center, School of Pharmacy, Chongqing Medical University.
Department of Nuclear Medicine, The First Affiliated Hospital of Chongqing Medical University.
Chem Pharm Bull (Tokyo). 2017 Oct 1;65(10):959-966. doi: 10.1248/cpb.c17-00515. Epub 2017 Aug 4.
The application of chemotherapeutics with chemical drugs is always challenged by their high toxicities throughout the body in clinical trials. Here, we reported a smart formulation of docetaxel developed by solid dispersion and effervescent techniques for efficient and safe delivery of chemical drug to lung tissue. To achieve a high delivery to lung with reduced systemic toxicity, docetaxel was loaded into a kind of lecithoid nanoparticles (DTX-LN) which were prepared by a solid dispersion and effervescent method. After intravenous administration of DTX-LN to rabbit, the docetaxel level in lung was approximately 37-fold higher than that of docetaxel injection (DTX-INJ, a commercial injection preparation of DTX/polysorbate 80 micelles) group at 0.5 h and showed the highest tissue distribution among all the organs. Besides, the targeting parameter R value of total increased amount of DTX in lung (AUC) ratio (DTX-LN to DTX-INJ) is about 16.69, indicating a significantly enhanced lung targeting ability of DTX-LN. In subacute toxicity study, DTX-LN displayed a reduced hematotoxicity, especially for the negative impacts on white blood cells, lymphocyte and granulocyte when compared with DTX-INJ during both weekly and 3-weekly schedules administration. In addition, histopathological analysis demonstrated that DTX-LN showed less tissue damages on rabbit heart and kidney compared to DTX-INJ. Hence, this work would provide an insight for improving lung delivery efficacy of drugs with reduced systemic toxicity.
在临床试验中,使用化学药物进行化疗总是受到其全身高毒性的挑战。在此,我们报道了一种通过固体分散和泡腾技术开发的多西他赛智能制剂,用于将化学药物高效安全地递送至肺组织。为了在降低全身毒性的同时实现对肺的高递送,多西他赛被载入一种通过固体分散和泡腾方法制备的类卵磷脂纳米颗粒(DTX-LN)中。将DTX-LN静脉注射给兔子后,在0.5小时时肺中的多西他赛水平比多西他赛注射剂(DTX-INJ,一种DTX/聚山梨酯80胶束的商业注射制剂)组高约37倍,并且在所有器官中显示出最高的组织分布。此外,肺中DTX总量增加量(AUC)比值(DTX-LN与DTX-INJ)的靶向参数R值约为16.69,表明DTX-LN的肺靶向能力显著增强。在亚急性毒性研究中,与每周和每3周给药方案期间的DTX-INJ相比,DTX-LN表现出降低的血液毒性,尤其是对白细胞、淋巴细胞和粒细胞的负面影响。此外,组织病理学分析表明,与DTX-INJ相比,DTX-LN对兔子心脏和肾脏的组织损伤更小。因此,这项工作将为提高药物的肺递送疗效并降低全身毒性提供思路。