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叶酸偶联多西紫杉醇脂质体干粉吸入剂改变了与肺癌化疗相关的药效动力学和药代动力学特性。

Inhalable dry powder prepared from folic acid-conjugated docetaxel liposomes alters pharmacodynamic and pharmacokinetic properties relevant to lung cancer chemotherapy.

机构信息

Clinical Pharmacokinetics Laboratory, School of Basic Medical and Clinical Pharmacy, China Pharmaceutical University, Nanjing, 211198, People's Republic of China.

Clinical Pharmacokinetics Laboratory, School of Basic Medical and Clinical Pharmacy, China Pharmaceutical University, Nanjing, 211198, People's Republic of China.

出版信息

Pulm Pharmacol Ther. 2019 Apr;55:50-61. doi: 10.1016/j.pupt.2019.02.001. Epub 2019 Feb 7.

DOI:10.1016/j.pupt.2019.02.001
PMID:30738974
Abstract

Pulmonary delivery of anti-cancer drugs in the form of nanoparticulate dry powders is considered a promising modality for treating lung cancer. However, it is not known whether the pharmacodynamics and pharmacokinetics of nano-preparations are altered after co-spray drying. In this study, we compared the physicochemical property, anti-cancer activity, tumor targeting and pharmacokinetic behavior of docetaxel-loaded folic acid-conjugated liposomes (LPs-DTX-FA) with those of dry powder prepared by co-spray-drying LPs-DTX-FA. The particle size and PDI after re-dispersion of the powder were increased. The re-dispersed liposomes showed increased cellular uptake via micropinocytosis and exhibited higher cytotoxicity than LPs-DTX-FA. Tumor targeting of re-dispersed liposomes was less effective compared with LPs-DTX-FA but the metabolism of re-dispersed liposomes was decreased. Tracheal administration resulted in a 45-fold higher concentration of docetaxel in the lung of Sprague Dawley rats at 30 min as compared with intravenous administration. Our results indicated that co-spray drying did change the properties, while tracheal administration of the dry powder provided higher drug exposure at the tumor site without increasing the exposure of other organs. Thus, inhaled dry powders might be clinically effective for treatment of lung cancer.

摘要

以纳米颗粒干粉形式将抗癌药物递送至肺部被认为是治疗肺癌的一种很有前途的方式。然而,尚不清楚在共喷雾干燥后纳米制剂的药效学和药代动力学是否会发生改变。在这项研究中,我们比较了载多西紫杉醇叶酸偶联脂质体(LPs-DTX-FA)的理化性质、抗癌活性、肿瘤靶向性和药代动力学行为与共喷雾干燥 LPs-DTX-FA 制备的干粉的这些性质。粉末再分散后的粒径和 PDI 增加。再分散的脂质体通过微胞饮作用增加了细胞摄取,并表现出比 LPs-DTX-FA 更高的细胞毒性。与 LPs-DTX-FA 相比,再分散的脂质体的肿瘤靶向性降低,但代谢减少。与静脉给药相比,气管给药在 30 分钟时使 Sprague Dawley 大鼠肺部的多西紫杉醇浓度增加了 45 倍。我们的结果表明,共喷雾干燥确实改变了性质,而干粉的气管给药在不增加其他器官暴露的情况下增加了肿瘤部位的药物暴露。因此,吸入干粉可能在治疗肺癌方面具有临床疗效。

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