Okada H, Heya T, Ogawa Y, Shimamoto T
Central Research Division, Takeda Chemical Industries, Ltd., Osaka, Japan.
J Pharmacol Exp Ther. 1988 Feb;244(2):744-50.
Leuprolide acetate is a highly potent analog of luteinizing hormone-releasing hormone. We have prepared 1-month release injectable microcapsules of leuprolide acetate using a biodegradable polymer, poly (dl-lactide-co-glycolide), to treat an endocrine-dependent tumor, prostate cancer. In the present study, the possibility using the microcapsules to treat endometriosis was investigated. In rats, the microcapsules exhibited a pseudo-zero order release from the injection site for 1 month after being administered s.c. and i.m., and maintained effective constant serum levels of the analog during the 4-week treatment. A single injection of the microcapsules (100 micrograms/kg/day as leuprolide acetate) suppressed luteinizing hormone, follicle-stimulating hormone and estradiol for more than 4 weeks, and caused a dramatic regression of growth of Jones experimental endometriosis model in female rats. These results encourage the belief that a 1-month release parenteral preparation of leuprolide acetate may be potentially useful in the therapy of endometriosis in human beings.
醋酸亮丙瑞林是促黄体生成激素释放激素的一种高效类似物。我们使用可生物降解聚合物聚(消旋丙交酯-乙交酯)制备了醋酸亮丙瑞林的1个月释放型注射用微胶囊,用于治疗内分泌依赖性肿瘤——前列腺癌。在本研究中,对使用该微胶囊治疗子宫内膜异位症的可能性进行了研究。在大鼠中,皮下和肌肉注射给药后,微胶囊在注射部位呈现出1个月的准零级释放,并在4周的治疗期间维持该类似物有效的恒定血清水平。单次注射微胶囊(以醋酸亮丙瑞林计为100微克/千克/天)可抑制促黄体生成激素、促卵泡生成激素和雌二醇超过4周,并使雌性大鼠琼斯实验性子宫内膜异位症模型的生长显著消退。这些结果使人相信,醋酸亮丙瑞林的1个月释放型肠胃外制剂可能对治疗人类子宫内膜异位症有潜在用途。