Kerr D J, Rogerson A, Morrison G J, Florence A T, Kaye S B
CRC Department of Medical Oncology, University of Glasgow, UK.
Br J Cancer. 1988 Oct;58(4):432-6. doi: 10.1038/bjc.1988.235.
Niosomes are multilamellar vesicles formed from nonionic surfactants of the alkyl or dialkyl polyglycerol ether class and cholesterol. Adriamycin has been trapped within vesicles prepared from a monoalkyl triglycerol ether and its activity compared with adriamycin solution in human lung tumour cells grown in monolayer and spheroid culture and in tumour xenografted nude mice. The activity of the encapsulated adriamycin in vitro is maintained with similar clonogenic survival curves following treatment of monolayers and identical growth delays following spheroid exposure. The pharmacokinetics of adriamycin are altered in vivo in human lung tumour-bearing nude mice, when it is administered in niosomal form. There is prolonged release of drug from the plasma compartment with significantly lower peak levels; lower peak cardiac adriamycin concentrations with a shorter tissue half-life and decreased cardiac AUC and a greater degree of hepatic metabolism to inactive 7-deoxyaglycones. The tumour peak drug level and AUC was similar irrespective of the mode of administration of adriamycin. The growth delay (i.e. the time taken for the tumour volume to double) was significantly longer for adriamycin (15 days) and niosomal adriamycin (11 days) than for control (5.8 days). It is possible that the therapeutic ratio of adriamycin could be enhanced by administration in niosomal form.
脂质体是由烷基或二烷基聚甘油醚类非离子表面活性剂和胆固醇形成的多层囊泡。阿霉素已被包裹在由单烷基甘油三醚制备的囊泡中,并将其活性与在单层和球体培养中生长的人肺肿瘤细胞以及肿瘤异种移植裸鼠中的阿霉素溶液进行比较。在单层处理后,包裹的阿霉素在体外的活性通过相似的克隆存活曲线得以维持,在球体暴露后具有相同的生长延迟。当以脂质体形式给药时,阿霉素在荷人肺肿瘤裸鼠体内的药代动力学发生改变。药物从血浆隔室的释放延长,峰值水平显著降低;心脏阿霉素峰值浓度较低,组织半衰期较短,心脏药时曲线下面积减小,肝脏代谢为无活性的7 - 脱氧糖苷配基的程度更高。无论阿霉素的给药方式如何,肿瘤的药物峰值水平和药时曲线下面积相似。阿霉素(15天)和脂质体阿霉素(11天)的生长延迟(即肿瘤体积翻倍所需的时间)比对照组(5.8天)显著更长。以脂质体形式给药可能会提高阿霉素的治疗指数。