Biomedical Sciences Research Institute, University of Ulster, Coleraine, Northern Ireland BT52 1SA, UK.
Department of HPB Surgery, Mater Hospital, Belfast, Northern Ireland BT14 6AB, UK.
Eur J Pharm Biopharm. 2020 Dec;157:233-240. doi: 10.1016/j.ejpb.2020.10.012. Epub 2020 Oct 24.
Survival rates in pancreatic cancer have remained largely unchanged over the past four decades with less than 5% of patients surviving five years following initial diagnosis. FOLFIRINOX chemotherapy, a combination of folinic acid, 5-fluoruracil, irinotecan and oxaliplatin, has shown the greatest survival benefit for patients with advanced disease but is only indicated for those with good physical performance status due to its extreme off-target toxicity. Ultrasound targeted microbubble destruction (UTMD) has emerged as an effective strategy for the targeted delivery of drug payloads to solid tumours and involves using low intensity ultrasound to disrupt (burst) MBs in the tumour vasculature, releasing encapsulated or attached drugs in a targeted manner. In this manuscript, we describe the preparation of a microbubble-liposome complex (IRMB-OxLipo) carrying two of the three cytotoxic drugs present in the FOLFIRINOX combination, namely irinotecan and oxaliplatin. Efficacy of the IRMB-OxLipo complex following UTMD was determined in Panc-01 3D spheroid and BxPC-3 human xenograft murine models of pancreatic cancer. The results revealed that tumours treated with the IRMB-OxLipo complex and ultrasound were 136% smaller than tumours treated with the same concentration of irinotecan/oxaliplatin but delivered in a conventional manner, i.e. as a non-complexed mixture. This suggests that UTMD facilitates a more effective delivery of irinotecan/oxaliplatin improving the overall effectiveness of this drug combination and to the best of our knowledge, is the first reported example of a microbubble-liposome complex used to deliver these two chemotherapies.
在过去的四十年中,胰腺癌的生存率基本保持不变,只有不到 5%的患者在初始诊断后能存活五年。FOLFIRINOX 化疗是一种包含亚叶酸、5-氟尿嘧啶、伊立替康和奥沙利铂的联合化疗方案,已被证明对晚期疾病患者的生存获益最大,但由于其极端的脱靶毒性,仅适用于身体状况良好的患者。超声靶向微泡破坏(UTMD)已成为将药物有效载荷靶向递送至实体瘤的有效策略,涉及使用低强度超声破坏肿瘤血管中的微泡(爆裂),以靶向方式释放包裹或附着的药物。在本手稿中,我们描述了一种携带 FOLFIRINOX 联合化疗方案中两种细胞毒性药物(伊立替康和奥沙利铂)的微泡-脂质体复合物(IRMB-OxLipo)的制备方法。在 Panc-01 3D 球体和 BxPC-3 人异种移植胰腺癌小鼠模型中,测定了 UTMD 后 IRMB-OxLipo 复合物的疗效。结果表明,用 IRMB-OxLipo 复合物和超声处理的肿瘤比用相同浓度的伊立替康/奥沙利铂但以常规方式(即作为非复合物混合物)处理的肿瘤小 136%。这表明 UTMD 促进了伊立替康/奥沙利铂更有效的递送,提高了这种药物组合的整体疗效,据我们所知,这是首次报道使用微泡-脂质体复合物来递送这两种化疗药物的例子。
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