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新型表阿霉素载水型油包水型乳剂经动脉内化疗抑制肿瘤生长。

Tumor Growth Suppression With Novel Intra-arterial Chemotherapy Using Epirubicin-entrapped Water-in-oil-in-water Emulsion .

机构信息

Institute of Engineering Innovation, School of Engineering, The University of Tokyo, Tokyo, Japan;

Cooperative Unit of Medicine and Engineering, The University of Tokyo Hospital, Tokyo, Japan.

出版信息

In Vivo. 2021 Jan-Feb;35(1):239-248. doi: 10.21873/invivo.12252.

DOI:10.21873/invivo.12252
PMID:33402470
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7880746/
Abstract

BACKGROUND/AIM: A mixture of anticancer agents and iodized poppy seed oil (IPSO) has been widely used for intra-arterial chemotherapy of hepatocellular carcinoma. However, the anticancer agents can easily separate from IPSO, so the therapeutic potential is limited. We developed epirubicin-entrapped water-in-oil-in-water emulsion (WOW-Epi) using a double-membrane emulsification technique.

MATERIALS AND METHODS

We delivered WOW-Epi through a hepatic arterial injection to VX2 hepatic tumor rabbit model (1.2 mg/kg).

RESULTS

VX2 tumor growth was selectively suppressed in the WOW-Epi-treated group compared with the control treated groups. The accumulation of WOW in nearby cancer cells was confirmed via electron-microscopy. Endocytosis seemed to be the mechanism underlying the uptake of WOW.

CONCLUSION

WOW-Epi led to tumour growth suppression in vivo. WOW does not cause toxicity to arterial vessels. WOW-Epi will be hopefully used for repeated intra-arterial chemotherapy to HCC patients in the near future.

摘要

背景/目的:抗癌药物和碘化罂粟籽油(IPSO)的混合物已被广泛用于肝癌的动脉内化疗。然而,抗癌药物很容易从 IPSO 中分离出来,因此治疗潜力有限。我们使用双膜乳化技术开发了表阿霉素包封的油包水乳状液(WOW-Epi)。

材料和方法

我们通过肝动脉注射将 WOW-Epi 递送至 VX2 肝肿瘤兔模型(1.2 mg/kg)。

结果

与对照组相比,WOW-Epi 处理组的 VX2 肿瘤生长受到选择性抑制。通过电子显微镜证实 WOW 在附近癌细胞中的积累。内吞作用似乎是 WOW 摄取的机制。

结论

WOW-Epi 导致体内肿瘤生长抑制。WOW 不会对动脉血管造成毒性。WOW-Epi 有望在不久的将来用于 HCC 患者的重复动脉内化疗。

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Tumor Growth Suppression With Novel Intra-arterial Chemotherapy Using Epirubicin-entrapped Water-in-oil-in-water Emulsion .新型表阿霉素载水型油包水型乳剂经动脉内化疗抑制肿瘤生长。
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A case of hepatocellular carcinoma effectively treated with epirubicin aqueous vesicles in monodispersed iodized poppy-seed oil microdroplets.
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A phase II trial of transcatheter arterial infusion chemotherapy with an epirubicin-Lipiodol emulsion for advanced hepatocellular carcinoma refractory to transcatheter arterial embolization.一项关于表柔比星-碘油乳剂经动脉灌注化疗用于经动脉栓塞治疗难治性晚期肝细胞癌的II期试验。
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本文引用的文献

1
Single-dose toxicity study by intra-arterial injection of BSH entrapped water-in-oil-in-water emulsion for boron neutron capture therapy to hepatocellular carcinoma.经肝动脉内注射 BSH 水包油包水乳液进行单次毒性研究用于治疗肝细胞肝癌的硼中子俘获治疗。
Appl Radiat Isot. 2020 Sep;163:109202. doi: 10.1016/j.apradiso.2020.109202. Epub 2020 May 13.
2
Comparison of treatment efficacy and safety between drug-eluting bead transarterial chemoembolization with CalliSpheres microspheres and conventional transarterial chemoembolization as first-line treatment in hepatocellular carcinoma patients.载药微球(CalliSpheres)经动脉化疗栓塞术与传统经动脉化疗栓塞术作为肝细胞癌患者一线治疗的疗效与安全性比较
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Efficacy and safety of drug-eluting beads for transarterial chemoembolization in patients with advanced hepatocellular carcinoma.药物洗脱微球用于晚期肝细胞癌患者经动脉化疗栓塞的疗效和安全性
Exp Ther Med. 2019 Dec;18(6):4625-4630. doi: 10.3892/etm.2019.8163. Epub 2019 Nov 1.
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Conventional versus drug-eluting beads chemoembolization for infiltrative hepatocellular carcinoma: a comparison of efficacy and safety.常规与载药微球化疗栓塞治疗浸润性肝细胞癌:疗效与安全性比较。
BMC Cancer. 2019 Nov 29;19(1):1162. doi: 10.1186/s12885-019-6386-6.
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CalliSpheres Drug-Eluting Bead Transcatheter Arterial Chemoembolization Presents With Better Efficacy and Equal Safety Compared to Conventional TACE in Treating Patients With Hepatocellular Carcinoma.与传统经动脉化疗栓塞术相比,载药微球经导管动脉化疗栓塞术治疗肝细胞癌患者疗效更佳且安全性相当。
Technol Cancer Res Treat. 2019 Jan 1;18:1533033819830751. doi: 10.1177/1533033819830751.
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Sustained multiple organ ischaemia after transarterial chemoembolization with drug-eluting beads for hepatocellular carcinoma.经动脉化疗栓塞联合载药微球治疗肝细胞癌后出现持续性多器官缺血。
Exp Ther Med. 2018 Feb;15(2):1479-1483. doi: 10.3892/etm.2017.5540. Epub 2017 Nov 22.
7
Rash and subcutaneous fat necrosis after DEB-TACE with doxorubicin.使用阿霉素的载药微球经动脉化疗栓塞术后出现皮疹和皮下脂肪坏死。
BMJ Case Rep. 2018 Jan 5;2018:bcr-2017-222394. doi: 10.1136/bcr-2017-222394.
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World J Gastroenterol. 2016 Oct 28;22(40):8853-8861. doi: 10.3748/wjg.v22.i40.8853.
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