Gabizon A, Papahadjopoulos D
Cancer Research Institute, University of California, San Francisco 94143-0128.
Proc Natl Acad Sci U S A. 1988 Sep;85(18):6949-53. doi: 10.1073/pnas.85.18.6949.
The rapid clearance of circulating liposomes from the bloodstream, coupled with their high uptake by liver and spleen, has thus far been an obstacle to any attempts at targeting to tumors. We have assessed the impact of liposome composition on their clearance from the circulation in normal and tumor-bearing mice and on their uptake by tumors and various normal tissues. By selective changes in lipid composition, while maintaining a mean particle diameter of approximately equal to 100 nm, we have achieved up to a 60-fold increase in the fraction of recovered dose present in blood 24 hr after i.v. injection. Concomitantly, there was a decrease by a factor of 4 of the recovered dose localizing in the liver and spleen, the major organs of the reticuloendothelial system. Parallel experiments in tumor-bearing mice demonstrated a 25-fold increase of the liposome concentration in the tumor when formulations with long and short blood residence time were compared. The most favorable results were obtained with liposomes containing a small molar fraction of a negatively charged glycolipid, such as monosialoganglioside or phosphatidylinositol, and a solid-phase neutral phospholipid as the bulk component. The bio-distribution of such formulations is of considerable therapeutic potential in cancer for increasing the concentration of cytotoxic agents in tumors while minimizing the likelihood of toxicity to the reticuloendothelial system.
循环脂质体从血液中的快速清除,以及它们被肝脏和脾脏的高摄取率,迄今为止一直是靶向肿瘤的任何尝试的障碍。我们评估了脂质体组成对其在正常小鼠和荷瘤小鼠体内从循环中清除的影响,以及对肿瘤和各种正常组织摄取的影响。通过选择性改变脂质组成,同时保持平均粒径约等于100nm,我们在静脉注射后24小时血液中回收剂量的比例上实现了高达60倍的增加。与此同时,定位在肝脏和脾脏(网状内皮系统的主要器官)中的回收剂量减少了4倍。在荷瘤小鼠中进行的平行实验表明,当比较具有长和短血液停留时间的制剂时,肿瘤中脂质体浓度增加了25倍。含有小摩尔分数的带负电荷糖脂(如单唾液酸神经节苷脂或磷脂酰肌醇)和作为主要成分的固相中性磷脂的脂质体获得了最有利的结果。这种制剂的生物分布在癌症治疗中具有相当大的潜力,可增加肿瘤中细胞毒性剂的浓度,同时将对网状内皮系统产生毒性的可能性降至最低。