Environmental Science & Engineering, University of Texas at El Paso, TX 79956, United States; Department of Pharmaceutical Sciences, School of Pharmacy, University of Texas at El Paso, TX 79902, United States.
Biomedical Engineering, University of Texas at El Paso, TX 79956, United States.
J Control Release. 2022 Sep;349:783-795. doi: 10.1016/j.jconrel.2022.07.035. Epub 2022 Aug 2.
Skin melanoma is one of the most common cancer types in the United States and worldwide, and its incidence continues to grow. Primary skin melanoma can be removed surgically when feasible and if detected at an early stage. Anti-cancer drugs can be applied topically to treat skin cancer lesions and used as an adjunct to surgery to prevent the recurrence of tumor growth. We developed a topical formulation composed of Navitoclax (NAVI), a BCL-2 inhibitor that results in apoptosis, and an ionic liquid of choline octanoate (COA) to treat early-stage melanoma. NAVI is a small hydrophobic molecule that solubilizes at 20% (w/v) when dissolved in 50% COA. Although NAVI is a highly effective chemotherapeutic, it is equally thrombocytopenic. We found that COA-mediated topical delivery of NAVI enhanced its penetration into the skin and held the drug in the deeper skin layers for an extended period. Topical delivery of NAVI produced a higher cancer-cell killing efficacy than orally administrated NAVI. In vivo experiments in a mouse model of human melanoma-induced skin cancer confirmed the formulation's effectiveness via an apoptotic mechanism without any significant skin irritation or systemic absorption of NAVI. Overall, this topical approach may provide a safe and effective option for better managing skin cancer in the clinic.
皮肤黑色素瘤是美国和全球最常见的癌症类型之一,其发病率持续上升。当可行且在早期发现时,原发性皮肤黑色素瘤可以通过手术切除。抗癌药物可以局部应用于治疗皮肤癌病变,并作为手术的辅助手段,以防止肿瘤生长的复发。我们开发了一种由 Navitoclax(NAVI)组成的局部制剂,Navitoclax 是一种导致细胞凋亡的 BCL-2 抑制剂,以及一种辛酸胆碱(COA)的离子液体,用于治疗早期黑色素瘤。NAVI 是一种疏水分子,当溶解在 50%COA 中时,以 20%(w/v)的浓度溶解。尽管 NAVI 是一种高效的化疗药物,但它同样会导致血小板减少。我们发现,COA 介导的 NAVI 局部递送可增强其穿透皮肤的能力,并将药物保持在较深的皮肤层中延长时间。与口服 NAVI 相比,NAVI 的局部递送产生了更高的癌细胞杀伤效果。在人类黑色素瘤诱导的皮肤癌小鼠模型中的体内实验证实了该制剂通过凋亡机制的有效性,而没有任何明显的皮肤刺激或 NAVI 的全身吸收。总的来说,这种局部方法可能为更好地管理临床皮肤癌提供一种安全有效的选择。
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