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静脉注射和口服4-去甲氧基柔红霉素在小鼠实验性肿瘤中的活性与分布

Activity and distribution of iv and oral 4-demethoxydaunorubicin in murine experimental tumors.

作者信息

Broggini M, Italia C, Colombo T, Marmonti L, Donelli M G

出版信息

Cancer Treat Rep. 1984 May;68(5):739-47.

PMID:6586294
Abstract

The antitumor activity of 4-demethoxydaunorubicin ( 4DDM ) compared to its parent compound daunorubicin (DM) was investigated in C57BL/6 mice bearing a T-cell lymphoma, the EL-4, chosen because of its sensitivity to this compound. 4DDM was moderately effective against Lewis lung carcinoma and M5076 ovarian reticulosarcoma tumor systems. Against the EL-4 tumor, after either iv or oral treatment, 4DDM had a good therapeutic effect (survival time in treated mice was almost double that in untreated mice) which was comparable to that of iv doxorubicin. Serum and tissue distribution of 4DDM and its reduced metabolite 4- demethoxydaunorubicinol , given either iv or orally at therapeutic doses to EL-4-bearing mice, was then compared with iv DM using a high-performance liquid chromatography technique with fluorimetric detection. DM seemed to be cleared faster and to a greater extent by metabolism than 4DDM , with half-lives after iv treatment of 23 hrs for 4DDM versus 4.6 hrs for DM. The reduced metabolite in serum amounted to greater than 100% of the concentration of the native compound for DM and less than 20% for 4DDM . By both the iv and oral routes, 4DDM appeared to be concentrated and retained in tissues to a proportionally higher extent than DM, with drug exposure being at least twice as high with correspondingly longer half-lives in almost all tissues investigated, including the tumor. Moreover, this demethoxy analog appeared to be somewhat more selective than DM, since the relative capacity of the tumor tissue to accumulate this compound seemed higher than that of other organs (eg, heart and spleen) reported to be targets of toxicity. Oral administration gave more favorable distribution, resulting in the highest tumor to heart and spleen concentration ratio; this suggests a superiority of this route of administration.

摘要

在携带T细胞淋巴瘤EL-4的C57BL/6小鼠中研究了4-去甲氧基柔红霉素(4DDM)与其母体化合物柔红霉素(DM)相比的抗肿瘤活性,选择EL-4是因为它对该化合物敏感。4DDM对Lewis肺癌和M5076卵巢网织肉瘤肿瘤系统有中等疗效。对于EL-4肿瘤,静脉注射或口服治疗后,4DDM具有良好的治疗效果(治疗小鼠的存活时间几乎是未治疗小鼠的两倍),这与静脉注射阿霉素相当。然后,使用具有荧光检测的高效液相色谱技术,将治疗剂量的4DDM及其还原代谢物4-去甲氧基柔红霉醇静脉注射或口服给予携带EL-4的小鼠后的血清和组织分布与静脉注射DM进行比较。DM似乎比4DDM通过代谢清除得更快且程度更大,静脉注射治疗后的半衰期4DDM为23小时,而DM为4.6小时。血清中的还原代谢物对于DM相当于天然化合物浓度的100%以上,对于4DDM则小于20%。通过静脉注射和口服途径,4DDM似乎比DM在组织中以成比例更高的程度浓缩和保留,在几乎所有研究的组织(包括肿瘤)中药物暴露至少高两倍,相应的半衰期更长。此外,这种去甲氧基类似物似乎比DM更具选择性,因为肿瘤组织积累该化合物的相对能力似乎高于据报道为毒性靶点的其他器官(如心脏和脾脏)。口服给药给出了更有利的分布,导致肿瘤与心脏和脾脏的浓度比最高;这表明这种给药途径具有优越性。

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