Ono A, Horikoshi I, Ueno M
Department of Hospital Pharmacy, Toyama Medical and Pharmaceutical University, Japan.
Biol Pharm Bull. 1995 Feb;18(2):279-83. doi: 10.1248/bpb.18.279.
As a novel method for the medical application of liposomes, we have tried hepatic artery chemoembolization using temperature-sensitive liposomes with hyperthermia for the treatment of hepatic tumors. In this study, the effect of temperature-sensitive liposomes was compared with that of Lipiodol emulsion, which has been used clinically. The temperature-sensitive liposomes, consisting of dipalmitoylphosphatidylcholine or Lipiodol emulsions entrapping doxorubicin, were administered into the hepatic artery of hepatic tumor-bearing rats via a cannula. Doxorubicin administered in a liposomal form showed a high accumulative property toward tumors, with heating, while that in the emulsion form showed a slow release property toward tumors. Not only was tumor growth inhibited, but also, an actual diminishing of the tumor was observed in each form. Side effects were also examined: an abnormal rise in GPT, or necrosis of the normal tissues in liver, which was often observed in hepatic artery chemoembolization using Lipiodol emulsion, was remarkably reduced in the liposomal chemoembolization.
作为脂质体医学应用的一种新方法,我们尝试使用热敏脂质体结合热疗进行肝动脉化疗栓塞来治疗肝肿瘤。在本研究中,将热敏脂质体的效果与临床使用的碘油乳剂的效果进行了比较。将包裹阿霉素的由二棕榈酰磷脂酰胆碱组成的热敏脂质体或碘油乳剂通过插管注入荷肝肿瘤大鼠的肝动脉。脂质体形式给药的阿霉素在加热时对肿瘤具有高蓄积性,而乳剂形式给药的阿霉素对肿瘤具有缓慢释放特性。每种形式不仅抑制了肿瘤生长,而且还观察到肿瘤实际缩小。还检查了副作用:在使用碘油乳剂的肝动脉化疗栓塞中经常观察到的谷丙转氨酶异常升高或肝脏正常组织坏死,在脂质体化疗栓塞中明显减少。