McGovren J P, Neil G L, Crampton S L, Robinson M I, Douros J D
Cancer Res. 1977 Jun;37(6):1666-72.
Chartreusin has exhibited significant therapeutic activity against three experimental mouse tumors (ascitic P388, L1210 leukemia, and B16 melanoma) when tumor cells were inoculated i.p. and drug was administered i.p. In further testing against P388 leukemia, no activity was observed when drug was administered p.o., s.c., or i.v. Chartreusin was very slowly absorbed from the small intestine, thus explaining the lack of activity when administered p.o. When given i.p., the drug precipitated in the peritoneal cavity and was slowly absorbed over several hr. The strong activity observed by this route was related to the prolonged and intimate contact of drug with tumor cells in the peritoneal cavity. Upon s.c. administration, extensive precipitation occurred. Subsequent dissolution and absorption from the injection site were very slow, and measured plasma and tissue levels were quite low. Biliary excretion of chartreusin, the predominant route of elimination. was very rapid, with 80 to 100% of the dose appearing as unchanged drug in the bile within 6 hr after i.v. administration. Rapid biliary excretion after i.v. administration was reflected in a rapid decline in plasma and tissue concentrations to levels (shown by in vitro cell kill experiments) less than those necessary to kill P388 cells. When the bile ducts of i.v.-dosed leukemic mice were ligated, therapeutic activity was observed, confirming that the physiological disposition of chartreusin exerts a major influence on its therapeutic utility.
当经腹腔接种肿瘤细胞并经腹腔给药时,金丝桃素对三种实验性小鼠肿瘤(腹水型P388、L1210白血病和B16黑色素瘤)表现出显著的治疗活性。在对P388白血病进行的进一步测试中,当经口服、皮下或静脉给药时未观察到活性。金丝桃素从小肠吸收非常缓慢,这解释了口服给药时缺乏活性的原因。经腹腔给药时,药物在腹腔内沉淀并在数小时内缓慢吸收。通过该途径观察到的强活性与药物在腹腔内与肿瘤细胞的长时间密切接触有关。皮下给药后,会发生大量沉淀。随后从注射部位的溶解和吸收非常缓慢,测得的血浆和组织水平相当低。金丝桃素的主要消除途径是胆汁排泄,非常迅速,静脉给药后6小时内,80%至100%的剂量以原形药物出现在胆汁中。静脉给药后胆汁迅速排泄反映在血浆和组织浓度迅速下降至(体外细胞杀伤实验所示)低于杀死P388细胞所需的水平。当给静脉注射的白血病小鼠结扎胆管时,观察到治疗活性,证实金丝桃素的生理处置对其治疗效用有重大影响。