Vaage J, Donovan D, Uster P, Working P
Department of Molecular Immunology, Roswell Park Cancer Institute, Buffalo, NY 14263, USA.
Br J Cancer. 1997;75(4):482-6. doi: 10.1038/bjc.1997.84.
This study tested the therapeutic efficacy of doxorubicin hydrochloride in two formulations: free in saline suspension and encapsulated in polyethylene glycol-coated, long-circulating liposomes. The drug formulations at a dose level of 3 mg doxorubicin per kg body weight were injected intravenously to treat the human pancreatic carcinoma AsPC-1, implanted s.c. into nude Swiss mice. Liposome-encapsulated doxorubicin was significantly more effective in inhibiting tumour growth and in effecting cures, and had only minor systemic toxic side-effects, indicated by a transient weight loss. Confocal laser scanning microscopy was used to determine the tumour uptake and the clearance of doxorubicin in the free and in the liposomal forms. The liposome-encapsulated doxorubicin entered the tumour in greater quantity, and remained in the tumour longer, than the free drug. The liposome formulation produced a sixfold or greater increase in doxorubicin at the disease site. It is probable that increased penetration into the tumour, and long presence with slow drug release from liposomes in the tumour, account for the enhanced therapeutic effect when the drug was encapsulated in polyethylene glycol-coated liposomes.
一种是盐溶液悬浮液中的游离形式,另一种是包裹于聚乙二醇包被的长循环脂质体中的形式。将剂量水平为每千克体重3毫克阿霉素的药物制剂静脉注射,以治疗皮下植入瑞士裸鼠体内的人胰腺癌细胞系AsPC-1。脂质体包裹的阿霉素在抑制肿瘤生长和实现治愈方面显著更有效,并且只有轻微的全身毒性副作用,表现为短暂的体重减轻。使用共聚焦激光扫描显微镜来确定游离形式和脂质体形式的阿霉素在肿瘤中的摄取和清除情况。与游离药物相比,脂质体包裹的阿霉素进入肿瘤的量更多,并且在肿瘤中停留的时间更长。脂质体制剂使疾病部位的阿霉素增加了六倍或更多。当药物包裹于聚乙二醇包被的脂质体中时,增强的治疗效果可能是由于其对肿瘤的渗透增加以及脂质体在肿瘤中缓慢释放药物并长时间留存所致。