Liposomal Irinotecan Accumulates in Metastatic Lesions, Crosses the Blood-Tumor Barrier (BTB), and Prolongs Survival in an Experimental Model of Brain Metastases of Triple Negative Breast Cancer

Autor: Neal Shah, Afroz S. Mohammad, Helen Lee, Emma L. Dolan, Tori B. Terrell-Hall, Jessica Griffith, Chris E. Adkins, Emily Sechrest, Bart S. Hendriks, Paul R. Lockman
Jazyk: angličtina
Rok vydání: 2018
Předmět:
0301 basic medicine
medicine.medical_treatment
Pharmaceutical Science
Triple Negative Breast Neoplasms
Pharmacology
Mice
0302 clinical medicine
heterocyclic compounds
Pharmacology (medical)
Tissue Distribution
Triple-negative breast cancer
Brain Neoplasms
Brain
Treatment Outcome
030220 oncology & carcinogenesis
Injections
Intravenous

Molecular Medicine
Liposomal Irinotecan
Female
therapeutics
Biotechnology
medicine.drug
Mice
Nude

Irinotecan
Article
Permeability
03 medical and health sciences
Breast cancer
Pharmacokinetics
Cell Line
Tumor

medicine
Distribution (pharmacology)
Animals
Humans
neoplasms
Chemotherapy
business.industry
Organic Chemistry
medicine.disease
Xenograft Model Antitumor Assays
digestive system diseases
stomatognathic diseases
030104 developmental biology
Liposomes
Nanoparticles
Topoisomerase I Inhibitors
business
Brain metastasis
Popis: The blood-tumor barrier (BTB) limits irinotecan distribution in tumors of the central nervous system. However, given that the BTB has increased passive permeability we hypothesize that liposomal irinotecan would improve local exposure of irinotecan and its active metabolite SN-38 in brain metastases relative to conventional irinotecan due to enhanced-permeation and retention (EPR) effect. Female nude mice were intracardially or intracranially implanted with human brain seeking breast cancer cells (brain metastases of breast cancer model). Mice were administered vehicle, non-liposomal irinotecan (50 mg/kg), liposomal irinotecan (10 mg/kg and 50 mg/kg) intravenously starting on day 21. Drug accumulation, tumor burden, and survival were evaluated. Liposomal irinotecan showed prolonged plasma drug exposure with mean residence time (MRT) of 17.7 ± 3.8 h for SN-38, whereas MRT was 3.67 ± 1.2 for non-liposomal irinotecan. Further, liposomal irinotecan accumulated in metastatic lesions and demonstrated prolonged exposure of SN-38 compared to non-liposomal irinotecan. Liposomal irinotecan achieved AUC values of 6883 ± 4149 ng-h/g for SN-38, whereas non-liposomal irinotecan showed significantly lower AUC values of 982 ± 256 ng-h/g for SN-38. Median survival for liposomal irinotecan was 50 days, increased from 37 days (p
Databáze: OpenAIRE