Pharmacokinetics, Brain Delivery, and Efficacy in Brain Tumor-Bearing Mice of Glutathione Pegylated Liposomal Doxorubicin (2B3-101)

被引:200
作者
Gaillard, Pieter J. [1 ]
Appeldoorn, Chantal C. M. [1 ]
Dorland, Rick [1 ]
van Kregten, Joan [1 ]
Manca, Francesca [1 ]
Vugts, Danielle J. [2 ]
Windhorst, Bert [2 ]
van Dongen, Guus A. M. S. [2 ]
de Vries, Helga E. [3 ]
Maussang, David [1 ]
van Tellingen, Olaf [4 ]
机构
[1] To BBB Technol BV, Leiden, Netherlands
[2] Vrije Univ Amsterdam Med Ctr, Dept Radiol & Nucl Med, Amsterdam, Netherlands
[3] Vrije Univ Amsterdam Med Ctr, Blood Brain Barrier Res Grp, Amsterdam, Netherlands
[4] Antoni van Leeuwenhoek Hosp NKI AvL, Netherlands Canc Inst, Amsterdam, Netherlands
关键词
MALIGNANT GLIOMA; CHEMOTHERAPY; TRANSPORT; BARRIER; CELLS; MODEL; BIODISTRIBUTION; ADRIAMYCIN; PACLITAXEL; METASTASES;
D O I
10.1371/journal.pone.0082331
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
070301 [无机化学]; 070403 [天体物理学]; 070507 [自然资源与国土空间规划学]; 090105 [作物生产系统与生态工程];
摘要
Brain cancer is a devastating disease affecting many people worldwide. Effective treatment with chemotherapeutics is limited due to the presence of the blood-brain barrier (BBB) that tightly regulates the diffusion of endogenous molecules but also xenobiotics. Glutathione pegylated liposomal doxorubicin (2B3-101) is being developed as a new treatment option for patients with brain cancer. It is based on already marketed pegylated liposomal doxorubicin (Doxil (R)/Caelyx (R)), with an additional glutathione coating that safely enhances drug delivery across the BBB. Uptake of 2B3-101 by human brain capillary endothelial cells in vitro was time-, concentration-and temperature-dependent, while pegylated liposomal doxorubicin mainly remained bound to the cells. In vivo, 2B3-101 and pegylated liposomal doxorubicin had a comparable plasma exposure in mice, yet brain retention 4 days after administration was higher for 2B3-101. 2B3-101 was overall well tolerated by athymic FVB mice with experimental human glioblastoma (luciferase transfected U87MG). In 2 independent experiments a strong inhibition of brain tumor growth was observed for 2B3-101 as measured by bioluminescence intensity. The effect of weekly administration of 5 mg/kg 2B3-101 was more pronounced compared to pegylated liposomal doxorubicin (p<0.05) and saline (p<0.01). Two out of 9 animals receiving 2B3-101 showed a complete tumor regression. Twice-weekly injections of 5 mg/kg 2B3-101 again had a significant effect in inhibiting brain tumor growth (p<0.001) compared to pegylated liposomal doxorubicin and saline, and a complete regression was observed in 1 animal treated with 2B3-101. In addition, twice-weekly dosing of 2B3-101 significantly increased the median survival time by 38.5% (p<0.001) and 16.1% (p<0.05) compared to saline and pegylated liposomal doxorubicin, respectively. Overall, these data demonstrate that glutathione pegylated liposomal doxorubicin enhances the effective delivery of doxorubicin to brain tumors and could become a promising new therapeutic option for the treatment of brain malignancies.
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页数:10
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