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Pharmaceutical Manufacturing Handbook: Production and

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DXR plasma concentration (μg/mL)<br />

100<br />

10<br />

1<br />

0.1<br />

APPLICATIONS OF LIPOSOMES IN THERAPEUTICS 499<br />

Free DXR (10 mg/kg)<br />

nt-LIP-DXR (10 mg/kg)<br />

Doxil (10 mg/kg)<br />

tHA-LIP-DXR (10 mg/kg)<br />

0.01<br />

C57BL/6<br />

B16F10.9<br />

0.001<br />

0 20 40 60 80 100<br />

Time (h)<br />

FIGURE 14 Doxorubicin (DXR) plasma concentration ( μ g/mL) as function of time from<br />

dosing: ( a ) C57BL/6 mice inoculated (by intraveneous injection) with B16F10.9 cells;<br />

( b ) healthy C57BL/6 mice; ( c ) BALB/c mice inoculated with C - 26 cells (injected into right -<br />

hind footpad). A single dose of the selected formulation was injected into the tail vein. DXR<br />

formulations <strong>and</strong> doses are specifi ed. ( Reprinted from ref. 443 with permission of Neoplasia<br />

Press, Inc .)<br />

action is to bind to vasopressin receptor, which is expressed abundantly on the<br />

SCLC cells.<br />

Hyaluronan (HA) is another potential c<strong>and</strong>idate for tumor targeting because it<br />

has been proven that hyaluronan receptors CD44 <strong>and</strong> RHAMM are overexpressed<br />

on several tumor types [443] . In this case, hyaluronan is used not only as a targeting<br />

moiety but also to prolong the circulation half - life of the vesicles in question; in<br />

other words, it replaces PEG molecules. HA was chemically attached on the vehicle<br />

surface (57 μ g/ μ mol lipid), which was comprised of PC/PE/Chol (3 : 1 : 1) (HA – LIP).<br />

Doxorubicin was entrapped in 78 ± 5% encapsulation effi ciency, while the ζ potential<br />

<strong>and</strong> size of the targeted liposomes were − 13.1 ± 3.9 mV <strong>and</strong> 81 ± 13. Pharmacokinetic/biodistribution<br />

studies were carried out with Doxil (PEGylated liposomal<br />

doxorubicin) as a comparison to the new hyaluronan liposomes. Those studies plus<br />

therapeutic responses were tested on three mice models, one of which was C57Bl/6 -<br />

bearing B16F10.9 lung metastasis. Clearly, ha - liposomal (HA – LIP) – DXR exhibited<br />

prolonged blood circulation similar to Doxil (approved formulation in the market),<br />

which indicated that the amount of attached HA on the vehicle surface is enough<br />

to stabilize <strong>and</strong> offer the steric stabilization required (Figure 14 ). Also, accumulation<br />

of HA – LIP – DXR was much more reduced in liver of C57Bl/6 - bearing B16F10.9<br />

lung metastasis mice, while DXR accumulation in the tumor site was threefold<br />

higher to that achieved using Doxil. Signifi cant improvement was obtained in both<br />

metastatic burden <strong>and</strong> survival with Doxil <strong>and</strong> HA – LIP – DXR (Figure 15 ). Besides,<br />

the HA – LIP – DXR had positive results on all tumor types tested.<br />

Manipulating the genetic material by injecting tumor - suppressing genes has been<br />

an alternative way in cancer treatment. The 3p FUS1 gene is a tumor suppressor<br />

(a)

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