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

Purpose 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 me...

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Veröffentlicht in:Pharmaceutical research 2018-02, Vol.35 (2), p.31-10, Article 31
Hauptverfasser: Mohammad, Afroz S., Griffith, Jessica I., Adkins, Chris E., Shah, Neal, Sechrest, Emily, Dolan, Emma L., Terrell-Hall, Tori B., Hendriks, Bart S., Lee, Helen, Lockman, Paul R.
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container_end_page 10
container_issue 2
container_start_page 31
container_title Pharmaceutical research
container_volume 35
creator Mohammad, Afroz S.
Griffith, Jessica I.
Adkins, Chris E.
Shah, Neal
Sechrest, Emily
Dolan, Emma L.
Terrell-Hall, Tori B.
Hendriks, Bart S.
Lee, Helen
Lockman, Paul R.
description Purpose 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. Methods 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. Results 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
doi_str_mv 10.1007/s11095-017-2278-0
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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. Methods 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. Results 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&lt;0.05) for vehicle. Conclusions Liposomal irinotecan accumulates in brain metastases, acts as depot for sustained release of irinotecan and SN-38, which results in prolonged survival in preclinical model of breast cancer brain metastasis.</description><identifier>ISSN: 0724-8741</identifier><identifier>EISSN: 1573-904X</identifier><identifier>DOI: 10.1007/s11095-017-2278-0</identifier><identifier>PMID: 29368289</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Biochemistry ; Biomedical and Life Sciences ; Biomedical Engineering and Bioengineering ; Biomedicine ; Blood ; Brain ; Brain cancer ; Breast cancer ; Central nervous system ; Controlled release ; Exposure ; Irinotecan ; Lesions ; Medical Law ; Metabolites ; Metastases ; Metastasis ; Permeability ; Pharmacology/Toxicology ; Pharmacy ; Research Paper ; Sustained release ; Toxicity ; Tumors</subject><ispartof>Pharmaceutical research, 2018-02, Vol.35 (2), p.31-10, Article 31</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2018</rights><rights>COPYRIGHT 2018 Springer</rights><rights>Pharmaceutical Research is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c537t-29acf8f50b77c838f8977c3a8d2566055d076bf1941bdf2fe9241ccfb2dfbd123</citedby><cites>FETCH-LOGICAL-c537t-29acf8f50b77c838f8977c3a8d2566055d076bf1941bdf2fe9241ccfb2dfbd123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11095-017-2278-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11095-017-2278-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29368289$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mohammad, Afroz S.</creatorcontrib><creatorcontrib>Griffith, Jessica I.</creatorcontrib><creatorcontrib>Adkins, Chris E.</creatorcontrib><creatorcontrib>Shah, Neal</creatorcontrib><creatorcontrib>Sechrest, Emily</creatorcontrib><creatorcontrib>Dolan, Emma L.</creatorcontrib><creatorcontrib>Terrell-Hall, Tori B.</creatorcontrib><creatorcontrib>Hendriks, Bart S.</creatorcontrib><creatorcontrib>Lee, Helen</creatorcontrib><creatorcontrib>Lockman, Paul R.</creatorcontrib><title>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</title><title>Pharmaceutical research</title><addtitle>Pharm Res</addtitle><addtitle>Pharm Res</addtitle><description>Purpose 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. Methods 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. Results 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&lt;0.05) for vehicle. Conclusions Liposomal irinotecan accumulates in brain metastases, acts as depot for sustained release of irinotecan and SN-38, which results in prolonged survival in preclinical model of breast cancer brain metastasis.</description><subject>Biochemistry</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Biomedicine</subject><subject>Blood</subject><subject>Brain</subject><subject>Brain cancer</subject><subject>Breast cancer</subject><subject>Central nervous system</subject><subject>Controlled release</subject><subject>Exposure</subject><subject>Irinotecan</subject><subject>Lesions</subject><subject>Medical Law</subject><subject>Metabolites</subject><subject>Metastases</subject><subject>Metastasis</subject><subject>Permeability</subject><subject>Pharmacology/Toxicology</subject><subject>Pharmacy</subject><subject>Research Paper</subject><subject>Sustained release</subject><subject>Toxicity</subject><subject>Tumors</subject><issn>0724-8741</issn><issn>1573-904X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp1Ul1rFDEUHUSxtfoDfJGALxU6Ncl8JPNS2F2qFrYquIJvIZu52abMJGsys-jf85d5h639ECUPCfeee869NyfLXjJ6yigVbxNjtKlyykTOuZA5fZQdskoUeUPLb4-zQyp4mUtRsoPsWUrXlFLJmvJpdsCbopZcNofZr6XbhhR63ZGL6HwYwGhPZsaM_djpARJxnlzCoNOgB2fIEpILPp2QRQwpYXq4AjLvQmjz1diHSOY6RgeRHM9X8zcnRPuWfI6hC36TyJcx7twOpZATVc5_bCG6HvyAocvQQkeCJfOo7yQnBYytott2QD7CBpvYoWAEzJKF9gbi8-yJ1V2CFzf3Ufb13flq8SFffnp_sZgtc1MVYsh5o42VtqJrIYwspJUNPgotW17VNa2qlop6bXFBbN1abqHhJTPGrnlr1y3jxVF2tufdjuseWoN9R92pLY6g408VtFMPM95dqU3YqUrKksoaCY5vCGL4PkIaVO-Sga7THsKYFGsaxmQtqhKhr_-CXocxehxvQhVlUZaC3qE2ugPlvA2oayZSNcOv54zXxYQ6_QcKTwu9M8GDdRh_UMD2BWb64wj2dkZG1WQ8tTeeQuOpyXhqqnl1fzm3FX-chgC-ByRM-Q3EexP9l_U39UvlYw</recordid><startdate>20180201</startdate><enddate>20180201</enddate><creator>Mohammad, Afroz S.</creator><creator>Griffith, Jessica I.</creator><creator>Adkins, Chris E.</creator><creator>Shah, Neal</creator><creator>Sechrest, Emily</creator><creator>Dolan, Emma L.</creator><creator>Terrell-Hall, Tori B.</creator><creator>Hendriks, Bart S.</creator><creator>Lee, Helen</creator><creator>Lockman, Paul R.</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180201</creationdate><title>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</title><author>Mohammad, Afroz S. ; 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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. Methods 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. Results 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&lt;0.05) for vehicle. Conclusions Liposomal irinotecan accumulates in brain metastases, acts as depot for sustained release of irinotecan and SN-38, which results in prolonged survival in preclinical model of breast cancer brain metastasis.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29368289</pmid><doi>10.1007/s11095-017-2278-0</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Biochemistry
Biomedical and Life Sciences
Biomedical Engineering and Bioengineering
Biomedicine
Blood
Brain
Brain cancer
Breast cancer
Central nervous system
Controlled release
Exposure
Irinotecan
Lesions
Medical Law
Metabolites
Metastases
Metastasis
Permeability
Pharmacology/Toxicology
Pharmacy
Research Paper
Sustained release
Toxicity
Tumors
title 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
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