A. Gabizon et al., LIPOSOME LONGEVITY AND STABILITY IN CIRCULATION - EFFECTS ON THE IN-VIVO DELIVERY TO TUMORS AND THERAPEUTIC EFFICACY OF ENCAPSULATED ANTHRACYCLINES, Journal of drug targeting., 3(5), 1996, pp. 391-398
The effect of liposome composition on drug delivery to tumors and ther
apeutic efficacy of liposome-encapsulated anthracyclines was investiga
ted in two murine tumor models: an ascitic tumor (J6456 lymphoma) and
a solid carcinoma (M-109). Longevity in circulation correlated positiv
ely with high drug levels in the extracellular (ascitic) tumor fluid a
nd with delayed peak tumor levels. Using polyethylene-glycol(PEG)-coat
ed liposomes, liposome stability (drug retention) was found to be an i
mportant determinant of therapeutic efficacy, as indicated by the supe
rior survival conferred by high T-m phosphatidylcholines (hydrogenated
, dipalmitoyl) over low T-m (egg phosphatidyl-choline). Replacing PEG
with another negatively-charged surface headgroup (phosphatidyl-glycer
ol, phosphatidyl-inositol) resulted in relatively shorter longevity in
circulation of the liposome-associated drug, but no detectable differ
ences in anti-tumor efficacy. When neither the surface charged headgro
up nor the PEG coating are present, the resulting drug formulation was
significantly less effective than PEG and phosphatidylinositol-based
formulations in both tumor models. In conclusion, longevity in circula
tion, as obtained with PEG coating, tends to improve the therapeutic e
fficacy of liposome-encapsulated anthracyclines. The current therapeut
ic models were however unable to detect differences between the therap
eutic activity of PEG and other liposome formulations with relatively
small differences in circulation longevity.