Ea. Forssen et al., FLUORESCENCE IMAGING STUDIES FOR THE DISPOSITION OF DAUNORUBICIN LIPOSOMES (DAUNOXOME) WITHIN TUMOR-TISSUE, Cancer research, 56(9), 1996, pp. 2066-2075
Unilamellar liposomes that retain their contents in the systemic circu
lation can alter the pharmacokinetics of anticancer agents in favorabl
e ways, It has long been recognized that certain liposome compositions
will extravasate at sites of growing tumors and may increase the loca
l drug concentration substantially above that achievable with a free d
rug, We report here that liposomes can alter the in vivo disposition o
f an entrapped drug not only on a macroscopic but also on a microscopi
c scale, We show through ill vitro studies that intact liposomes compo
sed of distearoylphosphatidylcholine and cholesterol and containing da
unorubicin (Dauno-Xome) are taken up into P1798 tumor cells, These lip
osomes produce an enhanced cytotoxicity relative to the free drug for
incubation times longer than about 8 h, For in vivo studies, we develo
ped and used a noninvasive fluorescence imaging technique to follow th
e accumulation of liposomal daunorubicin within murine tumors, With th
is method, we show that the maximum concentration of the available lip
osomal drug in tumors exceeds that of the free drug, and additionally,
liposomal daunorubicin persists at high levels for several days, Tota
l liposome-delivered drug fluorescence from whole tumor extracts peaks
at about 8 h, In comparison, the fluorescence intensity of daunorubic
in released from vesicles seen with the in vivo imaging experiment pea
ks at 28-32 h, This apparent delay is due to a sustained release of th
e drug from liposomes in the tumor, Fluorescence microscopy of thin se
ctions of tumors from animals injected i.v. with liposomal daunorubici
n demonstrate persistent high levels of daunorubicin fluorescence with
in cells and throughout the tumor masses, Free daunorubicin, in contra
st, transiently achieves modest levels of fluorescence and rapidly dro
ps to background within a few h, These results indicate distinct mecha
nisms for the localization of free and liposomal daunorubicin, suggest
ing that liposomal daunorubicin can provide sustained intracellular le
vels of the drug within the tumor.