J. Rosenecker et al., INCREASED LIPOSOME EXTRAVASATION IN SELECTED TISSUES - EFFECT OF SUBSTANCE-P, Proceedings of the National Academy of Sciences of the United Statesof America, 93(14), 1996, pp. 7236-7241
We have used a pharmacologic mediator to open intercellular connection
s in selected vessels to allow liposomes to escape from the blood stre
am and to extravasate into tissues that have appropriate receptors. We
have examined the effects of substance P (SP), a peptide known to inc
rease vascular permeability in selected tissues, such as trachea, esop
hagus, and urinary bladder in rats. We used quantitative fluorescence
analysis of tissues to measure two fluorescent markers, one attached t
o the lipid (rhodamine-phosphatidylethanolamine) and another, doxorubi
cin (an antitumor drug), encapsulated within the aqueous interior. We
have also examined the deposition of liposomes microscopically by the
use of encapsulated colloidal gold and silver enhancement, Analysis of
the biochemical and morphological observations indicate the following
: (i) Injection of SP produces a striking increase in both liposome la
bels, but only in tissues that possess receptors for SP in postcapilla
ry venules; (ii) liposome material in these tissues has extravasated a
nd is found extracellularly near a variety of cells beyond the endothe
lial layer over the first few hours; (iii) 24 h following injection of
liposomes and SP, liposome material is found in these tissues, locali
zed intracellularly in both endothelial cells and macrophages. We prop
ose that appropriate application of tissue-specific mediators can resu
lt in liposome extravasation deep within tissues that normally do not
take up significant amounts of liposomes from the blood. Such liposome
s are able to carry a variety of pharmacological agents that can be re
leased locally within selected target tissues for therapeutic purposes
.