This study was designed to determine if repeat injections of polyethyl
ene glycol (PEG) coated liposomes in the same animal lead to a change
in biodistribution due to a biological response. To evaluate the long-
term storage of PEG-liposomes for imaging applications and to remove a
ny concerns of batch variability, one large batch of PEG-liposomes con
taining glutathione and sucrose was prepared and used for the entire s
tudy. On each day that an imaging study was performed, an aliquot of P
EG-liposomes were labeled with technetium-99m (Tc-99m) using hexamethy
lpropyleneamine oxime. Rabbits (n = 4) were injected with Tc-99m-PEG-l
iposomes (2 ml; 13 mg phospholipid/kg body wt; 2 mCi Tc-99m-activity)
at 8 days after manufacture and imaged under a gamma camera. Heart-to-
lung ratios, heart-to-liver ratios and organ activities were determine
d by region of interest analysis. Blood samples were collected to gene
rate blood clearance curves. Six weeks later the same rabbits were giv
en a second dose of Tc-99m-PEG-liposomes at 50 days after manufacture
and imaged as before. A set of new rabbits (n = 3) were also imaged at
six weeks using Tc-99m-PEG-liposomes in order to differentiate any di
fferences in organ distribution due to storage vs, reinjection. Images
acquired for each set of rabbits at 30 minutes demonstrated little ch
ange in organ distribution following reinjection. Heart-to-lung ratios
decreased from 2.25 +/- 0.06 at baseline to 2.05 0.05 on reinjection
and 2.10 +/- 0.01 upon storage. Heart-to-liver ratios were 1.46 +/- 0.
06 on reinjection, significantly lower than the ratio of 1.72 +/- 0.10
at baseline or 1.68 +/- 0.09 upon storage. Circulation half-life of 2
9 hours did not change within the three groups. Although a slight chan
ge in organ biodistribution occurred with storage and reinjection, the
se effects were minimal and are not likely to affect drug targeting or
diagnostic imaging on repeat injection.