Doxorubicin is widely used in the treatment of human malignancies, however
is associated with significant cardiac, bone marrow and gastro-intestinal t
oxicity. Delivery systems may ameliorate this toxicity and increase treatme
nt specificity by increasing the proportion of drug delivered to sites of d
isease. We have developed a novel preparation of doxorubicin (Dox) covalent
ly linked to a heat stabilised human serum albumin microparticle (HSAM) car
rier (median particle diameter of 4 mu m) and assessed its activity in 4 ma
lignant cell lines.
Materials and methods. Doxorubicin microcapsules were compared with free do
xorubicin in the rat carcinoma cell line, WRC256, and the human lines, OVCA
R3, MCF7 and the Dox resistant MCF7/Dox, using a cell counting technique. I
C50 were calculated from regression analysis of the resulting survival curv
es. Endocytosis of the microcapsules by cells in culture was observed. The
rate of microcapsule uptake was assessed using dual wavelength filtered flu
orescence microscopy and flow cytometry.
Results. The mean IC50 following incubation with the Dox microcapsules was
around 5 times greater than Dox for WRC256 (p < 0.001), MCF7 (p < 0.01) and
for OVCAR3 (p < 0.01). MCF7/Dox was significantly more sensitive to Dox mi
crocapsules than free Dox (p = 0.034). A negative correlation between the r
ate of microcapsule uptake and the IC50 values for each cell line in cultur
e exists (r = -0.96, p = 0.04).
Conclusions. We conclude that: 1) Doxorubicin microcapsules retain activity
in vitro and appear to overcome p-glycoprotein mediated Dox resistance. 2)
The observed activity of Dox microcapsules correlates with the rate of par
ticle uptake. Further studies in animal tumour models are in progress.