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Pharmacokinetic analysis of 111 in-labeled liposomal Doxorubicin in murine glioblastoma after blood-brain barrier disruption by focused ultrasound.

Authors: Yang FY, Wang HE, Liu RS, Teng MC, Li JJ, Lu M, Wei MC, Wong TT

The goal of this study was to evaluate the pharmacokinetics of targeted and untargeted (111)In-doxorubicin liposomes after these have been intravenously administrated to tumor-bearing mice in the presence of blood-brain barrier disruption (BBB-D) induced by focused ultrasound (FUS). An intracranial brain tumor model in NOD-scid mice using human brain glioblastoma multiforme (GBM) 8401 cells was developed in this study. (111)In-labeled human atherosclerotic plaque-specific peptide-1 (AP-1)-conjugated liposomes containing doxorubicin (Lipo-Dox; AP-1 Lipo-Dox) were used as a microSPECT probe for radioactivity measurements in the GBM-bearing mice. Compared to the control tumors treated with an injection of (111)In-AP-1 Lipo-Dox or (111)In-Lipo-Dox, the animals receiving the drugs followed by FUS exhibited enhanced accumulation of the drug in the brain tumors (p<0.05). Combining sonication with drugs significantly increased the tumor-to-normal brain doxorubicin ratio of the target tumors compared to the control tumors. The tumor-to-normal brain ratio was highest after the injection of (111)In-AP-1 Lipo-Dox with sonication. The (111)In-liposomes micro-SPECT/CT should be able to provide important information about the optimum therapeutic window for the chemotherapy of brain tumors using sonication.

Introduction

Purpose Drug delivery with BBB opening
Study Objective To evaluate the pharmacokinetics and tumor accumulation of targeted and untargeted 111In-doxorubicin liposomes with and without focused ultrasound–induced blood–brain barrier disruption in glioblastoma-bearing mice.
Animal model / Human subject Mouse (NOD-scid), age not stated, sex not stated
Disease model Glioblastoma multiforme (GBM) - intracranial brain tumor model
Cargo name and characteristics 111In-labeled doxorubicin-containing liposomes (Lipo-Dox) — nanoparticle (liposomal) formulation encapsulating the small-molecule chemotherapeutic doxorubicin; includes AP-1 peptide-targeted variant (AP-1 Lipo-Dox) and untargeted 111In-Lipo-Dox, radiolabeled for microSPECT imaging.
Route of administration intravenous

Outcomes and Safety

Summary of Outcomes Combining pulsed focused ultrasound (sonication) with AP‑1–targeted 111In‑doxorubicin liposomes transiently opened the BBB and significantly increased tumor drug accumulation and the tumor-to-contralateral brain ratio (peak ~3.8 at 48 h) without added systemic toxicity; successful FUS parameter: pulsed sonication.
Duration of biological effect 48 hr
Safety-related matter Doxorubicin is noted to cause severe irreversible cardiomyopathy and hepatotoxicity in humans; in this study AP-1 Lipo-Dox significantly elevated serum GOT and GPT indicating hepatic toxicity (GOT remained elevated with sonication while GPT was not significantly different), with no abnormal BUN or creatinine (no renal toxicity). Both treatments caused slight body-weight loss with a significant decrease at day 14 for AP-1 Lipo-Dox alone; addition of focused ultrasound did not increase systemic toxicity and may reduce GPT elevation, but further investigation is needed.

Brain Region

Visualization unavailable

Ultrasound Parameters

Focal Characteristics focal depth: None, focal length: None, aperture size: None
Treatment frequency Single session

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