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Lomustine Nanoparticles Enable Both Bone Marrow Sparing and High Brain Drug Levels – A Strategy for Brain Cancer Treatments

Purpose The blood brain barrier compromises glioblastoma chemotherapy. However high blood concentrations of lipophilic, alkylating drugs result in brain uptake, but cause myelosuppression. We hypothesised that nanoparticles could achieve therapeutic brain concentrations without dose-limiting myelosu...

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Published in:Pharmaceutical research 2016-05, Vol.33 (5), p.1289-1303
Main Authors: Fisusi, Funmilola A., Siew, Adeline, Chooi, Kar Wai, Okubanjo, Omotunde, Garrett, Natalie, Lalatsa, Katerina, Serrano, Dolores, Summers, Ian, Moger, Julian, Stapleton, Paul, Satchi-Fainaro, Ronit, Schätzlein, Andreas G, Uchegbu, Ijeoma F.
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cited_by cdi_FETCH-LOGICAL-c570t-a39566555138b0803cee05697c6ca3dfc9eb8a6ff12faa34e00b421124d35d813
cites cdi_FETCH-LOGICAL-c570t-a39566555138b0803cee05697c6ca3dfc9eb8a6ff12faa34e00b421124d35d813
container_end_page 1303
container_issue 5
container_start_page 1289
container_title Pharmaceutical research
container_volume 33
creator Fisusi, Funmilola A.
Siew, Adeline
Chooi, Kar Wai
Okubanjo, Omotunde
Garrett, Natalie
Lalatsa, Katerina
Serrano, Dolores
Summers, Ian
Moger, Julian
Stapleton, Paul
Satchi-Fainaro, Ronit
Schätzlein, Andreas G
Uchegbu, Ijeoma F.
description Purpose The blood brain barrier compromises glioblastoma chemotherapy. However high blood concentrations of lipophilic, alkylating drugs result in brain uptake, but cause myelosuppression. We hypothesised that nanoparticles could achieve therapeutic brain concentrations without dose-limiting myelosuppression. Methods Mice were dosed with either intravenous lomustine Molecular Envelope Technology (MET) nanoparticles (13 mg kg −1 ) or ethanolic lomustine (6.5 mg kg −1 ) and tissues analysed. Efficacy was assessed in an orthotopic U-87 MG glioblastoma model, following intravenous MET lomustine (daily 13 mg kg −1 ) or ethanolic lomustine (daily 1.2 mg kg −1 - the highest repeated dose possible). Myelosuppression and MET particle macrophage uptake were also investigated. Results The MET formulation resulted in modest brain targeting (brain/ bone AUC 0-4h ratios for MET and ethanolic lomustine = 0.90 and 0.53 respectively and brain/ liver AUC 0-4h ratios for MET and ethanolic lomustine = 0.24 and 0.15 respectively). The MET formulation significantly increased mice (U-87 MG tumours) survival times; with MET lomustine, ethanolic lomustine and untreated mean survival times of 33.2, 22.5 and 21.3 days respectively and there were no material treatment-related differences in blood and femoral cell counts. Macrophage uptake is slower for MET nanoparticles than for liposomes. Conclusions Particulate drug formulations improved brain tumour therapy without major bone marrow toxicity.
doi_str_mv 10.1007/s11095-016-1872-x
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However high blood concentrations of lipophilic, alkylating drugs result in brain uptake, but cause myelosuppression. We hypothesised that nanoparticles could achieve therapeutic brain concentrations without dose-limiting myelosuppression. Methods Mice were dosed with either intravenous lomustine Molecular Envelope Technology (MET) nanoparticles (13 mg kg −1 ) or ethanolic lomustine (6.5 mg kg −1 ) and tissues analysed. Efficacy was assessed in an orthotopic U-87 MG glioblastoma model, following intravenous MET lomustine (daily 13 mg kg −1 ) or ethanolic lomustine (daily 1.2 mg kg −1 - the highest repeated dose possible). Myelosuppression and MET particle macrophage uptake were also investigated. Results The MET formulation resulted in modest brain targeting (brain/ bone AUC 0-4h ratios for MET and ethanolic lomustine = 0.90 and 0.53 respectively and brain/ liver AUC 0-4h ratios for MET and ethanolic lomustine = 0.24 and 0.15 respectively). The MET formulation significantly increased mice (U-87 MG tumours) survival times; with MET lomustine, ethanolic lomustine and untreated mean survival times of 33.2, 22.5 and 21.3 days respectively and there were no material treatment-related differences in blood and femoral cell counts. Macrophage uptake is slower for MET nanoparticles than for liposomes. 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However high blood concentrations of lipophilic, alkylating drugs result in brain uptake, but cause myelosuppression. We hypothesised that nanoparticles could achieve therapeutic brain concentrations without dose-limiting myelosuppression. Methods Mice were dosed with either intravenous lomustine Molecular Envelope Technology (MET) nanoparticles (13 mg kg −1 ) or ethanolic lomustine (6.5 mg kg −1 ) and tissues analysed. Efficacy was assessed in an orthotopic U-87 MG glioblastoma model, following intravenous MET lomustine (daily 13 mg kg −1 ) or ethanolic lomustine (daily 1.2 mg kg −1 - the highest repeated dose possible). Myelosuppression and MET particle macrophage uptake were also investigated. Results The MET formulation resulted in modest brain targeting (brain/ bone AUC 0-4h ratios for MET and ethanolic lomustine = 0.90 and 0.53 respectively and brain/ liver AUC 0-4h ratios for MET and ethanolic lomustine = 0.24 and 0.15 respectively). 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Siew, Adeline ; Chooi, Kar Wai ; Okubanjo, Omotunde ; Garrett, Natalie ; Lalatsa, Katerina ; Serrano, Dolores ; Summers, Ian ; Moger, Julian ; Stapleton, Paul ; Satchi-Fainaro, Ronit ; Schätzlein, Andreas G ; Uchegbu, Ijeoma F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c570t-a39566555138b0803cee05697c6ca3dfc9eb8a6ff12faa34e00b421124d35d813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Animals</topic><topic>Antineoplastic Agents, Alkylating - administration &amp; dosage</topic><topic>Antineoplastic Agents, Alkylating - adverse effects</topic><topic>Antineoplastic Agents, Alkylating - pharmacokinetics</topic><topic>Antineoplastic Agents, Alkylating - therapeutic use</topic><topic>Biochemistry</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Biomedicine</topic><topic>Bone marrow</topic><topic>Bone Marrow - drug effects</topic><topic>Bone Marrow - metabolism</topic><topic>Bone Marrow - pathology</topic><topic>Brain - drug effects</topic><topic>Brain - metabolism</topic><topic>Brain - pathology</topic><topic>Brain cancer</topic><topic>Brain Neoplasms - drug therapy</topic><topic>Brain Neoplasms - metabolism</topic><topic>Brain Neoplasms - pathology</topic><topic>Brain tumors</topic><topic>Cancer</topic><topic>Cell Line, Tumor</topic><topic>Chemotherapy</topic><topic>Drug Delivery Systems</topic><topic>Drug therapy</topic><topic>Ethylenediaminetetraacetic acid</topic><topic>Glioblastoma - drug therapy</topic><topic>Glioblastoma - metabolism</topic><topic>Glioblastoma - pathology</topic><topic>Gliomas</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Lomustine</topic><topic>Lomustine - administration &amp; 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However high blood concentrations of lipophilic, alkylating drugs result in brain uptake, but cause myelosuppression. We hypothesised that nanoparticles could achieve therapeutic brain concentrations without dose-limiting myelosuppression. Methods Mice were dosed with either intravenous lomustine Molecular Envelope Technology (MET) nanoparticles (13 mg kg −1 ) or ethanolic lomustine (6.5 mg kg −1 ) and tissues analysed. Efficacy was assessed in an orthotopic U-87 MG glioblastoma model, following intravenous MET lomustine (daily 13 mg kg −1 ) or ethanolic lomustine (daily 1.2 mg kg −1 - the highest repeated dose possible). Myelosuppression and MET particle macrophage uptake were also investigated. Results The MET formulation resulted in modest brain targeting (brain/ bone AUC 0-4h ratios for MET and ethanolic lomustine = 0.90 and 0.53 respectively and brain/ liver AUC 0-4h ratios for MET and ethanolic lomustine = 0.24 and 0.15 respectively). The MET formulation significantly increased mice (U-87 MG tumours) survival times; with MET lomustine, ethanolic lomustine and untreated mean survival times of 33.2, 22.5 and 21.3 days respectively and there were no material treatment-related differences in blood and femoral cell counts. Macrophage uptake is slower for MET nanoparticles than for liposomes. Conclusions Particulate drug formulations improved brain tumour therapy without major bone marrow toxicity.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>26903051</pmid><doi>10.1007/s11095-016-1872-x</doi><tpages>15</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0724-8741
ispartof Pharmaceutical research, 2016-05, Vol.33 (5), p.1289-1303
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1573-904X
language eng
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subjects Animals
Antineoplastic Agents, Alkylating - administration & dosage
Antineoplastic Agents, Alkylating - adverse effects
Antineoplastic Agents, Alkylating - pharmacokinetics
Antineoplastic Agents, Alkylating - therapeutic use
Biochemistry
Biomedical and Life Sciences
Biomedical Engineering and Bioengineering
Biomedicine
Bone marrow
Bone Marrow - drug effects
Bone Marrow - metabolism
Bone Marrow - pathology
Brain - drug effects
Brain - metabolism
Brain - pathology
Brain cancer
Brain Neoplasms - drug therapy
Brain Neoplasms - metabolism
Brain Neoplasms - pathology
Brain tumors
Cancer
Cell Line, Tumor
Chemotherapy
Drug Delivery Systems
Drug therapy
Ethylenediaminetetraacetic acid
Glioblastoma - drug therapy
Glioblastoma - metabolism
Glioblastoma - pathology
Gliomas
Health aspects
Humans
Lomustine
Lomustine - administration & dosage
Lomustine - adverse effects
Lomustine - pharmacokinetics
Lomustine - therapeutic use
Male
Medical Law
Mice
Nanoparticles
Nanoparticles - chemistry
Pharmaceutical sciences
Pharmacology/Toxicology
Pharmacy
Research Paper
Tumors
title Lomustine Nanoparticles Enable Both Bone Marrow Sparing and High Brain Drug Levels – A Strategy for Brain Cancer Treatments
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