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CN102166190B - Paclitaxel nano liposomes of dual targeting tumor and method for preparing paclitaxel nano liposomes - Google Patents

Paclitaxel nano liposomes of dual targeting tumor and method for preparing paclitaxel nano liposomes Download PDF

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CN102166190B
CN102166190B CN2011100935301A CN201110093530A CN102166190B CN 102166190 B CN102166190 B CN 102166190B CN 2011100935301 A CN2011100935301 A CN 2011100935301A CN 201110093530 A CN201110093530 A CN 201110093530A CN 102166190 B CN102166190 B CN 102166190B
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paclitaxel
tumor
liposomes
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liposome
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CN102166190A (en
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周彩存
孟淑燕
周蔚
粟波
李玮
宋胤
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Shanghai Pulmonary Hospital
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Abstract

本发明属于生物医药领域,更具体地,本发明公开了一种双重靶向肿瘤的紫杉醇纳米脂质体,所述的双靶向紫杉醇纳米脂质体由双重靶向肿瘤的多肽、脂质连接物和紫杉醇脂质体三部分组成。本发明还公开了所述的双重靶向肿瘤的紫杉醇纳米脂质体的制备方法及其作为制备抑制肿瘤药物的用途。The invention belongs to the field of biomedicine. More specifically, the invention discloses a double-targeted tumor paclitaxel nanoliposome. The double-targeted paclitaxel nanoliposome is connected by a double-targeted tumor polypeptide and lipid. It consists of three parts: drug and paclitaxel liposome. The invention also discloses the preparation method of the paclitaxel nano-liposome with double targeting tumor and its application as preparation of tumor suppressing drug.

Description

一种双重靶向肿瘤的紫杉醇纳米脂质体及其制备方法A kind of paclitaxel nano liposome with double targeting tumor and preparation method thereof

技术领域 technical field

本发明属于医药领域,更具体地,本发明公开了一种双重靶向肿瘤的纳米脂质体及其制备方法。The invention belongs to the field of medicine, and more specifically, the invention discloses a nano-liposome with dual targeting tumors and a preparation method thereof.

背景技术 Background technique

近年来恶性肿瘤的发病率和死亡率呈明显上升趋势,已经成为威胁人类健康和生命的主要疾病。国际癌症研究机构的报道显示,1975年到2000年间,全球癌症病例数增长了一倍,每年新发病例约1200万,死亡患者超过700万。2010年癌症将跃居为全球的首要死因,2030年肿瘤患者人数将为现在的三倍,新发病例数将增至2000-2600万。In recent years, the morbidity and mortality of malignant tumors have shown an obvious upward trend, and have become a major disease that threatens human health and life. According to a report by the International Agency for Research on Cancer, the number of cancer cases worldwide doubled between 1975 and 2000, with approximately 12 million new cases and more than 7 million deaths each year. In 2010, cancer will become the leading cause of death in the world. In 2030, the number of cancer patients will triple, and the number of new cases will increase to 20-26 million.

化疗是恶性肿瘤综合治疗中的主要手段之一,合理的化疗策略可显著延长肿瘤患者的生存时间,极大改善患者的生存质量。紫杉醇是一种二萜类化合物,最早是从太平洋紫杉树皮中获得的天然产物,因其能够稳定肿瘤细胞的微管,抑制有丝分裂而具有独特抗癌活性(Wani,M.C.,et al.,Plant antitumoragents.VI.The isolation and structure of taxol,a novel antileukemicand antitumor agent from Taxus brevifol ia.J Am Chem Soc,1971.93(9):p.2325-7.),目前被广泛应用于卵巢癌(Thomas,H.and P.Rosenberg,Roleof weekly paclitaxel in the treatment of advanced ovarian cancer.CritRev Oncol Hematol,2002.44Suppl:p.S43-51.)、乳腺癌(Saloustros,E.,D.Mavroudis,and V.Georgoulias,Paclitaxel and docetaxel in thetreatment of breast cancer.Expert Opin Pharmacother,2008.9(15):p.2603-16.)、头颈部癌(Aisner,J.and H.Cortes-Funes,Paclitaxel in headand neck and other cancers:future prospects.Semin Oncol,1997.24(1Suppl 2):p.S2-113-S2-115.)和非小细胞肺癌的治疗(Greco,F.A.,Paclitaxel-based combination chemotherapy in advanced non-small celllung cancer.Lung Cancer,2001.34Suppl 4:p.S53-6.)。但紫杉醇是一种脂溶性物质,在水溶液和其它许多溶剂中都难以溶解(Ceruti,M.,et al.,Preparation,characterization,cytotoxicity  and pharmacokinetics  ofliposomes containing water-soluble prodrugs of paclitaxel.J ControlRelease,2000.63(1-2):p.141-53.)。临床上使用的紫杉醇制剂(Taxol,商品名为泰素)采用的溶媒为非离子表面活性剂聚氧乙烯蓖麻油(Cremophor EL,CrEL)和无水乙醇(1∶1,V/V)混合物,但该剂型伴随很多难以解决的临床问题(Hennenfent,K.L.and R.Govindan,Novel formulations of taxanes:areview.Old wine in a new bottle?Ann Oncol,2006.17(5):p.735-49.)。传统紫杉醇制剂的临床应用可导致一系列过敏反应(Hennenfent,K.L.and R.Govindan,Novel formulations of taxanes:a review.Old wine in a new bottle?AnnOncol,2006.17(5):p.735-49.),轻者表现瘙痒、皮疹,重者表现为血管性水肿、低血压、呼吸衰竭等(Weiss,R.B.,et al.,Hypersensitivity reactions from taxol.J ClinOncol,1990.8(7):p.1263-8.Wiemik,P.H.,et  al.,Phase I clinical andpharmacokinetic study of taxol.Cancer Res,1987.47(9):p.2486-93.)。95%以上的患者过敏反应发生于第一次或第二次紫杉醇制剂给药期间,80%的症状发生于药物输注的前10分钟,且往往紫杉醇仅仅输注了1mg。由于CrEL可诱导动物产生类似的反应(Wiernik,P.H.,et al.,Phase I clinical and pharmacokinetic study oftaxol.Cancer Res,1987.47(9):p.2486-93.),因此认为是CrEL的存在导致了上述不良反应的发生。且不良反应的发生与输注速度相关(Lorenz,W.,et al.,Histamine release and hypotensive reactions in dogs by solubilizing agents and fattyacids:analysis of various components in cremophor El and development of acompound with reduced toxicity.Agents Actions,1982.12(1-2):p.64-80.),但延长输注时间并不能消除过敏反应的出现。研究者尝试用其他溶剂来替代CrEL,如聚乙二醇,但动物实验发现聚乙二醇的存在可降低紫杉醇的抗肿瘤活性。因此CrEL仍是目前紫杉醇的标准溶媒(Wiernik,P.H.,et al.,Phase I clinical andpharmacokinetic study of taxol.Cancer Res,1987.47(9):p.2486-93.)。Chemotherapy is one of the main methods in the comprehensive treatment of malignant tumors. A reasonable chemotherapy strategy can significantly prolong the survival time of cancer patients and greatly improve the quality of life of patients. Paclitaxel is a diterpenoid compound, which was first obtained from the bark of the Pacific yew tree. It has unique anticancer activity because it can stabilize the microtubules of tumor cells and inhibit mitosis (Wani, M.C., et al., Plant antitumoragents.VI.The isolation and structure of taxol, a novel antileukemicand antitumor agent from Taxus brevifol ia.J Am Chem Soc, 1971.93(9):p.2325-7.), is currently widely used in ovarian cancer (Thomas, H. and P. Rosenberg, Role of weekly paclitaxel in the treatment of advanced ovarian cancer. CritRev Oncol Hematol, 2002.44 Suppl: p.S43-51.), breast cancer (Saloustros, E., D. Mavroudis, and V. Georgoulias, Paclitaxel and docetaxel in the treatment of breast cancer. Expert Opin Pharmacother, 2008.9(15): p.2603-16.), head and neck cancer (Aisner, J. and H. Cortes-Funes, Paclitaxel in head and neck and other cancers: future prospects.Semin Oncol, 1997.24 (1Suppl 2): p.S2-113-S2-115.) and treatment of non-small cell lung cancer (Greco, F.A., Paclitaxel-based combination chemotherapy in advanced non-small celllung cancer.Lung Cancer , 2001.34 Suppl 4: p.S53-6.). But paclitaxel is a fat-soluble substance, which is difficult to dissolve in aqueous solution and many other solvents (Ceruti, M., et al., Preparation, characterization, cytotoxicity and pharmacokinetics of liposomes containing water-soluble prodrugs of paclitaxel.J Control Release, 2000.63( 1-2): p.141-53.). The solvent used in clinically used paclitaxel preparations (Taxol, trade name Taxol) is a mixture of non-ionic surfactant polyoxyethylene castor oil (Cremophor EL, CrEL) and absolute ethanol (1: 1, V/V), But this dosage form is accompanied by many difficult clinical problems (Hennenfent, K.L. and R.Govindan, Novel formulations of taxanes: review. Old wine in a new bottle? Ann Oncol, 2006.17 (5): p.735-49.). The clinical application of traditional paclitaxel preparations can lead to a series of allergic reactions (Hennenfent, K.L.and R.Govindan, Novel formulations of taxanes: a review. Old wine in a new bottle? AnnOncol, 2006.17(5): p.735-49.) , mild cases show itching, rash, severe cases show angioedema, hypotension, respiratory failure, etc. Wiemik, P.H., et al., Phase I clinical and pharmacokinetic study of taxol. Cancer Res, 1987.47(9): p.2486-93.). More than 95% of patients with allergic reactions occurred during the first or second administration of paclitaxel preparations, and 80% of the symptoms occurred in the first 10 minutes of drug infusion, and often only 1 mg of paclitaxel was infused. Since CrEL can induce similar reactions in animals (Wiernik, P.H., et al., Phase I clinical and pharmacokinetic study oftaxol. Cancer Res, 1987.47 (9): p.2486-93.), it is considered that the presence of CrEL has caused Occurrence of the above adverse reactions. And the occurrence of adverse reactions is related to the infusion rate (Lorenz, W., et al., Histamine release and hypotensive reactions in dogs by solubilizing agents and fatty acids: analysis of various components in cremophor El and development of a compound with reduced toxicity. Agents , 1982.12(1-2): p.64-80.), but prolonging the infusion time does not eliminate the occurrence of allergic reactions. Researchers tried to replace CrEL with other solvents, such as polyethylene glycol, but animal experiments found that the presence of polyethylene glycol can reduce the antitumor activity of paclitaxel. Therefore, CrEL is still the standard vehicle for paclitaxel (Wiernik, P.H., et al., Phase I clinical and pharmacokinetic study of taxol. Cancer Res, 1987.47 (9): p.2486-93.).

临床上普遍采用大剂量的糖皮质激素和组胺受体拮抗剂作为其使用前的常规预处理,但其疗效尚不确切。美国西北大学芬伯格医学院的药物警戒项目中药物不良反应事件及报告研究(Research on Adverse Drug Events and Reports,RADAR)发现,1997年到2007年间美国、欧洲和日本报道了171例使用聚氧乙烯蓖麻油紫杉醇后发生过敏反应的病例,其中58例患者发生死亡(34%),96例报道采用了预处理方案的患者中21例发生死亡,死亡率达22%。BoehnkeMichaud等的研究(Michaud,L.B.,V.Valero,and G.Hortobagyi,Risks and benefitsof taxanes in breast and ovarian cancer.Drug Saf,2000.23(5):p.401-28.)也表明,预处理方案采用后仍有约40%的患者会发生轻症的过敏,3%的患者过敏反应可致命。同时预处理方案的施行限制了肿瘤合并溃疡、糖尿病、高血压等的患者对该药的使用,且预处理方案中激素的使用还可能增加治疗相关的死亡率。Clinically, large doses of glucocorticoids and histamine receptor antagonists are commonly used as routine pretreatment before use, but their efficacy is not yet clear. The Research on Adverse Drug Events and Reports (RADAR) of the Pharmacovigilance Project of the Northwestern University Feinberg School of Medicine found that from 1997 to 2007, 171 cases of polyoxygen were reported in the United States, Europe and Japan. Among the cases of anaphylaxis after ethylene castor oil paclitaxel, 58 patients died (34%), and 21 of 96 patients reported using the conditioning regimen died, with a mortality rate of 22%. The research of BoehnkeMichaud et al. (Michaud, L.B., V.Valero, and G.Hortobagyi, Risks and benefits of taxes in breast and ovarian cancer. Drug Saf, 2000.23(5): p.401-28.) also showed that the pretreatment program adopts Afterwards, about 40% of patients will still have mild allergies, and 3% of patients will have fatal anaphylaxis. At the same time, the implementation of the pretreatment regimen limits the use of the drug in patients with tumors complicated by ulcers, diabetes, hypertension, etc., and the use of hormones in the pretreatment regimen may also increase treatment-related mortality.

采用CrEL作为溶媒还可导致周围神经系统毒性(Onetto,N.,et al.,Overview of Taxol safety.J Natl Cancer Inst Monogr,1993(15):p.131-9.)。电生理检查发现紫杉醇CrEL溶液使用后发生周围神经病变的患者存在轴突降解和脱髓鞘。环胞霉素CrEL溶液静脉给药后有约25%的患者会发生周围神经病变,口服给药则无此不良反应出现,而CrEL并不经胃肠道吸收(de Groen,P.C.,et al.,Central nervous system toxicity after liver transplantation.The role of cyclosporineand cholesterol.N Engl J Med,1987.317(14):p.861-6.)。治疗剂量的紫杉醇或环胞霉素CrEL溶液所产生的CrEL血浆浓度可导致小鼠背根神经节神经元轴突肿胀、空泡变性和降解(Windebank,A.J.,M.D.Blexrud,and P.C.de Groen,Potentialneurotoxicity of the solvent vehicle for cyclosporine.J Pharmacol Exp Ther,1994.268(2):p.1051-6.)。目前的研究表明,CrEL产生的环氧乙烷衍生物是导致神经损伤的最主要的因素(Brat,D.J.,A.J.Windebank,and S.Brimijoin,Emulsifier forintravenous cyclosporin inhibits neurite outgrowth,causes deficits in rapid axonaltransport and leads to structural abnormalities in differentiating N1E.115neuroblastoma.J Pharmacol Exp Ther,1992.261(2):p.803-10.)。The use of CrEL as a solvent can also lead to peripheral nervous system toxicity (Onetto, N., et al., Overview of Taxol safety. J Natl Cancer Inst Monogr, 1993 (15): p.131-9.). Electrophysiological examination revealed axonal degradation and demyelination in patients with peripheral neuropathy after paclitaxel-CrEL solution administration. Peripheral neuropathy occurs in about 25% of patients after intravenous administration of cyclosporine CrEL solution, and no such adverse reactions occur in oral administration, and CrEL is not absorbed through the gastrointestinal tract (de Groen, P.C., et al. , Central nervous system toxicity after liver transplantation. The role of cyclosporine and cholesterol. N Engl J Med, 1987.317(14): p.861-6.). Therapeutic doses of paclitaxel or cyclosporine CrEL solutions produced CrEL plasma concentrations that resulted in axonal swelling, vacuolar degeneration, and degradation of dorsal root ganglion neurons in mice (Windebank, A.J., M.D. Blexrud, and P.C. de Groen, Potentialneurotoxicity of the solvent vehicle for cyclosporine. J Pharmacol Exp Ther, 1994.268(2): p.1051-6.). Current research shows that the ethylene oxide derivatives produced by CrEL are the most important factor leading to nerve damage (Brat, D.J., A.J. to structural abnormalities in differentiating N1E.115 neuroblastoma. J Pharmacol Exp Ther, 1992.261(2): p.803-10.).

紫杉醇CrEL溶液每周三次,每次输注3小时的用法使紫杉醇的血浆浓度超出了机体清除代谢的能力,因此紫杉醇CrEL溶液在体内的消除呈非线性动力学,亦称为零级消除动力学(Sparreboom,A.,et al.,Cremophor EL-mediatedalteration of paclitaxel distribution in human blood:clinical pharmacokineticimplications.Cancer Res,1999.59(7):p.1454-7.van Tellingen,O.,et al.,CremophorEL causes(pseudo-)non-linear pharmacokinetics of paclitaxel in patients.Br JCancer,1999.81(2):p.330-5.)。动物实验证实,紫杉醇非线性药代动力学特征与CrEL有关(Sparreboom,A.,et al.,Nonlinear pharmacokinetics of paclitaxel in miceresults from the pharmaceutical vehicle Cremophor EL.Cancer Res,1996.56(9):p.2112-5.),人体内的实验也获得了类似的结果(van Tellingen,O.,et al.,CremophorEL causes(pseudo-)non-linear pharmacokinetics of paclitaxel in patients.Br JCancer,1999.81(2):p.330-5.)。紫杉醇的清除率的降低导致机体组织暴露于高浓度的药物时间延长,产生严重全身毒副反应的几率增加。CrEL还可在血液中形成微小颗粒,包裹紫杉醇分子,从而影响药物分子在肿瘤组织中的分布、代谢与排泌(Sparreboom,A.,et al.,Cremophor EL-mediated alteration of paclitaxeldistribution in human blood:clinical pharmacokinetic implications.Cancer Res,1999.59(7):p.1454-7.)。The administration of paclitaxel CrEL solution three times a week, each infusion of 3 hours makes the plasma concentration of paclitaxel exceed the body's ability to eliminate metabolism, so the elimination of paclitaxel CrEL solution in the body exhibits nonlinear kinetics, also known as zero-order elimination kinetics (Sparreboom, A., et al., Cremophor EL-mediated alteration of paclitaxel distribution in human blood: clinical pharmacokinetic implications. Cancer Res, 1999.59 (7): p.1454-7. van Tellingen, O., et al., CremophorEL causes (pseudo-)non-linear pharmacokinetics of paclitaxel in patients. Br J Cancer, 1999.81(2): p.330-5.). Animal experiments have confirmed that the nonlinear pharmacokinetics of paclitaxel is related to CrEL (Sparreboom, A., et al., Nonlinear pharmacokinetics of paclitaxel in miceresults from the pharmaceutical vehicle Cremophor EL. Cancer Res, 1996.56(9): p.2112- 5.), similar results were obtained in experiments in humans (van Tellingen, O., et al., CremophorEL causes (pseudo-) non-linear pharmacokinetics of paclitaxel in patients. Br J Cancer, 1999.81 (2): p. 330-5.). The reduction of the paclitaxel clearance rate leads to prolonged exposure of body tissues to high concentrations of the drug, increasing the chance of serious systemic toxic side effects. CrEL can also form tiny particles in the blood to wrap paclitaxel molecules, thereby affecting the distribution, metabolism and excretion of drug molecules in tumor tissues (Sparreboom, A., et al., Cremophor EL-mediated alteration of paclitaxel distribution in human blood: Clinical pharmacokinetic implications. Cancer Res, 1999.59(7): p.1454-7.).

紫杉醇的耐药机制很多,P-糖蛋白的表达升高是重要的原因之一。P-糖蛋白是由多药耐药基因编码的一种跨膜转运蛋白,具有ATP酶活性,能将化疗药物从细胞内泵出,降低细胞内的有效药物浓度而致耐药。有研究认为,CrEL可以通过调节P-糖蛋白、抑制多药耐药基因的表达而增强紫杉醇的抗肿瘤作用,但在体内实验中未获得成功(Woodcock,D.M.,et al.,Reversal of the multidrugresistance phenotype with cremophor EL,a common vehicle for water-insolublevitamins and drugs.Cancer Res,1990.50(14):p.4199-203.Schuurhuis,G.J.,et al.,The polyoxyethylene castor oil Cremophor EL modifies multidrug resistance.Br JCancer,1990.62(4):p.591-4.Friche,E.,et al.,The solvents cremophor EL andTween 80 modulate daunorubicin resistance in the multidrug resistant Ehrlich ascitestumor.Cancer Commun,1990.2(9):p.297-303.)。相反有研究发现,CrEL可通过阻滞细胞周期,降低肿瘤细胞对紫杉醇的摄取而拮抗紫杉醇的细胞毒作用(Liebmann,J.,et al.,The influence of Cremophor EL on the cell cycle effects ofpaclitaxel(Taxol)in human tumor cell lines.Cancer Chemother Pharmacol,1994.33(4):p.331-9.)。There are many drug-resistant mechanisms of paclitaxel, and the increased expression of P-glycoprotein is one of the important reasons. P-glycoprotein is a transmembrane transport protein encoded by the multidrug resistance gene. It has ATPase activity, can pump chemotherapy drugs out of cells, and reduce the effective drug concentration in cells to cause drug resistance. Studies have suggested that CrEL can enhance the antitumor effect of paclitaxel by regulating P-glycoprotein and inhibiting the expression of multidrug resistance genes, but in vivo experiments have not been successful (Woodcock, D.M., et al., Reversal of the multidrugresistance phenotype with cremophor EL, a common vehicle for water-insoluble vitamins and drugs. Cancer Res, 1990.50(14): p.4199-203. Schuurhuis, G.J., et al., The polyoxyethylene castor oil Cremophor EL modifies multidBrrugJ resistance. 1990.62(4): p.591-4. Friche, E., et al., The solvents cremophor EL and Tween 80 modulate daunorubicin resistance in the multidrug resistant Ehrlich ascitestumor. Cancer Commun, 1990.2(9): p.297-303. ). On the contrary, studies have found that CrEL can antagonize the cytotoxic effect of paclitaxel by blocking the cell cycle and reducing the uptake of paclitaxel by tumor cells (Liebmann, J., et al., The influence of Cremophor EL on the cell cycle effects of paclitaxel (Taxol ) in human tumor cell lines. Cancer Chemother Pharmacol, 1994.33(4): p.331-9.).

研究表明,紫杉醇CrEL溶液存在稳定性和相容性的问题,如药物一经稀释紫杉醇就易发生沉淀;可从临床上常规使用的PVC输液袋和输液管路中溶出增塑剂(二乙烯己基邻苯二甲酸盐),因此整个使用过程必须采用玻璃或非PVC输液器;与塑料或玻璃容器有非特异性吸附等等(Waugh,W.N.,L.A.Trissel,andV.J.Stella,Stability,compatibility,and plasticizer extraction of taxol(NSC-125973)injection diluted in infusion solutions and stored in various containers.Am J HospPharm,1991.48(7):p.1520-4.Song,D.,L.F.Hsu,and J.L.Au,Binding of taxol toplastic and glass containers and protein under in vitro conditions.J Pharm Sci,1996.85(1):p.29-31.)。Studies have shown that paclitaxel CrEL solution has stability and compatibility problems. For example, once the drug is diluted, paclitaxel is prone to precipitation; plasticizers (divinylhexyl o- Phthalates), so glass or non-PVC infusion sets must be used throughout the use process; non-specific adsorption with plastic or glass containers, etc. (Waugh, W.N., L.A. Trissel, and V.J. Stella, Stability, compatibility, and plasticizer extraction of taxol (NSC-125973) injection diluted in infusion solutions and stored in various containers. Am J HospPharm, 1991.48 (7): p.1520-4. Song, D., L.F.Hsu, and J.L.Au, Binding of taxol toplastic and glass containers and protein under in vitro conditions. J Pharm Sci, 1996.85(1): p.29-31.).

综上所述,紫杉醇现有剂型中CrEL的存在导致了一系列临床毒副反应的出现,CrEL对紫杉醇的疗效及药代动力学也可产生复杂的作用,因此临床上迫切需要研制出不含CrEL的紫杉醇新剂型,以克服表面活性剂的缺陷。In summary, the existence of CrEL in the existing dosage forms of paclitaxel has led to the emergence of a series of clinical toxic and side effects, and CrEL can also have complex effects on the curative effect and pharmacokinetics of paclitaxel. A new formulation of paclitaxel in CrEL to overcome the defects of surfactants.

众多学者致力于紫杉醇新剂型的研发,目前已经研发成功或正在研发的新剂型包括:白蛋白纳米粒(AbraxameTM)(Ibrahim,N.K.,et al.,Phase I andpharmacokinetic study of ABI-007,a Cremophor-free,protein-stabilized,nanoparticle formulation of paclitaxel.Clin Cancer Res,2002.8(5):p.1038-44.Many scholars are committed to the research and development of new formulations of paclitaxel. The new formulations that have been successfully developed or are currently being developed include: albumin nanoparticles (Abraxame TM ) (Ibrahim, NK, et al., Phase I and pharmacokinetic study of ABI-007, a Cremophor -free, protein-stabilized, nanoparticle formulation of paclitaxel. Clin Cancer Res, 2002.8(5): p.1038-44.

Yamada,K.,et al.,Phase I and Pharmacokinetic Study of ABI-007,Albumin-bound Paclitaxel,Administered Every 3Weeks in Japanese Patients withSolid Tumors.Jpn J Clin Oncol,2010.)、紫杉醇前药二十二碳六烯酸紫杉醇(Taxoprexin)(Wolff,A.C.,et al.,Phase I study of docosahexaenoic acid-paclitaxel:a taxane-fatty acid conjugate with a unique pharmacology and toxicity profile.ClinCancer Res,2003.9(10Pt 1):p.3589-97.);多聚谷氨酸紫杉醇(XyotaxTM)(Sabbatini,P.,et al.,Phase II study of CT-2103 in patients with recurrent epithelialovarian,fallopian tube,or primary peritoneal carcinoma.J Clin Oncol,2004.22(22):p.4523-31.)、紫杉醇类似物(BMS-184476(Rose,W.C.,C.Fairchild,and F.Y. Lee,Preclinical antitumor activity of two novel taxanes.Cancer Chemother Pharmacol,2001.47(2):p.97-105.)、DJ-927Ono,C.,A.Takao,and R.Atsumi,Absorption,distribution,and excretion of DJ-927,a novel orally effective taxane,in mice,dogs,and monkeys.Biol Pharm Bull,2004.27(3):p.345-51.Baas,P.,et al.,Phase I/IIstudy of a 3 weekly oral taxane(DJ-927)in patients with recurrent,advancednon-small cell lung cancer.J Thorac Oncol,2008.3(7):p.745-50.)、BMS-275183(Broker,L.E.,et al.,Effect of food on the pharmacokinetic behavior ofthe potent oral taxane BMS-275183.Clin Caneer Res,2008.14(13):p.4186-91.Yamada, K., et al., Phase I and Pharmacokinetic Study of ABI-007, Albumin-bound Paclitaxel, Administered Every 3Weeks in Japanese Patients with Solid Tumors.Jpn J Clin Oncol, 2010.), paclitaxel prodrug docosahexa Taxoprexin (Taxoprexin) (Wolff, AC, et al., Phase I study of docosahexaenoic acid-paclitaxel: a taxane-fatty acid conjugate with a unique pharmacology and toxicity profile. Clin Cancer Res, 2003.9 (10Pt 1): p.3589 -97.); polyglutamic acid paclitaxel (Xyotax TM ) (Sabbatini, P., et al., Phase II study of CT-2103 in patients with recurrent epithelianovarian, fallopian tube, or primary peritoneal carcinoma.J Clin Oncol, 2004.22(22): p.4523-31.), paclitaxel analogs (BMS-184476 (Rose, WC, C. Fairchild, and FY Lee, Preclinical antitumor activity of two novel taxanes. Cancer Chemother Pharmacol, 2001.47(2): p.97-105.), DJ-927 Ono, C., A. Takao, and R. Atsumi, Absorption, distribution, and excretion of DJ-927, a novel orally effective taxane, in mice, dogs, and monkeys. Biol Pharm Bull, 2004.27(3): p.345-51. Baas, P., et al., Phase I/II study of a 3 weekly oral taxane (DJ-927) in patients with recurrent, advanced non-small cell lung cancer. J Thorac Oncol, 2008.3 (7): p.745-50.), BMS-275183 (Broker, LE, et al., Effect of food on the pharmacokinetic behavior of the potent oral taxane BMS-275183 .Clin Caneer Res, 2008.14(13): p.4186-91.

Broker,L.E.,et al.,Phase I trial with BMS-275183,a novel oral taxane withpromising antitumor activity.Clin Caneer Res,2006.12(6):p.1760-7.)、OrtataxelCassinelli,G.,et al.,Cellular bases of the antitumor activity of the novel taxane IDN5109(BAY59-8862)on hormone-refractory prostate cancer.Clin Caneer Res,2002.8(8):p.2647-54.Polizzi,D.,et al.,A novel taxane with improved tolerability andtherapeutic activity in a panel of human tumor xenografts.Cancer Res,1999.59(5):p.1036-40.)、RPRl09881A(Gelmon,K.A.,et al.,Phase I dose-finding study of a newtaxane,RPR 109881A,administered as a one-hour intravenous infusion days 1 and 8to patients with advanced solid tumors.J Clin Oncol,2000.18(24):p.4098-108.Broker, L.E., et al., Phase I trial with BMS-275183, a novel oral taxane with promising antitumor activity. Clin Caneer Res, 2006.12(6): p.1760-7.), Ortataxel Cassinelli, G., et al., Cellular bases of the antitumor activity of the novel taxane IDN5109(BAY59-8862) on hormone-refractory prostate cancer. Clin Caneer Res, 2002.8(8): p.2647-54. Polizzi, D., et al., A novel taxane with improved tolerance and therapeutic activity in a panel of human tumor xenografts. Cancer Res, 1999.59 (5): p.1036-40.), RPRl09881A (Gelmon, K.A., et al., Phase I dose-finding study of a newtaxane, RPR 109881A, administered as a one-hour intravenous infusion days 1 and 8 to patients with advanced solid tumors. J Clin Oncol, 2000.18(24): p.4098-108.

Kurata,T.,et al.,Phase I and pharmacokinetic study of a new taxoid,RPR10988lA,given as a 1-hour intravenous infusion in patients with advanced solidtumors.J Clin Oncol,2000.18(17):p.3164-71.)、紫杉醇胶束共聚物(Genexol-PM)(Kim,S.C.,et al.,In vivo evaluation of polymeric micellar paclitaxel formulation:toxicity and efficacy.J Control Release,2001.72(1-3):p.191-202.)、紫杉醇维生素E乳剂(TOCOSOL)、紫杉醇微球(Paclimer)(Lissianskaya,A.,et al.,Paclitaxelinjectable emulsion:Phase 2a study of weekly administration in patients withplatinum-resistant ovarian cancer.Journal of Clinical Oncology,2004.22(14):p.460s-460s.Bogdanova,N.,et al.,Paclitaxel injectable emulsion:Phase 2a study ofweekly administration in patients with non-small cell lung cancer(NSCLC).Journalof Clinical Oncology,2004.22(14):p.649s-649s.)、紫杉醇脂质体(力朴素)等。其中部分紫杉醇新剂型已经上市(AbraxameTM于2005年被美国食品药品管理局批准上市;紫杉醇脂质体力朴素由南京思科药业研发成功,于2003年批准在国内上市),大部分紫杉醇新剂型尚处于临床前研究阶段,或I-III期临床试验中。Kurata, T., et al., Phase I and pharmacokinetic study of a new taxoid, RPR10988lA, given as a 1-hour intravenous infusion in patients with advanced solid tumors. J Clin Oncol, 2000.18(17): p.3164-71. ), paclitaxel micellar copolymer (Genexol-PM) (Kim, SC, et al., In vivo evaluation of polymeric micellar paclitaxel formulation: toxicity and efficacy.J Control Release, 2001.72(1-3): p.191-202 .), paclitaxel vitamin E emulsion (TOCOSOL), paclitaxel microspheres (Paclimer) (Lissianskaya, A., et al., Paclitaxelinjectable emulsion: Phase 2a study of weekly administration in patients with platinum-resistant ovarian cancer. Journal of Clinical Oncology, 2004.22 (14): p.460s-460s. Bogdanova, N., et al., Paclitaxel injectable emulsion: Phase 2a study of weekly administration in patients with non-small cell lung cancer (NSCLC). Journal of Clinical Oncology, 2004.22(14): p.649s-649s.), paclitaxel liposome (Liposu), etc. Some of the new dosage forms of paclitaxel have been listed (Abraxame TM was approved by the US Food and Drug Administration in 2005; Paclitaxel Liposupplement was successfully developed by Nanjing Cisco Pharmaceuticals and approved for domestic marketing in 2003), and most of the new dosage forms of paclitaxel are still available. In preclinical research stage, or in phase I-III clinical trials.

上述紫杉醇新剂型的共同点在于避免了采用CrEL作为溶媒,因此具有独特的优势,如可缩短药物的输注时间、降低过敏、骨髓抑制和脱发等不良反应的发生率等。部分剂型由于结构的改变而不再是P-糖蛋白的作用底物,因此可降低紫杉醇耐药的发生率,部分剂型甚至可以口服吸收。但紫杉醇新剂型与紫杉醇传统剂型相比能否改善肿瘤患者的预后尚未可知。The common point of the above-mentioned new dosage forms of paclitaxel is that it avoids the use of CrEL as a solvent, so it has unique advantages, such as shortening the infusion time of the drug, and reducing the incidence of adverse reactions such as allergies, bone marrow suppression, and hair loss. Due to structural changes, some dosage forms are no longer the substrates of P-glycoprotein, so the incidence of paclitaxel resistance can be reduced, and some dosage forms can even be absorbed orally. However, whether the new dosage form of paclitaxel can improve the prognosis of cancer patients compared with the traditional dosage form of paclitaxel is still unknown.

发明内容 Contents of the invention

本发明旨在研发一种新型的肿瘤靶向脂质体载药纳米粒,包封紫杉醇后可改善紫杉醇的理化性状和药代动力学行为,改善溶解度,从而避免传统制剂中CrEL导致的各项毒副反应,同时通过该载体的肿瘤主动靶向性,特异性地增加紫杉醇在肿瘤局部的浓度,在增强抗肿瘤作用的同时降低药物对正常组织器官的毒性。The present invention aims to develop a new type of tumor-targeted liposome drug-loaded nanoparticles, which can improve the physical and chemical properties and pharmacokinetic behavior of paclitaxel after encapsulating paclitaxel, and improve solubility, thereby avoiding various problems caused by CrEL in traditional preparations. At the same time, through the active tumor targeting of the carrier, the local concentration of paclitaxel in the tumor can be specifically increased, and the toxicity of the drug to normal tissues and organs can be reduced while enhancing the anti-tumor effect.

本发明将紫杉醇包封于双重靶向肿瘤的纳米脂质体中,两个靶分子能维持各自原有的生物学活性,在功能上产生协同效应。In the present invention, paclitaxel is encapsulated in nano-liposomes with dual targeting tumors, and the two target molecules can maintain their respective original biological activities and produce synergistic effects in function.

本发明提供的双重靶向肿瘤的紫杉醇纳米脂质体主要由三部分组成,双重靶向肿瘤的多肽,脂质连接物和紫杉醇脂质体。The paclitaxel nano-liposome with double targeting tumor mainly consists of three parts, the polypeptide with double targeting tumor, lipid linker and paclitaxel liposome.

首先,本发明采用固相合成法获得双重靶向肿瘤的多肽,所述多肽的氨基酸序列如下:ARYCRGDCFDATWLPPR。其中ARYCRGDCFDG:其核心结构为RGD三肽,即精氨酸-甘氨酸-天冬氨酸(Arg-Gly-Asp)序列,针对靶点是整合素αV家族。αV整合素为细胞黏附分子家族的重要成员之一,通过参与内皮细胞的激活和迁移、介导内皮细胞增殖、抑制内皮细胞凋亡、参与碱性成纤维细胞生长因子和VEGF诱导的血管生成、诱导环加氧酶2的产生等多种途径促进新生血管化和肿瘤的发生发展。αV整合素在生理状态下静止的血管内皮细胞和正常组织器官内呈低表达,但高表达于活化的肿瘤血管内皮细胞和肿瘤细胞表面。药物载体连接含RGD序列的短肽后可显著增强其靶向肿瘤新生血管的能力。ATWLPPR序列是针对的靶点为VEGFR2的共受体神经内皮素-1(Neuropilin-1,NRP-1)。VEGFR-2(Vascular Endothelial Growth Factor Receptor-2)是VEGF/VEGFR家族成员,主要识别低分子量的VEGF,在血管内皮细胞迁移、增殖、存活及血管通透性调节中起重要作用。NRP-1是-种非酪氨酸跨膜糖蛋白,是VEGFR-2的辅助受体,和VEGFR-2的共表达可显著促进VEGF165与VEGFR-2的结合,增强VEGF165介导的生物学作用,促进血管内皮的增殖。NRP-1亦高表达于活化的肿瘤血管内皮细胞和肿瘤细胞表面,在生理状态下静止的血管内皮细胞和正常组织器官内呈低表达。First, the present invention adopts the solid-phase synthesis method to obtain a dual-targeting tumor polypeptide, and the amino acid sequence of the polypeptide is as follows: ARYC RGD CFD ATWLPPR . Among them, ARYC RGD CFDG: its core structure is the RGD tripeptide, that is, the sequence of arginine-glycine-aspartic acid (Arg-Gly-Asp), and the target is the integrin αV family. αV integrin is one of the important members of the cell adhesion molecule family. It participates in the activation and migration of endothelial cells, mediates endothelial cell proliferation, inhibits endothelial cell apoptosis, participates in angiogenesis induced by basic fibroblast growth factor and VEGF, Induction of cyclooxygenase 2 and other pathways promote neovascularization and tumor development. αV integrin is lowly expressed in quiescent vascular endothelial cells and normal tissues and organs under physiological conditions, but highly expressed on the surface of activated tumor vascular endothelial cells and tumor cells. After the drug carrier is linked with a short peptide containing RGD sequence, it can significantly enhance its ability to target tumor neovascularization. The ATWLPPR sequence is aimed at the co-receptor neuroendothelin-1 (Neuropilin-1, NRP-1) of VEGFR2. VEGFR-2 (Vascular Endothelial Growth Factor Receptor-2) is a member of the VEGF/VEGFR family, mainly recognizes low molecular weight VEGF, and plays an important role in the migration, proliferation, survival and regulation of vascular permeability of vascular endothelial cells. NRP-1 is a non-tyrosine transmembrane glycoprotein, and it is a co-receptor of VEGFR-2. The co-expression of NRP-1 and VEGFR-2 can significantly promote the combination of VEGF165 and VEGFR-2, and enhance the biological effects mediated by VEGF165 , promote the proliferation of vascular endothelium. NRP-1 is also highly expressed on the surface of activated tumor vascular endothelial cells and tumor cells, and is lowly expressed in quiescent vascular endothelial cells and normal tissues and organs under physiological conditions.

本发明采用Fmoc固相合成法合成了多肽配体-赖氨酸-甘氨酸-甘氨酸-棕榈酸(lysine-glycine-glycine,KGG-pal)联结物,连接新型多肽和紫杉醇脂质体。The invention adopts the Fmoc solid-phase synthesis method to synthesize a polypeptide ligand-lysine-glycine-glycine-palmitic acid (lysine-glycine-glycine, KGG-pal) conjugate, and connects the novel polypeptide and paclitaxel liposome.

本发明采用薄膜超声分散法制备紫杉醇脂质体,挤压过滤法或高压均质法控制脂质体粒径在60-200nm。小粒径的纳米粒作为药物载体有其独特优势。恶性肿瘤的侵袭性生长和转移有赖于血管的生成,虽然相对于正常血管来说,肿瘤组织中血管对药物的选择性渗透力较弱,但最大直径仍不超过400nm。大粒径的脂质体在脾脏的截留更多,从血液中清除更快,到达肿瘤组织的脂质体明显减少。因此小粒径长循环药物脂质体更易透过血管间隙发挥到达肿瘤局部的作用。The invention adopts a thin-film ultrasonic dispersion method to prepare paclitaxel liposomes, and controls the particle size of the liposomes to be 60-200nm by an extrusion filtration method or a high-pressure homogenization method. Nanoparticles with small particle size have unique advantages as drug carriers. The invasive growth and metastasis of malignant tumors depend on angiogenesis. Compared with normal blood vessels, blood vessels in tumor tissue have weaker selective permeability to drugs, but the maximum diameter still does not exceed 400nm. Liposomes with large particle size have more entrapment in the spleen, are cleared from the blood faster, and the liposomes reaching the tumor tissue are significantly reduced. Therefore, liposomes with small particle size and long circulation are more likely to reach the local tumor through the vascular space.

细胞学研究证实,本发明的含有RGD及ATWLPPR序列的双重靶向肿瘤紫杉醇脂质体,因新型靶向多肽分子量小,核心载药颗粒粒径控制在60-200nm,故易穿透内皮细胞屏障进入肿瘤组织。研究证实,RGD及ATWLPPR序列连接后空间构象互不影响,能维持序列各自原有的生物学活性,从而产生协同效应。相较于只含有RGD或ATWLPPR序列的单靶向紫杉醇脂质体,研发的双重靶向肿瘤的紫杉醇脂质体有显著为优的与新生血管内皮细胞及肿瘤细胞的特异性结合力。与无靶向及单靶向肿瘤的紫杉醇脂质体相比,双重靶向肿瘤的紫杉醇脂质体有更强的与新生血管内皮细胞及肿瘤细胞特异性结合能力,及抑制肿瘤生长能力,故可被进一步应用于恶性肿瘤的靶向治疗领域。Cytological studies have confirmed that the dual-targeting tumor paclitaxel liposome containing RGD and ATWLPPR sequences of the present invention can easily penetrate the endothelial cell barrier because of the small molecular weight of the new targeting polypeptide and the particle size of the core drug-loaded particles is controlled at 60-200nm into the tumor tissue. Studies have confirmed that the spatial conformation of the RGD and ATWLPPR sequences after linkage does not affect each other, and can maintain the original biological activities of the sequences, thereby producing a synergistic effect. Compared with single-targeting paclitaxel liposomes containing only RGD or ATWLPPR sequences, the developed dual-targeting tumor paclitaxel liposomes have significantly better specific binding ability to neovascular endothelial cells and tumor cells. Compared with paclitaxel liposomes without targeting and single-targeting tumors, paclitaxel liposomes dual-targeting tumors have stronger specific binding ability to neovascular endothelial cells and tumor cells, and the ability to inhibit tumor growth. It can be further applied to the field of targeted therapy of malignant tumors.

附图说明 Description of drawings

图1:双重靶向肿瘤的紫杉醇脂质体扫描电镜图Figure 1: Scanning electron micrographs of paclitaxel liposomes dual targeting tumors

图2:双重靶向肿瘤的紫杉醇脂质体粒径分布图Figure 2: Particle size distribution of paclitaxel liposomes for dual targeting tumors

图3:Taxol及各紫杉醇脂质体细胞摄取图Figure 3: Cellular uptake of Taxol and various paclitaxel liposomes

图4:Taxol及各紫杉醇脂质体MTT检测图Figure 4: MTT detection chart of Taxol and various paclitaxel liposomes

图5:Taxol及各紫杉醇脂质体抑瘤实验D60瘤重图Figure 5: D60 tumor weight map of Taxol and various paclitaxel liposome inhibition experiments

具体实施方式 Detailed ways

实验材料Experimental Materials

1、试剂、药品和细胞1. Reagents, drugs and cells

蛋黄卵磷脂(egg phosphatide,egg PC)、胆固醇(cholesterol,CHOL)购自德国东尚公司;单甲氧基聚乙二醇2000二硬脂酰磷脂酰乙醇胺mPEG2000-DSPE购自美国Avanti Polar Lipids公司;脂质多肽均由吉尔生化(上海)有限公司合成;Taxol购自施贵宝公司;紫杉醇购自上海融禾医药科技发展有限公司;十二烷基硫酸钠(Sodium dodecyl sulfonate,SDS)、聚丙烯酰胺、蔗糖、冰醋酸、硝酸银、戊二醛、抑肽酶等均购自国药集团上海分公司;HUVEC(人脐静脉内皮细胞),ATCC No.:CRL-2873;A549细胞(肺腺癌细胞系),ATCC No.:CCL-185;DMEM(Dulbecco’s Modified Eagle Media,高糖细胞培养基),购自Invitrogen公司;新生牛血清购自奥地利PAA公司;青霉素、链霉素、胰蛋白酶等购自华美公司。Egg phosphatide (egg PC) and cholesterol (cholesterol, CHOL) were purchased from Dongshang Company in Germany; monomethoxypolyethylene glycol 2000 distearoylphosphatidylethanolamine mPEG2000-DSPE was purchased from Avanti Polar Lipids in the United States ; Lipid peptides were synthesized by Jill Biochemical (Shanghai) Co., Ltd.; Taxol was purchased from Bristol-Myers Squibb Company; Paclitaxel was purchased from Shanghai Ronghe Pharmaceutical Technology Development Co., Ltd.; Sodium dodecyl sulfonate (SDS), polyacrylamide , sucrose, glacial acetic acid, silver nitrate, glutaraldehyde, aprotinin, etc. were purchased from Sinopharm Shanghai Branch; HUVEC (human umbilical vein endothelial cells), ATCC No.: CRL-2873; A549 cells (lung adenocarcinoma cells Department), ATCC No.: CCL-185; DMEM (Dulbecco's Modified Eagle Media, high-glucose cell culture medium), purchased from Invitrogen Company; newborn bovine serum was purchased from Austria PAA Company; penicillin, streptomycin, trypsin, etc. were purchased from Huamei Company.

2、仪器设备和耗材2. Instruments and consumables

MillexTM FH针式滤器和Ultracel YM100超滤管(美国Millipore公司);SK5210HP水浴超声仪(上海科导超声仪器有限公司);R502B旋转蒸发仪(西安太康仪器设备有限公司);JEM-1200EXII型透射电子显微镜(日本JEOL公司);Quanta 200FEG场发射环境扫描电子显微镜(FEI公司);MASTERSIZER 2000激光粒度仪(英国Malvern公司);冷冻干燥机6L(美国Labconco公司);余同前。MillexTM FH needle filter and Ultracel YM100 ultrafiltration tube (Millipore, USA); SK5210HP water bath ultrasonic instrument (Shanghai Kedao Ultrasonic Instrument Co., Ltd.); R502B rotary evaporator (Xi’an Taikang Instrument Equipment Co., Ltd.); JEM-1200EXII type transmission Electron microscope (Japan JEOL company); Quanta 200FEG field emission environment scanning electron microscope (FEI company); MASTERSIZER 2000 laser particle size analyzer (Malvern company, UK); Freeze dryer 6L (Labconco company, USA);

3、溶液配制3. Solution preparation

PBS液(0.01M,pH7.4):NaCl 8.0g;KCl 0.2g;Na2HP04·12H20 1.44g;KH2PO4 0.24g;超纯水800ml;调节pH值至7.4,定容至1L后高压灭菌,4℃保存。PBS solution (0.01M, pH7.4): NaCl 8.0g; KCl 0.2g; Na2HP04·12H20 1.44g; KH2PO4 0.24g; ultrapure water 800ml; Store at ℃.

0.25%胰酶消化液(1L):胰酶2.5g;NaCl 8g;KCl 0.4g;Na2HP04·12H20 0.06g;KH2PO4 0.06g;NaHCO3 0.35g;酚红0.02g;加压过滤除菌,分装后-20℃保存DMEM培养基(1L):DMEM粉2袋;NaHCO37.4g;青霉素0.12g;链霉素0.2g;HCl、NaOH调节pH值至7.2-7.4,加压过滤除菌,4℃保存;细胞冻存液:DMEM培养基70%;二甲亚砜(DMSO)10%;新生牛血清20%;分装后-20℃保存;细胞裂解液:Tris 10mmol/L;Nacl 100mmol/L;EDTA 1mmol/L  ;EGTA 1mmol/L;NaF 1mmol/L;Na4P2O7·10H2O 20mmol/L;钒酸钠2mmol/L;Triton X-1001%;甘油10%;十二烷基硫酸钠0.1%;脱氧胆酸盐0.5%;PMSF 100μg/μL。0.25% trypsin digestion solution (1L): trypsin 2.5g; NaCl 8g; KCl 0.4g; Na2HP04 12H20 0.06g; KH2PO4 0.06g; NaHCO3 0.35g; Store DMEM medium (1L) at -20°C: 2 bags of DMEM powder; 37.4g NaHCO; 0.12g penicillin; 0.2g streptomycin; ;Cell cryopreservation medium: DMEM medium 70%; Dimethyl sulfoxide (DMSO) 10%; Newborn bovine serum 20%; Store at -20°C after aliquoting; Cell lysate: Tris 10mmol/L; Nacl 100mmol/L; EDTA 1mmol/L; EGTA 1mmol/L; NaF 1mmol/L; Na4P2O7·10H2O 20mmol/L; Sodium vanadate 2mmol/L; Triton X-1001%; Glycerin 10%; Sodium lauryl sulfate 0.1%; Salt 0.5%; PMSF 100μg/μL.

通过以下实施例进一步说明本发明,但不作为本发明的限制。The present invention is further illustrated by the following examples, but not as a limitation of the present invention.

实施例1:双重靶向肿瘤多肽的合成步骤Example 1: Synthesis steps of dual targeting tumor polypeptides

采用9-芴甲氧羰基(fluorenylmethyloxycarbonyl,FMOC)固相合成法合成双重靶向肿瘤的多肽,采用高效液相色谱(high performance liquidchromatography,HPLC)法纯化,采用质谱鉴定。具体合成步骤如下:The dual-targeting tumor peptide was synthesized by 9-fluorenylmethyloxycarbonyl (FMOC) solid-phase synthesis method, purified by high performance liquid chromatography (HPLC), and identified by mass spectrometry. Concrete synthetic steps are as follows:

1)树脂溶涨:将FMOC-AA-Wang-Resin树脂放入反应管中,加二甲基甲酰胺(N,N-dimethylformamide,DMF)(15ml/g)30min;1) Resin swelling: put FMOC-AA-Wang-Resin resin into the reaction tube, add dimethylformamide (N, N-dimethylformamide, DMF) (15ml/g) for 30min;

脱保护:吸弃DMF,加20%哌啶DMF溶液(15ml/g)5min,吸弃后再加20%哌啶DMF溶液(15ml/g)15min;Deprotection: discard DMF, add 20% piperidine DMF solution (15ml/g) for 5min, then add 20% piperidine DMF solution (15ml/g) for 15min;

2)检测:抽掉哌啶溶液,取树脂十几粒,用乙醇洗三次,加入茚三酮,氰化钾,苯酚溶液各一滴,105℃-110℃加热5min,变深蓝色为阳性反应。2) Detection: Take out the piperidine solution, take more than a dozen resins, wash them three times with ethanol, add ninhydrin, potassium cyanide, and phenol solution one drop each, heat at 105°C-110°C for 5 minutes, and turn dark blue as a positive reaction.

3)洗涤:DMF(10ml/g)两次,甲醇(10ml/g)两次,DMF(10ml/g)两次;3) Washing: DMF (10ml/g) twice, methanol (10ml/g) twice, DMF (10ml/g) twice;

4)缩合:保护氨基酸(FOMC-Asp-OH)三倍过量,1-氧-3-双二甲胺羧基苯骈三氮唑四氟化硼盐三倍过量,均用尽量少DMF溶解,加入反应管,立刻加入N-甲基吗啉十倍过量,反应30min;4) Condensation: three times excess of protected amino acid (FOMC-Asp-OH), three times excess of 1-oxo-3-bisdimethylamine carboxybenzotriazole boron tetrafluoride salt, dissolved with as little DMF as possible, and added To the reaction tube, immediately add N-methylmorpholine in a ten-fold excess, and react for 30 minutes;

5)洗涤:DMF(10ml/g)一次,甲醇(10ml/g)两次,DMF(10ml/g)两次;5) Washing: DMF (10ml/g) once, methanol (10ml/g) twice, DMF (10ml/g) twice;

6)重复操作步骤2)--6),依次连接FMOC-Tyr-OH、FMOC-Thr-OH、FMOC-Met-OH、FMOC-Asn-OH、FMOC-Pro-OH、FMOC-Arg-OH、FMOC-Lys-OH、FMOC-Leu-OH、FMOC-Phe-OH;6) Repeat steps 2)--6) to connect FMOC-Tyr-OH, FMOC-Thr-OH, FMOC-Met-OH, FMOC-Asn-OH, FMOC-Pro-OH, FMOC-Arg-OH, FMOC-Lys-OH, FMOC-Leu-OH, FMOC-Phe-OH;

7)最后一次洗涤:DMF(10ml/g)两次,甲醇(10ml/g)两次,DMF(10ml/g)两次,DCM(10ml/g)两次;7) The last washing: DMF (10ml/g) twice, methanol (10ml/g) twice, DMF (10ml/g) twice, DCM (10ml/g) twice;

8)裂解:裂解液(10ml/g)(含TFA 94.5%;水2.5%;EDT 2.5%;TIS 1%)120min;8) Lysis: lysate (10ml/g) (containing TFA 94.5%; water 2.5%; EDT 2.5%; TIS 1%) 120min;

9)吹干洗涤:氮气尽量吹干裂解液,乙醚洗涤六次,常温挥干;9) Drying and washing: dry the lysate with nitrogen as much as possible, wash with ether six times, and evaporate to dry at room temperature;

10)密封,-20度保存。10) Sealed and stored at -20°C.

所得为白色粉末状物质,HPLC纯化,纯度>95%;The resulting white powdery substance was purified by HPLC with a purity > 95%;

实施例2:非靶向、单靶向及双重靶向肿瘤的紫杉醇脂质体的制备Example 2: Preparation of non-targeting, single-targeting and dual-targeting tumor paclitaxel liposomes

采用薄膜超声分散法制备各紫杉醇脂质体Preparation of Paclitaxel Liposomes by Thin Film Ultrasonic Dispersion

非主动靶向紫杉醇脂质体配方:PC∶CHOL∶mPEG-DSPE∶PTX 9∶1∶0.5∶0.33,主动靶向紫杉醇脂质体在上述配方中加入不同的脂质多肽(ARYCRGDCFDG-KGG、ARYCRGDCFDATWLPPR-KGG)(与总脂摩尔比均为1∶542)。由于在专利1实施例中,多肽ATWLPPR及ATWLPPR-荧光脂质体均未显示出优于多肽ARYCRGDCFDG、ARYCRGDCFDG-荧光脂质体及多肽ARYCRGDCFDATWLPPR、ARYCRGDCFDATWLPPR-荧光脂质体的与细胞特异性亲和力,故未合成,且在后继试验中亦未予应用。Non-active targeting paclitaxel liposome formula: PC: CHOL: mPEG-DSPE: PTX 9: 1: 0.5: 0.33, active targeting paclitaxel liposomes added different lipid polypeptides (ARYC RGD CFDG-KGG , ARYC RGD CFD ATWLPPR -KGG) (the molar ratio to the total fat is 1:542). Because in the patent 1 embodiment, the polypeptide ATWLPPR and ATWLPPR-fluorescent liposomes are not shown to be superior to the polypeptide ARYC RGD CFDG, ARYC RGD CFDG-fluorescent liposome and the polypeptide ARYC RGD CFD ATWLPPR , ARYC RGD CFD ATWLPPR -fluorescent liposome Plastids have specific cell-specific affinity, so they were not synthesized and were not used in subsequent experiments.

上述配方溶于氯仿,0.2μm平板滤器过滤,置旋转蒸发仪37℃旋转成膜后继续真空抽吸1小时进一步除去氯仿;加适量过滤除菌的9%蔗糖溶液,充分溶胀至薄膜脱落,所得混悬液经Mini-extruder挤出(1μm、0.4μm、0.2μm、0.1μm各10次)后,分装至西林瓶,置真空冷冻干燥机中,-38℃×2h,-35℃×18h,-16℃×2h,20℃×2h,干燥后加塞封盖,-20℃冰箱保存待用。各项检测均采用冻干脂质体PBS复溶液。The above formula was dissolved in chloroform, filtered through a 0.2 μm plate filter, placed in a rotary evaporator at 37°C to form a film, and then vacuumed for 1 hour to further remove chloroform; add an appropriate amount of filter-sterilized 9% sucrose solution, fully swell until the film falls off, and the obtained After the suspension was extruded by Mini-extruder (1 μm, 0.4 μm, 0.2 μm, 0.1 μm each 10 times), it was divided into vials and placed in a vacuum freeze dryer at -38°C×2h, -35°C×18h , -16°C x 2h, 20°C x 2h, dry and seal with a stopper, store in a -20°C refrigerator until use. All tests were performed using freeze-dried liposome PBS reconstituted solution.

扫描电镜见双靶向紫杉醇脂质体呈圆形或类圆形,颗粒大小较一致,粒径<100nm(见图1)。Scanning electron microscopy showed that the dual-targeted paclitaxel liposomes were round or nearly round, and the particle size was relatively consistent, with a particle diameter of <100nm (see Figure 1).

实施例3:紫杉醇脂质体体外释放实验Embodiment 3: Paclitaxel liposome release experiment in vitro

复溶的非主动靶向紫杉醇脂质体、单靶向及双重靶向肿瘤的紫杉醇脂质体及泰素(Taxol)各3ml置分子量14KD透析袋内,袋外加20ml含45g/L牛血清白蛋白的灭菌水模拟体内环境,恒温磁力搅拌器搅拌(300rpm),于30min、1h、2h、4h、6h、8h、24h分别取出透析液80μL备用,同时透析袋外加回80μL含45g/L牛血清白蛋白的灭菌水。取出的透析液加入320μL色谱级的甲醇溶液沉淀蛋白,漩涡混合后高速离心13000g×10min,取上清液行HPLC检测紫杉醇含量。同时检测透析前复溶的各紫杉醇脂质体及Taxol溶液中紫杉醇的浓度,以(透析液中紫杉醇浓度/原液中紫杉醇浓度)×100%作为衡量缓释能力的指标。3ml of reconstituted non-active targeting paclitaxel liposomes, paclitaxel liposomes with single and dual targeting tumors, and Taxol were placed in a dialysis bag with a molecular weight of 14KD, and 20ml containing 45g/L bovine serum white was added to the bag Protein sterilized water simulates the internal environment, stirred with a constant temperature magnetic stirrer (300rpm), and 80μL of dialysate was taken out at 30min, 1h, 2h, 4h, 6h, 8h, and 24h for use, and at the same time, 80μL containing 45g/L cattle was added back to the dialysis bag. Serum albumin in sterile water. Add 320 μL of chromatographic grade methanol solution to the dialysate taken out to precipitate protein, vortex and mix, then centrifuge at 13000g×10min at high speed, and take the supernatant to detect paclitaxel content by HPLC. At the same time, the concentration of paclitaxel in each paclitaxel liposome and Taxol solution reconstituted before dialysis was detected, and (concentration of paclitaxel in the dialysate/concentration of paclitaxel in the stock solution)×100% was used as an index to measure the sustained release ability.

结果发现(见图2),紫杉醇从CrEL辅剂中释放最快,24h累积释放达15.96%。紫杉醇采用脂质体作为药物载体后,体外的释放速率明显降低,紫杉醇脂质体、单靶向紫杉醇脂质体、双重靶向肿瘤的紫杉醇脂质体24h累积释放分别为4.40%、4.55%、3.6%,缓释作用显著。同时也提示脂质多肽连接于脂质体表面后未破坏脂质体的结构完整性,增强的缓释性能可进一步改善紫杉醇在体内的药代动力学行为。It was found (see Figure 2) that paclitaxel was released fastest from the CrEL adjuvant, and the cumulative release reached 15.96% in 24 hours. After using liposomes as drug carriers for paclitaxel, the release rate in vitro was significantly reduced. The 24-hour cumulative release of paclitaxel liposomes, single-targeted paclitaxel liposomes, and dual-targeted tumor paclitaxel liposomes was 4.40%, 4.55%, and 4.5%, respectively. 3.6%, the slow-release effect is remarkable. At the same time, it is also suggested that the structural integrity of the liposome is not destroyed after the lipopolypeptide is linked to the surface of the liposome, and the enhanced sustained-release performance can further improve the pharmacokinetic behavior of paclitaxel in vivo.

实施例4:细胞内吞实验Example 4: Cell Endocytosis Experiment

HUVEC、A549细胞接种于24孔板,1×106/孔,置培养箱24h使细胞贴壁,每孔分别加入Taxol、紫杉醇脂质体、单靶向紫杉醇脂质体、双靶向紫杉醇脂质体(以紫杉醇计5μg),复孔4个,37℃孵育4h,冰PBS液洗涤2次,加细胞裂解液100μL/孔,收集裂解液,加100μL甲醇溶液沉淀蛋白,漩涡混合5min,10000g离心30min,取上清液行HPLC检测细胞内的紫杉醇含量。HUVEC and A549 cells were seeded in 24-well plates, 1×10 6 /well, placed in an incubator for 24 hours to allow the cells to adhere to the wall, and Taxol, paclitaxel liposomes, single-targeted paclitaxel liposomes, and double-targeted paclitaxel lipids were added to each well Plastid (5 μg as paclitaxel), 4 duplicate wells, incubate at 37°C for 4 hours, wash twice with ice PBS, add 100 μL/well of cell lysate, collect the lysate, add 100 μL methanol solution to precipitate protein, vortex for 5 min, 10000 g After centrifugation for 30 min, the supernatant was taken for HPLC to detect the paclitaxel content in the cells.

Taxol及各紫杉醇脂质体与细胞孵育后,细胞摄取情况见图3。由图可见,A549细胞和HUVEC对传统紫杉醇溶液(Taxol)的摄取量极低,紫杉醇含量达HPLC检测最低限(分别为5ng/孔和25ng/孔)。紫杉醇包封于脂质体后,由于脂质体可通过接触释放、吸附、内吞、融合、脂质交换等多种途径与细胞发生作用,故增加了细胞对紫杉醇的摄取能力。A549细胞和HUVEC对非靶向紫杉醇脂质体的摄取量分别达145ng/孔、157ng/孔。连接肿瘤特异性靶向多肽的紫杉醇脂质体进一步增强了细胞对紫杉醇的摄取能力,其中A549细胞和HUVEC对单靶点紫杉醇脂质体的摄取量分别为212ng/孔和232ng/孔,对双重靶向肿瘤的紫杉醇脂质体的摄取量分别为346ng/孔和319ng/孔。同时上述数据还提示,细胞摄取双重靶向肿瘤的紫杉醇脂质体的能力更强,证实双重靶向肿瘤的新型多肽具有与肿瘤细胞、血管内皮细胞更好的特异性的结合力。After Taxol and various paclitaxel liposomes were incubated with cells, the uptake by cells is shown in Figure 3. It can be seen from the figure that the uptake of traditional paclitaxel solution (Taxol) by A549 cells and HUVEC is extremely low, and the paclitaxel content reaches the minimum limit of HPLC detection (5 ng/well and 25 ng/well, respectively). After paclitaxel is encapsulated in liposomes, since liposomes can interact with cells through contact release, adsorption, endocytosis, fusion, lipid exchange and other ways, the uptake of paclitaxel by cells is increased. The uptake of non-targeted paclitaxel liposomes by A549 cells and HUVECs was 145ng/well and 157ng/well, respectively. Paclitaxel liposomes linked to tumor-specific targeting polypeptides further enhanced the uptake of paclitaxel by cells. The uptake of single-target paclitaxel liposomes by A549 cells and HUVECs was 212ng/well and 232ng/well, respectively. The uptake of tumor-targeted paclitaxel liposomes was 346ng/well and 319ng/well, respectively. At the same time, the above data also suggested that the ability of cells to take up paclitaxel liposomes with dual targeting tumors was stronger, confirming that the novel polypeptides with dual targeting tumors had better specific binding force with tumor cells and vascular endothelial cells.

实施例5:细胞毒性试验Embodiment 5: cytotoxicity test

A549和HUVEC细胞稀释至4×104/mL,加入96孔板,每孔100μL,置培养箱24h使细胞贴壁;采用无血清的DMEM培养液将Taxol、紫杉醇脂质体、单靶向紫杉醇脂质体、双重靶向肿瘤的紫杉醇脂质体倍比稀释为终浓度0.9375mg/L、1.875mg/L、3.75mg/L、7.5mg/L、15mg/L的工作液,每孔加入工作液100μL,再置细胞培养箱孵育72h;加5mg/mL的MTT液20μl/孔,培养箱中孵育4h,1500rpm离心10min,弃去培养液,各孔分别加入DMSO200μL,脱色摇床混匀30min后上酶标仪,选择波长530nm检测吸光值,计算IC50,公式如下:A549 and HUVEC cells were diluted to 4×10 4 /mL, added to a 96-well plate, 100 μL per well, and placed in an incubator for 24 hours to allow the cells to adhere to the wall; Taxol, paclitaxel liposome, single-targeted paclitaxel Liposomes, paclitaxel liposomes with dual targeting tumors are diluted to the final concentration of 0.9375mg/L, 1.875mg/L, 3.75mg/L, 7.5mg/L, 15mg/L working solution, add working solution to each well Add 20 μl/well of 5 mg/mL MTT solution, incubate in the incubator for 4 hours, centrifuge at 1500 rpm for 10 minutes, discard the culture medium, add 200 μL of DMSO to each well, and mix on a decolorizing shaker for 30 minutes On a microplate reader, select a wavelength of 530nm to detect the absorbance value, and calculate IC50, the formula is as follows:

Figure BDA0000055326210000161
Figure BDA0000055326210000161

图4可见,Taxol对A549细胞、HUVEC中的IC50值分别为6.027mg/L、6.56mg/L;紫杉醇脂质体对两种细胞的IC50值分别为3.37mg/L、4.56mg/L;单靶向紫杉醇脂质体、双重靶向肿瘤的紫杉醇脂质体对两种细胞的IC50值分别为1.46mg/L、1.16mg/L和3.40mg/L、3.25mg/L。结果提示紫杉醇脂质体表面连接血管靶向多肽后增强了对肿瘤细胞和血管内皮细胞的毒性,其中双重靶向肿瘤的紫杉醇脂质体具有最强的细胞毒性。It can be seen from Fig. 4 that the IC50 values of Taxol to A549 cells and HUVEC are 6.027mg/L and 6.56mg/L respectively; The IC50 values of paclitaxel liposomes and dual-targeted tumor paclitaxel liposomes were 1.46mg/L, 1.16mg/L and 3.40mg/L, 3.25mg/L, respectively. The results suggested that the surface of paclitaxel liposomes linked with vascular targeting polypeptides enhanced the toxicity to tumor cells and vascular endothelial cells, and the dual-targeting tumor paclitaxel liposomes had the strongest cytotoxicity.

实施例6:体内抑瘤作用评估Example 6: In vivo tumor suppression evaluation

A549肺腺癌细胞常规培养至对数生长期,0.25%胰酶消化成细胞悬液后取1×107/0.1mL接种于4周龄(18-20g)雌性Balb/c裸鼠右腋皮下,瘤体长至50mm3-80mm3起开始给药。裸鼠按给药不同共分5组,每组5只,于d1、d4、d8天分别给予生理盐水、Taxol、紫杉醇脂质体、单靶向紫杉醇脂质体和双重靶向肿瘤的紫杉醇脂质体。其中生理盐水组给予生理盐水0.5mL,余各组给药量按紫杉醇计为7.5mg/kg。给药后监测裸鼠体重(2次/周)、瘤体大小(2次/周),至d60处死所有裸鼠,剥离瘤体称重,计算肿瘤抑制率。A549 lung adenocarcinoma cells were routinely cultured to the logarithmic growth phase, digested with 0.25% trypsin to form a cell suspension, and then inoculated 1×10 7 /0.1mL under the right armpit of 4-week-old (18-20g) female Balb/c nude mice , the tumor body grows to 50mm 3 -80mm 3 and begins to administer. The nude mice were divided into 5 groups according to different administrations, with 5 mice in each group. They were given normal saline, Taxol, paclitaxel liposome, single-targeted paclitaxel liposome and dual-targeted tumor-targeted paclitaxel liposome on d1, d4, and d8 respectively. plastid. Among them, the normal saline group was given 0.5 mL of normal saline, and the dosage of other groups was 7.5 mg/kg based on paclitaxel. After administration, the body weight (twice/week) and tumor size (twice/week) of the nude mice were monitored, and all nude mice were sacrificed on d60, the tumors were stripped off and weighed, and the tumor inhibition rate was calculated.

肿瘤大小计算公式:肿瘤体积V=ab2/2,其中a为肿瘤最长径和b为肿瘤最短径,肿瘤抑制率计算公式:(1-实验组瘤重)/对照组瘤重×100%。Tumor size calculation formula: tumor volume V=ab 2 /2, where a is the longest diameter of the tumor and b is the shortest diameter of the tumor, and the calculation formula of tumor inhibition rate: (1-tumor weight of the experimental group)/tumor weight of the control group×100% .

结果显示(见图5),给予生理盐水的对照组裸鼠移植瘤生长迅速,d60达1925mm3,平均瘤重为(1.62±0.09g)。给予Taxol及各紫杉醇脂质体组裸鼠瘤体积增长相对缓慢,Taxol组d60移植瘤平均体积为1104mm3,抑瘤率为46.9%;紫杉醇脂质体组d60移植瘤平均体积为912mm3,平均瘤重为(0.61±0.10g),抑瘤率为62.3%;单靶向紫杉醇脂质体组和双重靶向肿瘤的紫杉醇脂质体组肿瘤平均体积进一步缩小,分别为590mm3和455mm3,平均瘤重分别为(0.44±0.07g)和(0.30±0.04g),抑瘤率分别为72.8%和81.5%。间接证实双重靶向肿瘤的多肽有效连接于紫杉醇脂质体表面,促进了肿瘤组织对药物载体的摄取,提高了药物在局部的有效浓度,增强了药物的抗肿瘤能力。The results showed (see FIG. 5 ) that the transplanted tumors in the control group given normal saline grew rapidly, with a d60 of 1925mm 3 and an average tumor weight of (1.62±0.09g). The growth of tumor volume in nude mice given Taxol and various paclitaxel liposome groups was relatively slow . The average volume of d60 transplanted tumors in Taxol group was 1104mm 3 , and the tumor inhibition rate was 46.9%. The tumor weight was (0.61±0.10g), and the tumor inhibition rate was 62.3%. The average volume of tumors in the single-targeted paclitaxel liposome group and the dual-targeted tumor-targeted paclitaxel liposome group was further reduced to 590 mm 3 and 455 mm 3 , respectively. The average tumor weights were (0.44±0.07g) and (0.30±0.04g), and the tumor inhibition rates were 72.8% and 81.5%. It was indirectly confirmed that the dual-targeting tumor peptides were effectively linked to the surface of paclitaxel liposomes, which promoted the uptake of the drug carrier by tumor tissue, increased the local effective concentration of the drug, and enhanced the anti-tumor ability of the drug.

Claims (3)

1. the paclitaxel nano lipid body of a dual-target tumor is characterized in that it mainly by the polypeptide of dual-target tumor, and lipid junctional complex and Paclitaxel liposome three parts form; The structure of described polypeptide and lipid junctional complex is ARYCRGDCFDATWLPPR-KGG; The prescription of Paclitaxel liposome is that PC:CHOL:mPEG-DSPE:PTX is 9:1:0.5:0.33.
2. the preparation method of the paclitaxel nano lipid body of dual-target tumor claimed in claim 1, it is characterized in that at first synthesizing the ARYCRGDCFDATWLPPR polypeptide of dual-target tumor, then synthesize polypeptide junctional complex KGG, prepare at last the paclitaxel nano lipid body of dual-target tumor; The prescription of Paclitaxel liposome is that PC:CHOL:mPEG-DSPE:PTX is 9:1:0.5:0.33.
3. the application of the paclitaxel nano lipid body of dual-target tumor claimed in claim 1 in preparation inhibition tumour medicine.
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