Synthesis and therapeutic effect of styrene–maleic acid copolymer‐conjugated pirarubicin

Cancer Science - Tập 106 Số 3 - Trang 270-278 - 2015
Kenji Tsukigawa1,2, Long Liao2, Hideaki Nakamura1,2, Jun Fang1,2, Khaled Greish2, Masaki Otagiri1,2, Hiroshi Maeda2
1Faculty of Pharmaceutical Sciences, Sojo University, Kumamoto, Japan
2Institute for Drug Delivery Science, Sojo University, Kumamoto, Japan

Tóm tắt

Previously, we prepared a pirarubicin (THP)‐encapsulated micellar drug using styrene–maleic acid copolymer (SMA) as the drug carrier, in which active THP was non‐covalently encapsulated. We have now developed covalently conjugated SMATHP (SMATHP conjugate) for further investigation toward clinical development, because covalently linked polymer–drug conjugates are known to be more stable in circulation than drug‐encapsulated micelles. The SMATHP conjugate also formed micelles and showed albumin binding capacity in aqueous solution, which suggested that this conjugate behaved as a macromolecule during blood circulation. Consequently, SMATHP conjugate showed significantly prolonged circulation time compared to free THP and high tumor‐targeting efficiency by the enhanced permeability and retention (EPR) effect. As a result, remarkable antitumor effect was achieved against two types of tumors in mice without apparent adverse effects. Significantly, metastatic lung tumor also showed the EPR effect, and this conjugate reduced metastatic tumor in the lung almost completely at 30 mg/kg once i.v. (less than one‐fifth of the maximum tolerable dose). Although SMATHP conjugate per se has little cytotoxicity in vitro (1/100 of free drug THP), tumor‐targeted accumulation by the EPR effect ensures sufficient drug concentrations in tumor to produce an antitumor effect, whereas toxicity to normal tissues is much less. These findings suggest the potential of SMATHP conjugate as a highly favorable candidate for anticancer nanomedicine with good stability and tumor‐targeting properties in vivo.

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