摘要
Given compelling evidences supporting the therapeutic potential of irinotecan (IRN) for patients with glioblastoma (GBM), the present study evaluated the activity of Irinophore C鈩?(IrC鈩?, a lipid-based nanopharmaceutical formulation of IRN, in GBM. The levels of IRN and SN-38 were determined in plasma and brain after a single intravenous dose of IRN or IrC鈩?in tumor-free mice. Treatment with IrC鈩?significantly increased the plasma AUC0-24 h of the active (lactone) forms of IRN and SN-38 when compared to free drug (760 and 30-fold increase, respectively). Levels of IRN and SN-38 in brain tissue were also increased significantly (compared to IRN treatment) following IrC鈩?administration. A tolerability study revealed that IrC鈩?is better tolerated than IRN. The efficacy of IrC鈩?and IRN was assessed in an orthotopic model of GBM. The therapeutic efficacy of IrC鈩?given at 25 mg/kg weekly was comparable to the efficacy achieved using twice the dose of IRN. At the maximum tolerated dose, IrC鈩?(100 mg/kg) increased the survival time of tumor-bearing mice of 83%compared to untreated animals. Ki67 immunostaining analysis of IrC鈩?treated tumors revealed a transient increase in cell proliferation after treatment. The results justify further studies evaluating the use of IrC鈩?for treating GBM.