An innovative way of sneaking macromolecular drugs
past the body's natural defences offers a new and promising way of delivering
poorly soluble drugs directly to the place they are needed, say pharmaceutical
scientists.
With its hostile epithelial barrier and efficient immune system, the human
body is well adapted to destroy or clear foreign objects that it encounters,
even when those objects are life-saving drugs.
Packaging drugs in structures like liposomes - hollow spheres with
water-loving centers - has proved successful for sneaking water-soluble
pharmaceuticals past the immune system. But such structures are not designed to
transport poorly soluble drugs - a characteristic of many anti-cancer agents.
Delivery of such pharmaceuticals "continues to represent a challenge," says
Vladimir Torchilin, professor of pharmaceutical sciences at Northeastern
University, Boston.
But, says Torchilin, another spherical structure called a micelle, which in
water assembles with a hydrophobic core, is able to carry sparingly soluble
anti-cancer drugs, such as taxol, into the heart of a tumor before the body can
recognize and clear it.
Once loaded with a cancer-killing drug, Torchilin says that tumor-specific
antibodies can be attached to take the micelles straight to the target tissue.
"Drug-loaded cancer-specific micelles recognize a variety of cancer cells in
vitro and provoke an increased killing of cancer cells in vitro and
in vivo," he told BioMedNet News.
This method has certain advantages over established ways of masking
macromolecular drugs, such as pegylation, where the active macromolecule is
coated in polyethylene glycol (PEG), thereby masking it from the immune system.
"With the PEG, you have to have a covalent linkage between the protein and
the polyethylene glycol," said Ijeoma Uchegbu, professor of pharmaceutical
sciences at the University of Strathclyde, Scotland. "Some people don't want to
alter their drugs in this way because you could alter the activity and you could
be putting the PEG on the active site," she said.
Liposomes get around this problem, she says, but because of their aqueous
inner compartment, they are better suited for transporting aqueous drugs.
Although they can carry poorly soluble drugs like taxol, they can only hold them
in the membrane and not in the spacious core, she says, which limits the amount
of drug that can be transported.
The micelles could be the solution, says Torchilin. "Our findings may lead to
the development of a new, more efficient, and safer delivery system for taxol
and other poorly soluble anticancer drugs," he and his colleagues note in the
abstract to a paper they will present at the 30th annual meeting of the
Controlled Release Society next
month in Glasgow, Scotland.
Uchegbu agrees that this delivery system "seems to improve cell kill over
that seen with the plain drug." However, she is not convinced that Torchilin's
structures should really be called micelles.
"I would love to know how they were classified as such," she said, "as it is
possible that they could be liposomes or even just plain small solid
nanoparticles." Nevertheless, whatever they actually are, Uchegbu says that
Torchilin's packaging structures look like they have promise for the delivery of
drugs with limited solubility like taxol and etoposide.
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