Vol. 91, No. 4, 1979 December

AND BIOPHYSICAL RESEARCH COMMUNICATIONS

BIOCHEMICAL

Pages 1295-1301

28, 1979

--IN VITRO

AND --IN VIVO STUDIES WITH ADRIAMYCIN Eric A. Forssen and Zolthn A. TSk&*

LIPOSOMES

University of Southern California, School of Pharmacy and School of Medicine, Department of Biochemistry Comprehensive Cancer Center, Los Angeles, California Received

October

26,1979

Summary: Liposome entrapped adriamycin retains its full cytotoxic potential when tested under in vitro conditions against murine leukemia L-1210 cells. --In vivo drug dizrmon studies indicate that, relative to the free drug, a lower proportion of adriamycin administered in the liposome form is delivered to the heart and kidneys at one and four hours after injection. When administered to normal mice in high doses, anionic adriamycin liposomes appear less harmful than equal doses of the free drug as judged by alterations in animal weight gain. In these studies, a nova1 double packing procedure has been used for the entrapment of adriamycin in phospholipid vesicles. INTRODUCTION A number mycin-D

of chemotherapeutic

have been encapsulated

for overcoming toxicities. primarily

to entrap

of the vesicles. phospholipid

membranes

us to report

resulting

developed

MATERIALS choline

reviewed

compounds

in our laboratory activity

(1,2,3).

and actino-

have been useful and reducing

Liposomes

drug

have been used

into the aqueous compartment

materials

minimizes

(Adr) can destabilize

(4,5).

this disruptive

of liposome-Adr

--in vivo distribution

Ara-C

such as adriamycin

in loss of entrapped

on the --in vitro

reported

These preparations,

drugs by incorporation

ampholiphilic

methotrexate,

--in vivo tissue distribution

has been extensively

cells as well as their altered have been previously

altering

hydrophilic

However

The approach enabling

in liposomes.

drug resistances,

This subject

agents including

complexes

and toxicity.

A portion

effect against

thus L-1210

of these findings

(6).

AND METHODS

Adriamycin (provided by Adria Laboratories, Columbus, Oh.) is bound to phosphatidyl(PC) (Sigma Chem. Co, St. Louis, MO.) by adding a solution of the drug in normal

*Address: USC Comprehensive Cancer Center, Cancer Research Labs. Rm. 208, 1303 N. Mission Road, Los Angeles, CA 90033. Abbreviations used: Adriamycin: Adr; Cholesterol: Ch; Phosphatidyl Choline: PC; Arabinosylcytosine: Ara-C. 0006-291X/79/241295-07$01.00/0 12%

Copyright All rights

@ 1979 by Academic Press, Inc. ofreproduction in anyform reserved.

Vol. 91, No. 4, ~1979

BIOCHEMICAL

AND BIOPHYSICAL

RESEARCH COMMUNlCATlONS

saline to a two-fold molor excess of the dried lipid. This material is then sonicated for 5 min per ml under a nitrogen atmosphere using a needle probe type sonicator (Braun Sonic-1410) set at 100 watts. The resulting drug-lipid mixture is then entrapped within anionic liposomes consisting of a 7:3:1 molar ratio of PC, cholesterol (Ch) and phosphatidyl serine (Sigma Chem. Co.) or cationic liposomes containing PC, Ch and stearylamine (Eastman Org. Chem. Rochester, N.Y.) 7:3:0.5. This liposome suspension is sonicated as above at 100 watts for 5 min per ml. Unentrapped Adr is separated from liposomes by gel filtration on Sephadex G-50. Using this procedure, between five and ten percent of the starting Adr can be entrapped. The stability of Adr-liposomes was determined by incubating the liposomes in plasma at 37’C with continuous agitation. Liposomes (0.2 ml) containing [ H] - Adr (Morave Biochemicals, City of Industry, CA. Specific activity: 600mCi/mmole) were added to a dialysis bag (m.w. cutoff = 3500), (Spectrum-Medical Ind., Los Angeles, Ca.) containing 2 ml human plasma. The dialysis bag was placed into a cylinder containing 50 ml of the same plasma. Samples of the dialysate were removed and counted by liquid scintillation. Leakage was expressed as a percentage of the original radioactivity. Anionic liposomes containing [ HI-Adr were utilized for --in vivo distribution studies. Swiss mice (Simonson Labs; Gilroy, Ca.) weighing about 20 grams each, received [ HIAdr in either free or entrapped form by tail vein injections. Mice were then sacrificed at one and four hours following drug administration. The brain, heart, kidneys, liver, lungs and spleen were removed and prepared for liquid scintillation counting using tissue solubilizer (Protosol, New England Nuclear; Boston, Ma.). The distribution of [ HI-Adr to each organ was expressed as a percentage of the total radioactivity measured for all organs examined. Murine leukemia L-1210 Moore cells, adapted to cell culture, were grown in suspension at 37’C in RPMI-1640 media supplemented with 10% fetal calf serum (Grand Island Biological, Co., Grand Island, N.Y.), cells were treated with Adr in either the free or entrapped form at concentrations ranging from 10 to 10 molar. Liposome treated cells received Adr in anionic vesicles, prepared as described above. For controls free Adr was added to cells alone or with empty anionic liposomes containing the same amount Other controls received either empty anionic liposomes of phospholipid and cholesterol. without Adr or no treatment. The Adr concentration required for 50% inhibition of cell growth (Ic ) was determined for each group of L-1210 cells tested. All samples were done in duplicate. Swiss mice, weighing 20 grams each, were administered two intravenous Adr doses (lOmg/kg) with a one week interval in a high dose toxicity study. One group was injected with the free drug while a second was given Adr entrapped in anionic liposomes. Controls received normal saline. Animal body-weights were determined daily for the first two weeks and twice weekly thereafter. RESULTS The stability --in vitro.

of both cationic

While almost

hours of incubation, 1% in cationic

liposomes

in plasma

30% of free Adr escaped into the dialysate

less than 10% of entraped

liposomes

these values increased

and anionic

Adr in anionic

was found in the dialysate,

Figure

to about 20% and 5% for anionic

was demonstrated

during

liposomes

the first two and less than

1. At the end of ten hours,

and cationic

liposomes

respectively.

The 1~5~ for Ll210 cells treated with free Adr, either with or without empty liposomes was 1.9x10 -8 molar. Anionic liposome-Adr produced only a slightly lower level

1296

Vol. 91, No. 4, 1979

BIOCHEMICAL

AND BIOPHYSICAL

RESEARCH COMMUNICATIONS

50

FREE

0

1

2

Figure 1: The stability at 37OC.

those cells treated

with

anionic

The relative after

injection

anionic

liposomes

liposomes

display

organ distribution

liposomes

deliver

a lower

Much of the liposomal

as evidenced

by the enhanced

decrease

free or liposome between

an average

receiving

weight

Adr alone.

group during

no inherent

proportion

form,

was seen for

that over the concentration

toxicity. Adr at one and four hours

these studies demonstrate

of the administered

uptake.

is shown on Figure Over a period

that

dose to brain, heart

At four hours following

of Adr to cardiac,

gain of 56

Also notable

by dialysis

Adr is taken up by the reticuloendothelial

the two groups is revealed.

showed

a

7

of cell growth

alone, indicating

system

injection

an even

renal and brain tissue can be noted.

in the changes of net body-weight

entrapped

LIPOSOMES

No inhibition

2. Most notably,

hepatic

in the distribution

A comparison

CATIONIC 6

of free and liposomal

in Figure

and kidneys.

greater

LIPOSOMES

of liposomes in human plasma as determined

anionic

is illustrated

ANIONIC

4 5 OF INCUBATION

with an IcSO of 5x10 -8 molar.

of cytotoxicity

range tested,

3 HOURS

ADRIAMYCIN

for mice receiving 3. A significant

Adr in either

difference

of ten weeks the liposome-Adr

10% compared

is the less pronounced

to only 18 weight

(p

0.001) group

14% seen in the group loss for the liposome

the first two weeks of the study.

DISCUSSION Liposomes actinomycin-D

have been used to increase resistance

(7). Alternatively,

tumor cell drug uptake liposomes

1297

and to overcome

may also function

as protective

Vol.

91,

No,

4, 1979

BIOCHEMICAL

AND

BIOPHYSICAL

RESEARCH

COMMUNICATIONS

90 60 70

One

60 __

50

-

T

25

Hour

After

Injection

m

Free

A&

m

Liposome

Adr

20

15

BRAIN

B Four

0

BRAIN

Figure

vehicles potentially therapeutic

2.

by altering toxic agents

KIDNEY

HEART

Relative organ distribution Adr at one and four hours normal

substances is Adr

patterns into which

distribution tissues

has pronounced

1298

(8). cardiac

After

Injection

LUNG

of free and aniomic after injections.

of drug sensitive

LIVER

Hours

and One and

liposome

entrapped

decreasing of the

commonly

renal

toxicities.

the

uptake

of

used

chemo-

Therefore

BIOCHEMICAL

Vol. 91, No. 4, 1979

AND BIOPHYSICAL RESEARCH COMMUNICATIONS

160

150

80

Figure

IL

2

3 WEEKS

3: Body-weight charts for trapped Adr, 10 mg/kg.

it is of interest

decreases

1

to study

in toxicity.

the disruptive

the

4 FOLLOWING

which

liposome

between

Adr and liposomes

permiability

causing

a loss of entrapped

peutic packing

vesicles

and toxicological procedure

containing

studies.

for liposome

7 INJECTION

8

9

10

either free or liposome enstandard deviations from five

mode of Adr administration

entrapped

been difficult

it exerts on phospholipid

interactions

tion of phospholipid

6 FIRST

mice receiving Bars represent

It has, however,

action

5

to entrap membranes

for potential

Adr in liposomes

(5). This has made difficult

the high levels of Adr needed

These difficulties production

which

membrane

the produc-

for --in vivo thera-

have been overcome allows

due to

(9). Studies on the direct

have shown that the drug can increase solutes

mice.

by our double

5 to 10% of the starting

Adr

to be entrapped. Due to the strong membranes,

it is difficult

the slower

rate of leakage

somes does indicate loss of entrapped

that,

affinity

of Adr to serum proteins

to determine

actual

into the dialysing under physiological

efflux

and to cellulose

rate from liposomes.

plasma from both anionic conditions,

drug do not occur.

1299

of dialysis However,

and cationic

rapid lysis of Adr vesicles

lipoand

Vol. 91, No. 4, 1979

BIOCHEMICAL

AND BIOPHYSICAL

The IcSO value of 5x10m8M for anionic ished level of cell killing However

when compared

these --in vitro

or its entrapment

liposomes

The --in vivo distribution the proportion

of injected

to the liver

of phospholipid

vesicles

toxic

with Adr therapy

free drug.

and a greater support

immediately

Mice in the liposome-Adr final

weight-gain

heart

of this drug.

in anionic

liposomes,

and kidneys

is significantly

since renal and cardic

The increased

during

proportion

form reflects

following

that liposomes

The successful

entrapment

of Adr de-

the active

form produces

each injection

when compared

group also show a more rapid recovery

exert

a protective

action

removal

system (11).

at the end of the ten week experiment.

the concept

toxicities

the course of Adr treatment

of Adr in the liposome

choline

action

cells of reticuloendothelial

recorded

The administration

severe loss of body weight

the cytotoxic

in the liposome

weight

dimin-

of Adr to phosphatidyl

when entrapped

noting (10).

by the phagocytic

in animal

effects.

that,

This is worth

when administered

The changes overall

do not prevent

Adr taken up by the brain,

have both been associated livered

that the binding

data indicate

less than that for the free drug.

does show a slightly

to that for the free drug (1~5~ of 1.9x10e8M).

tests demonstrate

in anionic

Adr liposomes

RESEARCH COMMUNICATIONS

against

reflect a less to the

of body weight

These observations the toxic

effects

of Adr.

presented useful their

of Adr in liposomes,

here suggest that these complexes

for reducing potential

Adr cardiotoxicity.

cytotoxicity

against

the --in vitro

should be further

These complexes Adr-resistant

tumor

and --in vivo studies

investigated

may also be useful

as potentially to evaluate

cell lines (12).

ACKNOWLEDGEMENT We appreciate the skillful technical help of Ms. Mila Suva. This work was supported by Am. Heart Association, Grant No. 613 and by NIH, Grant No. CA-21271.

REFERENCES 1. 2. 3. . 4.

Kimelberg, H.K., and Mayhew, E.G. (1978) CRC Crit. Rev. Tox, , 25-79. Papahadjopoulos, D. (ed.) (1978) Ann, N.Y. Acad. Sci., 308. Tyrrell, D.A., Heath, T.D., Colley, CM. and Ryman, B.E.-(1976) Biochim. Biophys. Acta., -457, 259-302. Tritton, T.R., Murphree, S.A., an d Sartorelli, AC. (1978) Biochem, Biophys. Res. Comm., 84, 802-808.

1300

Vol. 91, No. 4, 1979

5. 6. 7. 8. 9. 10. 11. 12.

BIOCHEMICAL

AND BIOPHYSICAL RESEARCH COMMUNICATIONS

Tritton,

T.R., Murphree, S.A., and Ssrtorelli, A.C. (1977) Biochem. Pharm., -26, 2319-2323. Forssen, E.A., Kharasch, N., and T&b, Z.A., (1979) Amer. Assoc. Cancer Res. (Proceedings), 20, 188. Papahadjopoulos, D., %ste, G., Vail, W.J., and Biedler, J.L. (1976) Cancer Res., 36,2988-2994. RahmayY.E., Hanson, W.R., Barucha, J., Ainsworth, E.J., and Jaroslow, EN., (1978) Ann. New York Acad. Sci., 308, 325-342. Schioppocassi, G. and Schwartz, H.S., (197TRes. Comm. Chem. Path. and Pharm., 18, 519-531. Burke,xF., Laucius, J.F., Brodovsky, H.S. and Soriano, R.Z., (1977) Arch. Intern. Med., 137, 385-388. Ryman, B.E. et al (1978) Ann. New York Acad. Sci., 308, 281-307. Dana, K. (1976) Acta Path. et Micro. Scan., 256A, 6-80.

1301

In vitro and in vivo studies with adriamycin liposomes.

Vol. 91, No. 4, 1979 December AND BIOPHYSICAL RESEARCH COMMUNICATIONS BIOCHEMICAL Pages 1295-1301 28, 1979 --IN VITRO AND --IN VIVO STUDIES WITH...
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