Skip to main content
British Journal of Cancer logoLink to British Journal of Cancer
. 1991 Jul;64(1):114–119. doi: 10.1038/bjc.1991.252

Angiotensin II as a potential method of targeting cytotoxic-loaded microspheres in patients with colorectal liver metastases.

J A Goldberg 1, J A Thomson 1, M S Bradnam 1, J Fenner 1, R G Bessent 1, J H McKillop 1, D J Kerr 1, C S McArdle 1
PMCID: PMC1977313  PMID: 1854610

Abstract

Regional chemotherapy is commonly used to treat patients with colorectal liver metastases. However, improvement in survival has still not been demonstrated. Cytotoxic loaded albumin microspheres for arterial administration have been described as a means of improving the the therapeutic index, but their distribution depends upon the prevailing pattern of arterial blood-flow at the time of injection. In this study, the ability of the vasoactive drug angiotensin II to target arterially injected microspheres to colorectal liver metastases is assessed in nine patients using scintigraphic planar and tomographic imaging. The median tumour: normal ratio in nine patients with colorectal liver metastases was 3.4:1 before the administration of angiotensin II. The corresponding ratio after administration of angiotensin II was 7.3:1. The median improvement factor was 1.8 (P less than 0.05). The data suggest that worthwhile tumour targeting can be achieved with angiotensin II in patients with colorectal liver metastases.

Full text

PDF
117

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bradpiece H. A., Benjamin I. S., Halevy A., Blumgart L. H. Major hepatic resection for colorectal liver metastases. Br J Surg. 1987 Apr;74(4):324–326. doi: 10.1002/bjs.1800740434. [DOI] [PubMed] [Google Scholar]
  2. Daly J. M., Butler J., Kemeny N., Yeh S. D., Ridge J. A., Botet J., Bading J. R., DeCosse J. J., Benua R. S. Predicting tumor response in patients with colorectal hepatic metastases. Ann Surg. 1985 Sep;202(3):384–393. doi: 10.1097/00000658-198509000-00017. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Goldberg J. A., Bradnam M. S., Kerr D. J., Haughton D. M., McKillop J. H., Bessent R. G., Willmott N., McArdle C. S., George W. D. Arteriovenous shunting of microspheres in patients with colorectal liver metastases: errors in assessment due to free pertechnetate, and the effect of angiotensin II. Nucl Med Commun. 1987 Dec;8(12):1033–1046. doi: 10.1097/00006231-198712000-00013. [DOI] [PubMed] [Google Scholar]
  4. Kerr D. J. 5-Fluorouracil and folinic acid: interesting biochemistry or effective treatment? Br J Cancer. 1989 Dec;60(6):807–808. doi: 10.1038/bjc.1989.370. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Malik S. T., Wrigley P. F. Intra-arterial hepatic chemotherapy for liver malignancy. BMJ. 1988 Aug 13;297(6646):434–435. doi: 10.1136/bmj.297.6646.434. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. McArdle C. S., Lewi H., Hansell D., Kerr D. J., McKillop J., Willmott N. Cytotoxic-loaded albumin microspheres: a novel approach to regional chemotherapy. Br J Surg. 1988 Feb;75(2):132–134. doi: 10.1002/bjs.1800750214. [DOI] [PubMed] [Google Scholar]
  7. Nielsen J., Balslev I., Jensen H. E. Carcinoma of the colon with liver metastases. Operative indications and prognosis. Acta Chir Scand. 1971;137(5):463–465. [PubMed] [Google Scholar]
  8. O'Connell M. J. A phase III trial of 5-fluorouracil and leucovorin in the treatment of advanced colorectal cancer. A Mayo Clinic/North Central Cancer Treatment Group study. Cancer. 1989 Mar 15;63(6 Suppl):1026–1030. doi: 10.1002/1097-0142(19890315)63:6+<1026::aid-cncr2820631307>3.0.co;2-r. [DOI] [PubMed] [Google Scholar]
  9. Ridge J. A., Bading J. R., Gelbard A. S., Benua R. S., Daly J. M. Perfusion of colorectal hepatic metastases. Relative distribution of flow from the hepatic artery and portal vein. Cancer. 1987 May 1;59(9):1547–1553. doi: 10.1002/1097-0142(19870501)59:9<1547::aid-cncr2820590903>3.0.co;2-6. [DOI] [PubMed] [Google Scholar]
  10. Sasaki Y., Imaoka S., Hasegawa Y., Nakano S., Ishikawa O., Ohigashi H., Taniguchi K., Koyama H., Iwanaga T., Terasawa T. Changes in distribution of hepatic blood flow induced by intra-arterial infusion of angiotensin II in human hepatic cancer. Cancer. 1985 Jan 15;55(2):311–316. doi: 10.1002/1097-0142(19850115)55:2<311::aid-cncr2820550202>3.0.co;2-m. [DOI] [PubMed] [Google Scholar]
  11. Wadler S., Schwartz E. L., Goldman M., Lyver A., Rader M., Zimmerman M., Itri L., Weinberg V., Wiernik P. H. Fluorouracil and recombinant alfa-2a-interferon: an active regimen against advanced colorectal carcinoma. J Clin Oncol. 1989 Dec;7(12):1769–1775. doi: 10.1200/JCO.1989.7.12.1769. [DOI] [PubMed] [Google Scholar]
  12. Welch J. P., Donaldson G. A. The clinical correlation of an autopsy study of recurrent colorectal cancer. Ann Surg. 1979 Apr;189(4):496–502. doi: 10.1097/00000658-197904000-00027. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Willmott N., Cummings J., Stuart J. F., Florence A. T. Adriamycin-loaded albumin microspheres: preparation, in vivo distribution and release in the rat. Biopharm Drug Dispos. 1985 Jan-Mar;6(1):91–104. doi: 10.1002/bdd.2510060111. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Cancer are provided here courtesy of Cancer Research UK

RESOURCES