Abstract
The possibility of using interleukin 2 (IL-2)-activated natural killer cells (A-NK) to carry methoxymorpholinyl doxorubicin (MMDX; PNU 152243) to liver-infiltrating tumours was explored in mice bearing 2-day established M5076 reticulum cell sarcoma hepatic metastases. In vitro, MMDX was 5.5-fold more potent than doxorubicin against M5076 tumour cells. MMDX uptake by A-NK cells correlated linearly with drug concentration in the incubation medium [correlation coefficient (r) = 0.999]; furthermore, as MMDX incorporation was readily reproducible in different experiments, the amount of drug delivered by A-NK cells could be modulated. In vivo experiments showed that intravenous (i.v.) injection of MMDX-loaded A-NK cells exerted a greater therapeutic effect than equivalent or even higher doses of free drug. The increase in lifespan (ILS) following A-NK cell delivery of 53 μg kg−1 MMDX, a dosage that is ineffective when administered in free form, was similar to that observed in response to 92 μg kg−1 free drug, a dosage close to the 10% lethal dose (ILS 42% vs. 38% respectively). These results correlated with pharmacokinetic studies showing that MMDX encapsulation in A-NK cells strongly modifies its organ distribution and targets it to tissues in which IL-2 activated lymphocytes are preferentially entrapped after i.v. injection. © 1999 Cancer Research Campaign
Keywords: methoxymorpholinyl doxorubicin, drug delivery, A-NK cell, liver metastases
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- Anderson J. H., Warren H. W., McArdle C. S. Clinical pharmacokinetic advantages of new drug delivery methods for the treatment of liver tumours. Clin Pharmacokinet. 1994 Sep;27(3):191–201. doi: 10.2165/00003088-199427030-00003. [DOI] [PubMed] [Google Scholar]
- Bouwens L., Narayani I., Wisse E. High deformability and motility of lymphokine-activated killer cells in vitro and in vivo. J Leukoc Biol. 1992 Mar;51(3):214–219. doi: 10.1002/jlb.51.3.214. [DOI] [PubMed] [Google Scholar]
- Cerundolo V., Zanovello P., McIntosh D., Fabbris R., Davies A. J., Collavo D. Temporary inhibition of Moloney-murine sarcoma virus (M-MSV) induced-tumours by adoptive transfer of ricin-treated T-lymphocytes. Br J Cancer. 1987 Apr;55(4):413–419. doi: 10.1038/bjc.1987.81. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Danesi R., Agen C., Grandi M., Nardini V., Bevilacqua G., Del Tacca M. 3'-Deamino-3'-(2-methoxy-4-morpholinyl)-doxorubicin (FCE 23762): a new anthracycline derivative with enhanced cytotoxicity and reduced cardiotoxicity. Eur J Cancer. 1993;29A(11):1560–1565. doi: 10.1016/0959-8049(93)90295-q. [DOI] [PubMed] [Google Scholar]
- Grandi M., Pezzoni G., Ballinari D., Capolongo L., Suarato A., Bargiotti A., Faiardi D., Spreafico F. Novel anthracycline analogs. Cancer Treat Rev. 1990 Sep;17(2-3):133–138. doi: 10.1016/0305-7372(90)90037-g. [DOI] [PubMed] [Google Scholar]
- Gunji Y., Vujanovic N. L., Hiserodt J. C., Herberman R. B., Gorelik E. Generation and characterization of purified adherent lymphokine-activated killer cells in mice. J Immunol. 1989 Mar 1;142(5):1748–1754. [PubMed] [Google Scholar]
- Hart I. R., Talmadge J. E., Fidler I. J. Metastatic behavior of a murine reticulum cell sarcoma exhibiting organ-specific growth. Cancer Res. 1981 Apr;41(4):1281–1287. [PubMed] [Google Scholar]
- Kim S. Liposomes as carriers of cancer chemotherapy. Current status and future prospects. Drugs. 1993 Oct;46(4):618–638. doi: 10.2165/00003495-199346040-00004. [DOI] [PubMed] [Google Scholar]
- Lotze M. T., Line B. R., Mathisen D. J., Rosenberg S. A. The in vivo distribution of autologous human and murine lymphoid cells grown in T cell growth factor (TCGF): implications for the adoptive immunotherapy of tumors. J Immunol. 1980 Oct;125(4):1487–1493. [PubMed] [Google Scholar]
- Maghazachi A. A., Fitzgibbon L. Fate of intravenously administered rat lymphokine-activated killer cells labeled with different markers. Cancer Immunol Immunother. 1990;31(3):139–145. doi: 10.1007/BF01744727. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mandruzzato S., Rosato A., Bronte V., Zanovello P., Amboldi N., Ballinari D., Collavo D. Adoptive transfer of lymphokine-activated killer cells loaded with 4'-deoxy-4'-iododoxorubicin: therapeutic effect in mice bearing lung metastases. Cancer Res. 1994 Feb 15;54(4):1016–1020. [PubMed] [Google Scholar]
- Melder R. J., Whiteside T. L., Vujanovic N. L., Hiserodt J. C., Herberman R. B. A new approach to generating antitumor effectors for adoptive immunotherapy using human adherent lymphokine-activated killer cells. Cancer Res. 1988 Jun 15;48(12):3461–3469. [PubMed] [Google Scholar]
- Ripamonti M., Pezzoni G., Pesenti E., Pastori A., Farao M., Bargiotti A., Suarato A., Spreafico F., Grandi M. In vivo anti-tumour activity of FCE 23762, a methoxymorpholinyl derivative of doxorubicin active on doxorubicin-resistant tumour cells. Br J Cancer. 1992 May;65(5):703–707. doi: 10.1038/bjc.1992.148. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schwarz R. E., Vujanovic N. L., Hiserodt J. C. Enhanced antimetastatic activity of lymphokine-activated killer cells purified and expanded by their adherence to plastic. Cancer Res. 1989 Mar 15;49(6):1441–1446. [PubMed] [Google Scholar]
- Vasey P. A., Bissett D., Strolin-Benedetti M., Poggesi I., Breda M., Adams L., Wilson P., Pacciarini M. A., Kaye S. B., Cassidy J. Phase I clinical and pharmacokinetic study of 3'-deamino-3'-(2-methoxy-4-morpholinyl)doxorubicin (FCE 23762). Cancer Res. 1995 May 15;55(10):2090–2096. [PubMed] [Google Scholar]
- Zocchi E., Tonetti M., Polvani C., Guida L., Benatti U., De Flora A. Encapsulation of doxorubicin in liver-targeted erythrocytes increases the therapeutic index of the drug in a murine metastatic model. Proc Natl Acad Sci U S A. 1989 Mar;86(6):2040–2044. doi: 10.1073/pnas.86.6.2040. [DOI] [PMC free article] [PubMed] [Google Scholar]
