ERYTHROCYTES AS CARRIERS OF CHEMOTHERAPEUTIC-AGENTS FOR TARGETING THE RETICULOENDOTHELIAL SYSTEM
ERYTHROCYTES AS CARRIERS OF CHEMOTHERAPEUTIC-AGENTS FOR TARGETING THE RETICULOENDOTHELIAL SYSTEM
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DOI:
10.1002/ajh.2830090303
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发表时间:
1980-01-01
影响因子:
12.8
通讯作者:
GHAFFAR, A
中科院分区:
文献类型:
--
作者:
LYNCH, WE;SARTIANO, GP;GHAFFAR, A
The object of this work was to define a model using hypotonically loaded erythrocytes as a vehicle to target drugs to the RES. The optimum hemolytic event occurs at 100 mOsm[milliosmoles]/kg using a 0.5-min exposure at 0.degree. C. Of the total volume of the cells .apprx. 1/3 could be replaced with hypotonic drug solutions under these conditions. Cytosine-.beta.-D-arabinofuranoside, ara C, is membrane permeable and could not be entrapped in the erythrocytes, phosphorylation of this nucleoside antimetabolite enabled it to be loaded efficiently. Actinomycin D could be loaded and retained within the cells at 0.degree. C, but 90% of this loaded drug leaked out of the erythrocytes in 1 min at 37.degree. C. Actinomycin D-DNA complexes, could be loaded and retained for longer periods. In this case, 50% of the DNA-bound drug was retained in the cells for 1 h at 37.degree. C. The glycopeptide antitumor antibiotic, bleomycin, could be entrapped and retained in the cells without appreciable leakage. It was possible to load a human therapeutic dose of this drug in 1-2 ml of packed cells, Bleomycin entrapped in erythrocytes was significantly more effective than the same dose of free drug in suppressing the phagocytic function of the RES in Balb/C and C3H mice. The rationale is discussed for the possible use of these drugs, entrapped in erythrocytes, for the production of RES blockade in the treatment of disorders in man.