Skip to main content
Erschienen in: CardioVascular and Interventional Radiology 5/2018

21.02.2018 | Laboratory Investigation

Pickering-Emulsion for Liver Trans-Arterial Chemo-Embolization with Oxaliplatin

verfasst von: Frederic Deschamps, Kathleen R. Harris, Laurence Moine, Weiguo Li, Lambros Tselikas, Thomas Isoardo, Robert J. Lewandowski, Angelo Paci, Nicolas Huang, Thierry de Baere, Riad Salem, Andrew C. Larson

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 5/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Biodegradable polylactic-co-glycolic acid (PLGA) nanoparticles can adsorb at the water/oil interface to stabilize the emulsion (forming Pickering-emulsion). The purpose of this study was to compare the release profiles of oxaliplatin from Pickering-emulsion and Lipiodol-emulsion.

Materials/Methods

Pickering-emulsions and Lipiodol-emulsions were both formulated with oxaliplatin (5 mg/mL) and Lipiodol (water/oil ratio: 1/3). For Pickering-emulsion only, PLGA nanoparticles (15 mg/mL) were dissolved into oxaliplatin before formulation. In vitro release of oxaliplatin from both emulsions was evaluated. Then, oxaliplatin was selectively injected into left hepatic arteries of 18 rabbits bearing VX2 liver tumors using either 0.5 mL Pickering-emulsion (n = 10) or 0.5 mL Lipiodol-emulsion (n = 8). In each group, half of the rabbits were killed at 1 h and half at 24 h. Mass spectrometry was used to quantify drug pharmacokinetics in blood and resulting tissue (tumors, right, and left livers) oxaliplatin concentrations.

Results

Pickering-emulsion demonstrated a slow oxaliplatin release compared to Lipiodol-emulsion (1.5 ± 0.2 vs. 12.0 ± 6% at 1 h and 15.8 ± 3.0 vs. 85.3 ± 3.3% at 24 h) during in vitro comparison studies. For animal model studies, the plasmatic peak (Cmax) and the area under the curve (AUC) were significantly lower with Pickering-emulsion compared to Lipiodol-emulsion (Cmax = 0.49 ± 0.14 vs. 1.08 ± 0.41 ng/mL, p = 0.01 and AUC = 19.8 ± 5.9 vs. 31.8 ± 14.9, p = 0.03). This resulted in significantly lower oxaliplatin concentrations in tissues at 1 h with Pickering-emulsion but higher ratio between tumor and left liver at 24 h (43.4 vs. 14.5, p = 0.04).

Conclusion

Slow release of oxaliplatin from Pickering-emulsion results in a significant decrease in systemic drug exposure and higher ratio between tumor and left liver oxaliplatin concentration at 24 h.
Literatur
1.
Zurück zum Zitat Llovet JM, Ducreux M, Lencioni R, et al. EASL–EORTC clinical practice guidelines: management of hepatocellular carcinoma. J Hepatol. 2012;56:908–43.CrossRef Llovet JM, Ducreux M, Lencioni R, et al. EASL–EORTC clinical practice guidelines: management of hepatocellular carcinoma. J Hepatol. 2012;56:908–43.CrossRef
2.
Zurück zum Zitat Takayasu K, Arii S, Matsuo N, et al. Comparison of CT findings with resected specimens after chemoembolization with iodized oil for hepatocellular carcinoma. AJR Am J Roentgenol. 2000;175:699–704.CrossRefPubMed Takayasu K, Arii S, Matsuo N, et al. Comparison of CT findings with resected specimens after chemoembolization with iodized oil for hepatocellular carcinoma. AJR Am J Roentgenol. 2000;175:699–704.CrossRefPubMed
3.
Zurück zum Zitat de Baere T, Arai Y, Lencioni R, et al. Treatment of liver tumors with Lipiodol TACE: technical recommendations from experts opinion. Cardiovasc Intervent Radiol. 2016;39:334–43.CrossRefPubMed de Baere T, Arai Y, Lencioni R, et al. Treatment of liver tumors with Lipiodol TACE: technical recommendations from experts opinion. Cardiovasc Intervent Radiol. 2016;39:334–43.CrossRefPubMed
4.
Zurück zum Zitat Gaba RC, Baumgarten S, Omene BO, et al. Ethiodized oil uptake does not predict doxorubicin drug delivery after chemoembolization in VX2 liver tumors. J Vasc Interv Radiol. 2012;23:265–73.CrossRefPubMed Gaba RC, Baumgarten S, Omene BO, et al. Ethiodized oil uptake does not predict doxorubicin drug delivery after chemoembolization in VX2 liver tumors. J Vasc Interv Radiol. 2012;23:265–73.CrossRefPubMed
5.
Zurück zum Zitat Varela M, Real MI, Burrel M, et al. Chemoembolization of hepatocellular carcinoma with drug eluting beads: efficacy and doxorubicin pharmacokinetics. J Hepatol. 2007;46:474–81.CrossRefPubMed Varela M, Real MI, Burrel M, et al. Chemoembolization of hepatocellular carcinoma with drug eluting beads: efficacy and doxorubicin pharmacokinetics. J Hepatol. 2007;46:474–81.CrossRefPubMed
6.
Zurück zum Zitat Jordan O, Denys A, De Baere T, et al. Comparative study of chemoembolization loadable beads: in vitro drug release and physical properties of DC bead and hepasphere loaded with doxorubicin and irinotecan. J Vasc Interv Radiol. 2010;21:1084–90.CrossRefPubMed Jordan O, Denys A, De Baere T, et al. Comparative study of chemoembolization loadable beads: in vitro drug release and physical properties of DC bead and hepasphere loaded with doxorubicin and irinotecan. J Vasc Interv Radiol. 2010;21:1084–90.CrossRefPubMed
7.
Zurück zum Zitat Liao XF, Yi JL, Li XR, et al. Angiogenesis in rabbit hepatic tumor after transcatheter arterial embolization. World J Gastroenterol. 2004;10:1885–9.CrossRefPubMedPubMedCentral Liao XF, Yi JL, Li XR, et al. Angiogenesis in rabbit hepatic tumor after transcatheter arterial embolization. World J Gastroenterol. 2004;10:1885–9.CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat de Baere T, Zhang X, Aubert B, et al. Quantification of tumor uptake of iodized oils and emulsions of iodized oils: experimental study. Radiology. 1996;201:731–5.CrossRefPubMed de Baere T, Zhang X, Aubert B, et al. Quantification of tumor uptake of iodized oils and emulsions of iodized oils: experimental study. Radiology. 1996;201:731–5.CrossRefPubMed
9.
Zurück zum Zitat de Baere T, Dufaux J, Roche A, et al. Circulatory alterations induced by intra-arterial injection of iodized oil and emulsions of iodized oil and doxorubicin: experimental study. Radiology. 1995;194:165–70.CrossRefPubMed de Baere T, Dufaux J, Roche A, et al. Circulatory alterations induced by intra-arterial injection of iodized oil and emulsions of iodized oil and doxorubicin: experimental study. Radiology. 1995;194:165–70.CrossRefPubMed
11.
Zurück zum Zitat Ramsden W. Separation of solids in the surface-layers of solutions and ‘suspension’ (observations on surface-membranes, bubbles, emulsions, and mechanical coagulation). Preliminary account. Proc R Soc Lond. 1903;72:156–64.CrossRef Ramsden W. Separation of solids in the surface-layers of solutions and ‘suspension’ (observations on surface-membranes, bubbles, emulsions, and mechanical coagulation). Preliminary account. Proc R Soc Lond. 1903;72:156–64.CrossRef
12.
Zurück zum Zitat Lee JJ, Chu E. An update on treatment advances for the first-line therapy of metastatic colorectal cancer. Cancer J. 2007;13:276–81.CrossRefPubMed Lee JJ, Chu E. An update on treatment advances for the first-line therapy of metastatic colorectal cancer. Cancer J. 2007;13:276–81.CrossRefPubMed
13.
Zurück zum Zitat Fiorentini G, Sarti D, Aliberti C, et al. Multidisciplinary approach of colorectal cancer liver metastases. World J Clin Oncol. 2017;8:190–202.CrossRefPubMedPubMedCentral Fiorentini G, Sarti D, Aliberti C, et al. Multidisciplinary approach of colorectal cancer liver metastases. World J Clin Oncol. 2017;8:190–202.CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Cao H, Phan H, Yang LX. Improved chemotherapy for hepatocellular carcinoma. Anticancer Res. 2012;32:1379–86.PubMed Cao H, Phan H, Yang LX. Improved chemotherapy for hepatocellular carcinoma. Anticancer Res. 2012;32:1379–86.PubMed
15.
Zurück zum Zitat Ray EM, Sanoff HK. Optimal therapy for patients with hepatocellular carcinoma and resistance or intolerance to sorafenib: challenges and solutions. J Hepatocell Carcinoma. 2017;4:131–8.CrossRefPubMedPubMedCentral Ray EM, Sanoff HK. Optimal therapy for patients with hepatocellular carcinoma and resistance or intolerance to sorafenib: challenges and solutions. J Hepatocell Carcinoma. 2017;4:131–8.CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Maeda N, Osuga K, Shimazu K, et al. In vivo evaluation of cisplatin-loaded superabsorbent polymer microspheres for use in chemoembolization of VX2 liver tumors. J Vasc Interv Radiol. 2012;23(397–404):e391. Maeda N, Osuga K, Shimazu K, et al. In vivo evaluation of cisplatin-loaded superabsorbent polymer microspheres for use in chemoembolization of VX2 liver tumors. J Vasc Interv Radiol. 2012;23(397–404):e391.
17.
Zurück zum Zitat Poggi G, Quaretti P, Minoia C, et al. Transhepatic arterial chemoembolization with oxaliplatin-eluting microspheres (OEM-TACE) for unresectable hepatic tumors. Anticancer Res. 2008;28:3835–42.PubMed Poggi G, Quaretti P, Minoia C, et al. Transhepatic arterial chemoembolization with oxaliplatin-eluting microspheres (OEM-TACE) for unresectable hepatic tumors. Anticancer Res. 2008;28:3835–42.PubMed
18.
Zurück zum Zitat Mohammad AK, Reineke JJ. Quantitative detection of PLGA nanoparticle degradation in tissues following intravenous administration. Mol Pharm. 2013;10:2183–9.CrossRefPubMed Mohammad AK, Reineke JJ. Quantitative detection of PLGA nanoparticle degradation in tissues following intravenous administration. Mol Pharm. 2013;10:2183–9.CrossRefPubMed
19.
Zurück zum Zitat Deschamps F, Moine L, Isoardo T, et al. Parameters for stable water-in-oil lipiodol emulsion for liver trans-arterial chemo-embolization. Cardiovasc Intervent Radiol. 2017;40(12):1927–32.CrossRefPubMed Deschamps F, Moine L, Isoardo T, et al. Parameters for stable water-in-oil lipiodol emulsion for liver trans-arterial chemo-embolization. Cardiovasc Intervent Radiol. 2017;40(12):1927–32.CrossRefPubMed
20.
Zurück zum Zitat Deschamps F, Farouil G, Gonzalez W, et al. Stabilization improves theranostic properties of lipiodol(R)-based emulsion during liver trans-arterial chemo-embolization in a VX2 rabbit model. Cardiovasc Intervent Radiol. 2017;40:907–13.CrossRefPubMed Deschamps F, Farouil G, Gonzalez W, et al. Stabilization improves theranostic properties of lipiodol(R)-based emulsion during liver trans-arterial chemo-embolization in a VX2 rabbit model. Cardiovasc Intervent Radiol. 2017;40:907–13.CrossRefPubMed
21.
Zurück zum Zitat Choi JW, Cho HJ, Park JH, et al. Comparison of drug release and pharmacokinetics after transarterial chemoembolization using diverse lipiodol emulsions and drug-eluting beads. PLoS ONE. 2014;9:e115898.CrossRefPubMedPubMedCentral Choi JW, Cho HJ, Park JH, et al. Comparison of drug release and pharmacokinetics after transarterial chemoembolization using diverse lipiodol emulsions and drug-eluting beads. PLoS ONE. 2014;9:e115898.CrossRefPubMedPubMedCentral
22.
Zurück zum Zitat Boulin M, Schmitt A, Delhom E, et al. Improved stability of lipiodol-drug emulsion for transarterial chemoembolisation of hepatocellular carcinoma results in improved pharmacokinetic profile: proof of concept using idarubicin. Eur Radiol. 2016;26:601–9.CrossRefPubMed Boulin M, Schmitt A, Delhom E, et al. Improved stability of lipiodol-drug emulsion for transarterial chemoembolisation of hepatocellular carcinoma results in improved pharmacokinetic profile: proof of concept using idarubicin. Eur Radiol. 2016;26:601–9.CrossRefPubMed
23.
Zurück zum Zitat Ducreux M, Ychou M, Laplanche A, et al. Hepatic arterial oxaliplatin infusion plus intravenous chemotherapy in colorectal cancer with inoperable hepatic metastases: a trial of the gastrointestinal group of the Federation Nationale des Centres de Lutte Contre le Cancer. J Clin Oncol. 2005;23:4881–7.CrossRefPubMed Ducreux M, Ychou M, Laplanche A, et al. Hepatic arterial oxaliplatin infusion plus intravenous chemotherapy in colorectal cancer with inoperable hepatic metastases: a trial of the gastrointestinal group of the Federation Nationale des Centres de Lutte Contre le Cancer. J Clin Oncol. 2005;23:4881–7.CrossRefPubMed
24.
Zurück zum Zitat Boige V, Malka D, Elias D, et al. Hepatic arterial infusion of oxaliplatin and intravenous LV5FU2 in unresectable liver metastases from colorectal cancer after systemic chemotherapy failure. Ann Surg Oncol. 2008;15:219–26.CrossRefPubMed Boige V, Malka D, Elias D, et al. Hepatic arterial infusion of oxaliplatin and intravenous LV5FU2 in unresectable liver metastases from colorectal cancer after systemic chemotherapy failure. Ann Surg Oncol. 2008;15:219–26.CrossRefPubMed
25.
Zurück zum Zitat Dzodic R, Gomez-Abuin G, Rougier P, et al. Pharmacokinetic advantage of intra-arterial hepatic oxaliplatin administration: comparative results with cisplatin using a rabbit VX2 tumor model. Anticancer Drugs. 2004;15:647–50.CrossRefPubMed Dzodic R, Gomez-Abuin G, Rougier P, et al. Pharmacokinetic advantage of intra-arterial hepatic oxaliplatin administration: comparative results with cisplatin using a rabbit VX2 tumor model. Anticancer Drugs. 2004;15:647–50.CrossRefPubMed
26.
Zurück zum Zitat de Baere T, Arai Y, Lencioni R, et al. Treatment of liver tumors with lipiodol TACE: technical recommendations from experts opinion. Cardiovasc Intervent Radiol. 2015;39:334–43.CrossRefPubMed de Baere T, Arai Y, Lencioni R, et al. Treatment of liver tumors with lipiodol TACE: technical recommendations from experts opinion. Cardiovasc Intervent Radiol. 2015;39:334–43.CrossRefPubMed
Metadaten
Titel
Pickering-Emulsion for Liver Trans-Arterial Chemo-Embolization with Oxaliplatin
verfasst von
Frederic Deschamps
Kathleen R. Harris
Laurence Moine
Weiguo Li
Lambros Tselikas
Thomas Isoardo
Robert J. Lewandowski
Angelo Paci
Nicolas Huang
Thierry de Baere
Riad Salem
Andrew C. Larson
Publikationsdatum
21.02.2018
Verlag
Springer US
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 5/2018
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-018-1899-y

Weitere Artikel der Ausgabe 5/2018

CardioVascular and Interventional Radiology 5/2018 Zur Ausgabe

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.