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Application of liposomes incorporating doxorubicin with sialyl Lewis X to prevent stenosis after rat carotid artery injury.

Abstract
Restenosis remains a serious complication that can occur after angioplasty. This study investigated the efficiency of an active targeting chemotherapy using liposomes, including doxorubicin, whose surface was decorated with sialyl Lewis X (SLX) (Dox-Lipo-SLX) to prevent stenosis after angioplasty. Its delivery was controlled via the affinity between SLX and E-selectin proteins, which are expressed on vessel walls with injury. In vitro experiments confirmed the accumulation of doxorubicin as a consequence of Dox-Lipo-SLX adhering to E-selectin-positive cells. Significant doxorubicin accumulation was observed on injured vessel walls in rats treated with Dox-Lipo-SLX. In contrast, there was little accumulation using free doxorubicin or a liposome containing doxorubicin (Dox-Lipo), but without SLX. Rats were assigned to one of four groups: Dox-Lipo-SLX, Dox-Lipo, free doxorubicin, or no treatment. Dox-Lipo-SLX, Dox-Lipo, and free doxorubicin, including a dose of 0.08mg/kg doxorubicin, were intravenously administered three times in each group after angioplasty. The residual lumen area of rats in the group treated with Dox-Lipo-SLX was significantly larger than those in all other groups. These results demonstrate that an active targeting drug delivery system utilizing Dox-Lipo-SLX effectively prevents stenosis after angioplasty.
AuthorsWataro Tsuruta, Hideo Tsurushima, Tetsuya Yamamoto, Kensuke Suzuki, Noboru Yamazaki, Akira Matsumura
JournalBiomaterials (Biomaterials) Vol. 30 Issue 1 Pg. 118-25 (Jan 2009) ISSN: 1878-5905 [Electronic] Netherlands
PMID18842296 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • E-Selectin
  • Liposomes
  • Oligosaccharides
  • Sialyl Lewis X Antigen
  • Doxorubicin
Topics
  • Angioplasty, Balloon
  • Animals
  • Carotid Arteries (drug effects, pathology)
  • Carotid Stenosis (pathology, prevention & control)
  • Dose-Response Relationship, Drug
  • Doxorubicin (pharmacology)
  • E-Selectin (metabolism)
  • Fluorescence
  • Humans
  • Liposomes
  • Myocytes, Smooth Muscle (drug effects, pathology)
  • Oligosaccharides (metabolism)
  • Rats
  • Sialyl Lewis X Antigen

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