Efficient co-delivery of immiscible hydrophilic/hydrophobic chemotherapeutics by lipid emulsions for improved treatment of cancer

Int J Nanomedicine. 2017 Apr 7:12:2871-2886. doi: 10.2147/IJN.S129091. eCollection 2017.

Abstract

Combinational nanomedicine is becoming a topic of much interest in cancer therapy, although its translation into the clinic remains extremely challenging. One of the main obstacles lies in the difficulty to efficiently co-deliver immiscible hydrophilic/hydrophobic drugs into tumor sites. The aim of this study was to develop co-loaded lipid emulsions (LEs) to co-deliver immiscible hydrophilic/hydrophobic drugs to improve cancer therapy and to explore the co-delivery abilities between co-loaded LEs and mixture formulation. Multiple oxaliplatin/irinotecan drug-phospholipid complexes (DPCs) were formulated. Co-loaded LEs were prepared using DPC technique to efficiently encapsulate both drugs. Co-loaded LEs exhibited uniform particle size distribution, desired stability and synchronous release profiles in both drugs. Co-loaded LEs demonstrated superior anti-tumor activity compared with the simple solution mixture and the mixture of single-loaded LEs. Furthermore, co-loaded nanocarriers could co-deliver both drugs into the same cells more efficiently and exhibited the optimized synergistic effect. These results indicate that co-loaded LEs could be a desired formulation for enhanced cancer therapy with potential application prospects. The comparison between co-loaded LEs and mixture formulation is significant for pharmaceutical designs aimed at co-delivery of multiple drugs.

Keywords: cancer; co-delivery; combination therapy; drug–phospholipid complex; lipid emulsions.

MeSH terms

  • Animals
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage*
  • Antineoplastic Combined Chemotherapy Protocols / chemistry
  • Antineoplastic Combined Chemotherapy Protocols / pharmacokinetics
  • Camptothecin / administration & dosage
  • Camptothecin / analogs & derivatives
  • Camptothecin / chemistry
  • Cell Line, Tumor
  • Drug Carriers / administration & dosage
  • Drug Carriers / chemistry*
  • Drug Delivery Systems / methods*
  • Emulsions / administration & dosage
  • Emulsions / chemistry*
  • Female
  • Humans
  • Hydrophobic and Hydrophilic Interactions
  • Irinotecan
  • Lipids / administration & dosage*
  • Lipids / chemistry
  • Mice, Inbred BALB C
  • Microscopy, Confocal
  • Organoplatinum Compounds / administration & dosage
  • Organoplatinum Compounds / chemistry
  • Oxaliplatin
  • Particle Size
  • Phospholipids / administration & dosage
  • Phospholipids / chemistry
  • Tissue Distribution

Substances

  • Drug Carriers
  • Emulsions
  • Lipids
  • Organoplatinum Compounds
  • Phospholipids
  • Oxaliplatin
  • Irinotecan
  • Camptothecin