Encapsulating paclitaxel in polymeric nanomicelles increases antitumor activity and prevents peripheral neuropathy

Biomed Pharmacother. 2020 Dec:132:110864. doi: 10.1016/j.biopha.2020.110864. Epub 2020 Nov 3.

Abstract

Paclitaxel (PTX) has a great clinical significance as an antitumor drug, although several side effects are strongly dose-limiting. In this way, we prepared a PTX-loaded 1,2-distearoyl-sn-glycero-3-phosphoethanolamine-N-[methoxy (polyethylene glycol)-2000] polymeric micelles (PM/PTX) in an attempt to improve safety and effectiveness of conventional PTX formulation (CrEL/EtOH/PTX). In this study, we evaluated from both formulations: stability after dilution, hemocompatibility, cellular uptake, acute toxicity in healthy mice, antitumor activity, and toxicity after multiple-dose treatment. PM/PTX appeared to be more stable than CrEL/EtOH/PTX after dilution. PM/PTX did not exhibit hemolytic activity (values <1%), even at high concentrations. In vitro cellular uptake study indicated that polymeric micelles were able to deliver more PTX (5.8 %) than CrEL/EtOH (2.7 %) to 4T1 cells. In the acute toxicity evaluation in healthy mice, CrEL/EtOH/PTX (single dose of 20 mg/kg) induced peripheral neuropathy, which was not observed in PM/PTX group. Similar results were observed after tumor-bearing mice received a multiple-dose regimen (seven doses of 10 mg/kg). Worth mentioning, we also evaluated vehicles, and CrEL/EtOH alone was not capable of inducing neuropathic pain. Besides, PM/PTX exhibited a higher antitumor activity with an inhibition ratio approximately 1.5-fold higher than CrEL/EtOH/PTX group. This study suggested that PM/PTX is safer than CrEL/EtOH/PTX, and was able to improve the antitumor effectiveness in a 4T1 breast cancer model.

Keywords: Cancer; Nanoparticles; Paclitaxel; Polymeric micelles; Toxicity.

MeSH terms

  • Animals
  • Antineoplastic Agents, Phytogenic / administration & dosage*
  • Antineoplastic Agents, Phytogenic / chemical synthesis
  • Antineoplastic Agents, Phytogenic / toxicity
  • Cell Line, Tumor
  • Dose-Response Relationship, Drug
  • Drug Carriers / administration & dosage*
  • Drug Carriers / chemical synthesis
  • Drug Carriers / toxicity
  • Female
  • Mice
  • Mice, Inbred BALB C
  • Micelles*
  • Nanoparticles / administration & dosage*
  • Nanoparticles / chemistry
  • Nanoparticles / toxicity
  • Paclitaxel / administration & dosage*
  • Paclitaxel / chemical synthesis
  • Paclitaxel / toxicity
  • Peripheral Nervous System Diseases / chemically induced
  • Peripheral Nervous System Diseases / prevention & control*
  • Polymers / administration & dosage
  • Polymers / chemical synthesis
  • Tumor Burden / drug effects
  • Tumor Burden / physiology
  • Xenograft Model Antitumor Assays / methods

Substances

  • Antineoplastic Agents, Phytogenic
  • Drug Carriers
  • Micelles
  • Polymers
  • Paclitaxel