Extravascular use of drug-eluting beads: A promising approach in compartment-based tumor therapy  

作　　者：Simon Binder Andrew L Lewis J-Matthias Lhr Michael Keese 

机构地区：[1]Faculty of Medicine Mannheim,University of Heidelberg,68167 Mannheim,Germany [2]Biocompatibles UK Ltd.,Department for Research and Development,Farnham GU98QL Surrey,United Kingdom [3]Karolinska Institute,Department of Clinical Science,Intervention and Technology,17177 Stockholm,Sweden [4]Clinic for Vascular and Endovascular Surgery,University Hospital Frankfurt,60590 Frankfurt am Main,Germany

出　　处：《World Journal of Gastroenterology》2013年第43期7586-7593,共8页世界胃肠病学杂志（英文版）

摘　　要：Intraperitoneal carcinomatosis(PC)may occur with several tumor entities.The prognosis of patients suffering from PC is usually poor.Present treatment depends on the cancer entity and includes systemic chemotherapy,radiation therapy,hormonal therapy and surgical resection.Only few patients may also benefit from hyperthermic intraperitoneal chemotherapy with a complete tumor remission.These therapies are often accompanied by severe systemic side-effects.One approach to reduce side effects is to target chemotherapeutic agents to the tumor with carrier devices.Promising experimental results have been achieved using drug-eluting beads(DEBs).A series of in vitro and in vitro experiments has been conducted to determine the suitability of their extravascular use.These encapsulation devices were able to harbor CYP2B1producing cells and to shield them from the hosts immune system when injected intratumorally.In this way ifosfamide-which is transformed into its active metabolites by CYP2B1-could be successfully targeted into pancreatic tumor growths.Furthermore DEBs can be used to target chemotherapeutics into the abdominal cavity for treatment of PC.If CYP2B1 producing cells are proven to be save for usage in man and if local toxic effects of chemotherapeutics can be controlled,DEBs will become promising tools in compartmentbased anticancer treatment.Intraperitoneal carcinomatosis (PC) may occur with several tumor entities. The prognosis of patients suffering from PC is usually poor. Present treatment depends on the cancer entity and includes systemic chemotherapy, radiation therapy, hormonal therapy and surgical resection. Only few patients may also benefit from hyperthermic intraperitoneal chemotherapy with a complete tumor remission. These therapies are often accompanied by severe systemic side-effects. One approach to reduce side effects is to target chemotherapeutic agents to the tumor with carrier devices. Promising experimental results have been achieved using drug-eluting beads (DEBs). A series of in vitro and in vitro experiments has been conducted to determine the suitability of their extravascular use. These encapsulation devices were able to harbor CYP2B1 producing cells and to shield them from the hosts immune system when injected intratumorally. In this way ifosfamide - which is transformed into its active metabolites by CYP2B1 - could be successfully targeted into pancreatic tumor growths. Furthermore DEBs can be used to target chemotherapeutics into the abdominal cavity for treatment of PC. If CYP2B1 producing cells are proven to be save for usage in man and if local toxic effects of chemotherapeutics can be controlled, DEBs will become promising tools in compartment-based anticancer treatment.

关 键 词：COMPARTMENT based therapy INTRAPERITONEAL DRUG-ELUTING beads CARCINOMATOSIS Hyperthermic INTRAPERITONEAL chemotherapy Glioblastoma Pancreatic cancer CYP2B1 IFOSFAMIDE 

分 类 号：R735.5[医药卫生—肿瘤]