Biodegradable microsphere-loaded tacrolimus enhanced the effect on mice islet allograft and reduced the adverse effect on insulin secretion.

作者: Quanxing Wang , Takeji Uno , Yasunori Miyamoto , Yuko Hara , Yusuke Kitazawa

DOI: 10.1111/J.1600-6143.2004.00423.X

关键词: Therapeutic effectTransplantationIsletInternal medicineImmunosuppressive drugAdverse effectSubcutaneous injectionEndocrinologyIn vivoTacrolimusMedicine

摘要: The adverse effects of tacrolimus have limited the use this potent immunosuppressive drug in clinical transplantation. To improve therapeutic effects, we developed a new type with biodegradable microsphere technology and examined on allogeneic islet transplantation side-effects insulin secretion vivo. With single subcutaneous injection, mouse blood concentrations (M-FK) carried microspheres remained flat for 2 weeks (only 10 h conventional tacrolimus). A administration 20 mg/kg M-FK significantly prolonged survival allografts (MST = 28 days) compared control group days). Series at 7-day intervals markedly grafts, resulted 60% allograft acceptance. In mice syngeneic transplantations, 30 inhibited secretion, whereas an equal dosage did not. results suggested that enhanced rejection more effectively reduced secretion.

参考文章(45)
JW Fay, JR Wingard, JH Antin, RH Collins, LA Pineiro, BR Blazar, R Saral, BE Bierer, D Przepiorka, WE Fitzsimmons, RM Maher, DJ Weisdorf, FK506 (Tacrolimus) monotherapy for prevention of graft-versus-host disease after histocompatible sibling allogeneic bone marrow transplantation Blood. ,vol. 87, pp. 3514- 3519 ,(1996) , 10.1182/BLOOD.V87.8.3514.BLOODJOURNAL8783514
Michael Eliasziw, Ashok Jain, Allan Donner, John J. Fung, Thomas E. Starzl, John P. McMichael, Paul Meier, Satoru Todo, Anthony J. Demetris, The Pittsburgh randomized trial of tacrolimus compared to cyclosporine for hepatic transplantation. Journal of The American College of Surgeons. ,vol. 183, pp. 117- 125 ,(1996)
W.J. Tze, J. Tai, T.E. Starzl, A. Tzakis, N. Murase, Effect of FK 506 on glucose metabolism and insulin secretion in normal rats. Transplantation proceedings. ,vol. 23, pp. 3158- 3160 ,(1991)
A. M. James Shapiro, Er Geng Hao, Jonathan R. T. Lakey, Diane T. Finegood, Ray V. Rajotte, Norman M. Kneteman, Defining optimal immunosuppression for islet transplantation based on reduced diabetogenicity in canine islet autografts. Transplantation. ,vol. 74, pp. 1522- 1528 ,(2002) , 10.1097/00007890-200212150-00008
Qing Yang, Godfried Owusu-Ababio, Biodegradable progesterone microsphere delivery system for osteoporosis therapy. Drug Development and Industrial Pharmacy. ,vol. 26, pp. 61- 70 ,(2000) , 10.1081/DDC-100100328
R Napoli, A M Davalli, M F Hirshman, R Weitgasser, G C Weir, E S Horton, Islet transplantation under the kidney capsule fully corrects the impaired skeletal muscle glucose transport system of streptozocin diabetic rats. Journal of Clinical Investigation. ,vol. 97, pp. 1389- 1397 ,(1996) , 10.1172/JCI118559
K Dette, G Woeste, R Schwarz, C Wullstein, W.O Bechstein, Daclizumab and ATG versus ATG in combination with tacrolimus, mycophenolate mofetil, and steroids in simultaneus pancreas-kidney transplantation: analysis of early outcome International Congress on Immunosuppression. ,vol. 34, pp. 1909- 1910 ,(2002) , 10.1016/S0041-1345(02)03119-6
Mandeep R. Mehra, Patricia A. Uber, Robert L. Scott, Myung H. Park, Ethnic disparity in clinical outcome after heart transplantation is abrogated using tacrolimus and mycophenolate mofetil-based immunosuppression. Transplantation. ,vol. 74, pp. 1568- 1573 ,(2002) , 10.1097/00007890-200212150-00014
KOUCHIT TAMUKA, TAKAO FUJIMURA, TAKESHI TSUTSUMI, KEIKO NAKAMURA, TOSHIKAZU OGAWA, CHIZURU ATLIMARU, YURI HIRANO, KANAME OHARA, KAZUYUKI OHTSUKA, KYOICHI SHIMOMURA, MASAKAZU KOBAYASHI, Transcriptional inhibition of insulin by FK506 and possible involvement of FK506 binding protein-12 in pancreatic beta-cell Transplantation. ,vol. 59, pp. 1606- 1613 ,(1995) , 10.1097/00007890-199506000-00018
Ron Shapiro, Velma P. Scantlebury, Mark L. Jordan, Carlos Vivas, H. Albin Gritsch, Demetrius Ellis, Nisan Gilboa, Susan Lombardozzi-Lane, William Irish, John J. Fung, Thomas R. Hakala, Richard L. Simmons, Thomas E. Starzl, Tacrolimus in pediatric renal transplantation. Transplantation. ,vol. 62, pp. 1752- 1758 ,(1996) , 10.1097/00007890-199612270-00010