1. Dog-specific hemorrhagic changes induced by liposomal formulations, in the liver and the gallbladder
- Author
-
Takashi Yao, Yasuhiro Shimada, Chihaya Kakinuma, Akira Inomata, Takefumi Hara, and Keiko Makita-Suzuki
- Subjects
Endothelium ,040301 veterinary sciences ,Doxil ,liposomal formulation ,Pharmacology ,Toxicology ,compound 48/80 ,Pathology and Forensic Medicine ,0403 veterinary science ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,medicine ,Doxorubicin ,Vein ,Liposome ,hemorrhagic changes ,Gallbladder ,04 agricultural and veterinary sciences ,Compound 48/80 ,medicine.disease ,Cellular infiltration ,medicine.anatomical_structure ,chemistry ,030220 oncology & carcinogenesis ,dog ,Original Article ,Histamine ,medicine.drug - Abstract
Although several liposomal drugs, including liposomal doxorubicin, have been approved, the etiology of the pathological responses caused by their physicochemical properties remains unknown. Herein, we investigated the pathological changes in the liver and the gallbladder of dogs following a single injection of liposomal doxorubicin (1 or 2.5 mg/kg) or an empty liposomal formulation (i.e., liposomal formulation without doxorubicin, ca. 21 mg/kg as lipid content). Injection of liposomal doxorubicin or the empty liposomal formulation induced hemorrhagic changes in the liver and the gallbladder. These changes were accompanied by minimal cellular infiltration with no obvious changes in the blood vessels. As there were no differences in the incidence and severity of hemorrhage between the groups administered comparable amounts of total lipid, the physicochemical properties of the liposomal formulation rather than an active pharmacological ingredient, doxorubicin, were associated with the hemorrhagic changes. Furthermore, decreased cytoplasmic granules with low electron density in mast cells beneath the endothelium of the hepatic vein were observed in the liver of dogs treated with liposomal doxorubicin or empty liposomal formulation. Injection of compound 48/80, a histamine releaser induced comparable hemorrhage in dogs, implying that hemorrhage caused by injection of liposomal doxorubicin or the empty liposomal formulation could be attributed to the histamine released from mast cells. The absence of similar hemorrhagic lesions in other species commonly used in toxicology studies (i.e., rats and monkeys), as well as humans, is due to the lack of mast cells beneath the endothelium of the hepatic vein in these species.
- Published
- 2020
- Full Text
- View/download PDF