Abstract
A number of methods utilize the feeding artery of the tumor for the treatment of hepatocellular carcinoma (HCC); such methods include implantation of an infusion pump, placement of a catheter for injection into the artery, and embolization of the artery with gelatin-gel or microspheres containing anticancer agents. However, very few methods have exploited the use of lipid as a carrier and depository of an anticancer agent. Recently, we developed a procedure in which Lipiodol ultrafluid (Lipiodol) is used as a carrier of anticancer agents for injection into the feeding artery, a significant breakthrough in the treatment of solid tumors. The lipid lymphographic agent, Lipiodol, has been found to be selectively retained in HCC when injected into the hepatic artery [1]. In addition, a lipid contrast medium has various diagnostic applications, as described in this chapter. Anticancer agents, such as styrene maleic acid conjugates of neocarzinostatin (SMANCS) [2,3], mitomycin C (MMC), or aclarubicin (ACR), were dissolved into Lipiodol. As SMANCS/Lipiodol (LPD), MMC/LPD, ACR/LPD, or a mixture of these, these oily anticancer agents were administered by catheterization of the celiac or hepatic artery under X-ray monitor. Anticancer effects and the advantages of this targeting chemotherapy for HCC are described in the succeeding sections of this review.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Konno T, Maeda H, Iwai K, Tashiro S, Maki S, Morinaga T, Mochinaga M, Hiraoka T, Yokoyama I (1983) Effect of arterial administration of high molecular-weight anticancer agent SMANCS with lipid lymphographic agent on hepatoma: a preliminary report. Eur J Cancer Clin Oncol 19:1053–1065
Maeda H, Takeshita J, Konamaru R (1979) A lipophylic derivative of neocarzinostatin. Int J Peptide Protein Res 14:81–87
Maeda H, Ueda M, Morinaga T, Matsumoto T (1985) Conjugation of poly (styrene-co-meleic acid) derivatives to the antitumor protein neocarzinostatin: Pronounced improvements in pharmacological properties. J Med Chem 28:455–461
Folkman J (1974) Tumor angiogenesis. Adv Cancer Res 19:331–359
Konno T, Maeda H, Iwai K, Maki S, Tashiro S, Uchida M, Miyauchi Y (1984) Selective targeting of anti-cancer drug and simultaneous image enhancement in solid tumors by arterially administered lipid contrast medium. Cancer 54:2367–2374
Maeda H, Matsumura Y, Oda T, Sasamoto K (1986) Cancer selective macromolecular therapeusis: Tailoring of an antitumor protein drug. In: Whitaker JR, Feeney RE (eds) Protein tailoring for food and medical uses. Dekker, New York, pp 353–382
Maeda H, Takeshita J, Kanamaru R (1979) Antimetastatic and antitumor activity of a derivative of neocarzinostatin: an organic solvent and water-soluble polymer conjugated protein. Gann 70: 601–606
Maki S, Konno T, Maeda H (1985) Image enhancement in computerized tomography for sensitive diagnosis of liver cancer and semiquantitation of tumor selective drug targeting with oily contrast medium. Cancer 56:751–757
Yumoto Y, Jinno K, Tokuyama K, Araki Y, Ishimitsu T, Maeda H, Konno T, Iwamoto S, Ohnishi K, Okuda K (1985) Hepatocellular carcinoma detected by iodized oil. Radiology 154: 19–24
Konno T, Tashiro S, Maeda H, Iwai K, Ogata K, Mochinaga M, Uemura K, Ishimaru Y, Miyauchi Y, Yokoyama I (1983) Treatment of hepatoma with intraarterial administration of oily anticancer agent. Gan to Kagakuryohoo (Jpn J Cancer Chemotherapy) 10:351–357 (in Japanese)
Jinno K, Yumoto Y, Tokuyama K, Moriwaki S, Maeda H, Konno T (1985) Continuous arterial infusion of anticancer agents and arterial injection of oily anticancer agents. Rinsho Seijin Byo 15: 1657–1665 (in Japanese)
Iwai K, Maeda H, Konno T (1984) Use of oily contrast medium for selective drug targeting to tumor results in enhanced therapeutic effect and X-ray image. Cancer Res 44:2115–2122
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1987 Springer Japan
About this chapter
Cite this chapter
Konno, T., Maeda, H. (1987). Targeting Chemotherapy of Hepatocellular Carcinoma. In: Okuda, K., Ishak, K.G. (eds) Neoplasms of the Liver. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68349-0_27
Download citation
DOI: https://doi.org/10.1007/978-4-431-68349-0_27
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-68351-3
Online ISBN: 978-4-431-68349-0
eBook Packages: Springer Book Archive