The use of angiotensin II as a potential method of targeting cytotoxic microspheres in patients with intrahepatic tumour
1991

Using Angiotensin II to Target Tumors with Microspheres

Sample size: 9 publication Evidence: moderate

Author Information

Author(s): J.A. Goldberg, T. Murray, D.J. Kerr, N. Willmott, R.G. Bessent, J.H. McKillop, C.S. McArdle

Primary Institution: University Department of Surgery, Royal Infirmary, Glasgow

Hypothesis

Can angiotensin II enhance the delivery of cytotoxic microspheres to liver tumors?

Conclusion

Angiotensin II infusion significantly increases the delivery of drug-loaded microspheres to liver tumors.

Supporting Evidence

  • Angiotensin II infusion increased the tumor:normal ratio of microsphere delivery by a factor of 2.8.
  • Prior to angiotensin II infusion, microsphere uptake in tumors was less than in normal liver.
  • Five out of nine patients showed more than double the uptake of microspheres in tumors after angiotensin II infusion.

Takeaway

Doctors are trying to use a special chemical to help tiny drug-filled balls reach cancer in the liver better.

Methodology

A double isotope technique was used to measure the distribution of radiolabelled microspheres in tumor and normal liver tissue before and after angiotensin II infusion.

Limitations

The study had a small sample size and the effects of angiotensin II were short-lived.

Participant Demographics

Nine patients with liver metastases, mean age 56 years, including eight with colorectal cancer.

Statistical Information

P-Value

P<0.05

Statistical Significance

p<0.05

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