MXPA02002184A - Rhodamine diagnostic agent and diagnostic methods for detection of epithelial cancer. - Google Patents

Rhodamine diagnostic agent and diagnostic methods for detection of epithelial cancer.

Info

Publication number
MXPA02002184A
MXPA02002184A MXPA02002184A MXPA02002184A MXPA02002184A MX PA02002184 A MXPA02002184 A MX PA02002184A MX PA02002184 A MXPA02002184 A MX PA02002184A MX PA02002184 A MXPA02002184 A MX PA02002184A MX PA02002184 A MXPA02002184 A MX PA02002184A
Authority
MX
Mexico
Prior art keywords
rhodamine
composition
tissue
cancerous
diagnostic
Prior art date
Application number
MXPA02002184A
Other languages
Spanish (es)
Inventor
D Burkett Douglas
Original Assignee
Zila Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Zila Inc filed Critical Zila Inc
Publication of MXPA02002184A publication Critical patent/MXPA02002184A/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/001Preparation for luminescence or biological staining
    • A61K49/006Biological staining of tissues in vivo, e.g. methylene blue or toluidine blue O administered in the buccal area to detect epithelial cancer cells, dyes used for delineating tissues during surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/001Preparation for luminescence or biological staining
    • A61K49/0013Luminescence
    • A61K49/0017Fluorescence in vivo
    • A61K49/0019Fluorescence in vivo characterised by the fluorescent group, e.g. oligomeric, polymeric or dendritic molecules
    • A61K49/0021Fluorescence in vivo characterised by the fluorescent group, e.g. oligomeric, polymeric or dendritic molecules the fluorescent group being a small organic molecule
    • A61K49/0041Xanthene dyes, used in vivo, e.g. administered to a mice, e.g. rhodamines, rose Bengal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/001Preparation for luminescence or biological staining
    • A61K49/0063Preparation for luminescence or biological staining characterised by a special physical or galenical form, e.g. emulsions, microspheres
    • A61K49/0069Preparation for luminescence or biological staining characterised by a special physical or galenical form, e.g. emulsions, microspheres the agent being in a particular physical galenical form
    • A61K49/0071Preparation for luminescence or biological staining characterised by a special physical or galenical form, e.g. emulsions, microspheres the agent being in a particular physical galenical form solution, solute

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Epidemiology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biodiversity & Conservation Biology (AREA)
  • Optics & Photonics (AREA)
  • Oncology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)
  • Investigating Or Analysing Biological Materials (AREA)

Abstract

Rhodamine dye compositions and methods for detecting and/or delineating cancerous and precancerous epithelial tissue.

Description

RODAMINE DIAGNOSTIC AGENT AND DIAGNOSTIC METHODS TO DETECT EPITHELIAL CANCER This invention relates to a novel diagnostic agent for the detection of precancerous and cancerous epithelial tissue.
According to another aspect, the invention pertains to novel methods for detecting and / or delineating cancerous and / or precancerous epithelial tissue.
In another aspect the invention relates to such diagnostic methods and agents useful in these which are especially useful for in vivo screening of patients for possible oral cancer as part of the usual examinations or procedures of dentists or doctors, such as examinations. dental or periodic physical, dental cleaning, et cetera.
In yet another aspect, the invention relates to such methods and compositions useful therein, which use dyeings with dyes that are more readily available and / or that are less expensive and less complicated to synthesize and / or purify than dyes that they are used in the prior art processes.
In still another aspect, the invention relates to in vivo methods and compositions employing a dye which, despite the teachings of the prior art, is sufficiently non-toxic that it can be used by rinsing the entire oral cavity and / or gargle. In vivo diagnostic procedures for detecting epithelial lesions are known in the art. • premalignants, such as oral lesions and oral carcinomas, using coloring compositions that are 15 selectively retain in tissues that have become abnormal by dysplasia, hyperplasia, tumorigenesis and other lesions with surface activity. For example, procedures employing fluorescein or fluorescein derivatives are described in Chenz, Chinese Journal 20 of Stomatology (27: 44-47 (1992)) and Filurin • (Stomagologiia (Russian) 72; 44-47 (1993)). These procedures include the application of the dye, followed by the visual examination in ultraviolet light to detect cancerous / precancerous tissue, which is 25 selectively fluorescent.
Another method of the prior art includes in vivo application by rinsing with toluidine blue O, followed by normal visual examination to detect any selectively stained tissue. Such procedures are described, for example, in U.S. Patent No. 5,372,801 to Tucci et al. and in U.S. Patent No. 4,321,251 to Mashberg. Toluidine blue has been used for decades as a histopathological staining for in vitro use. This use has been known as a metachromatic dye, which stains nuclei rich in DNA and RNA from purple to pink. The deep blue color of toluidine blue O changes to purple or pink when the dye binds to the nucleic acid or other acid cell macromolecules. Of course, this type of staining depends on the dye having access to internal subcellular structures such as the nucleus. Such access is easily obtained only by "fixing" a sample of tissue with formaldehyde or another reagent that breaks the cell membrane without destroying the overall cellular structure.
Contrary to the mechanism involved in in vitro use, in vivo oral tissue staining by toluidine blue O is due to its ability to penetrate cell walls and bind to mitochondria, which retain the dye for longer than the components of the extracellular matrix.
The Mashberg procedure involves the application of the toluidine blue solution 0 as a rinse in the entire oral cavity, with gargling, followed by rinses with water and acetic acid to remove the dye that is not retained by the cancerous or precancerous tissue. The preliminary diagnosis by the Mashberg procedure is then confirmed by the direct application of the toluidine blue O composition to the suspect site 10 to 14 days later, the '801 patent of Tucci discloses an improved composition of toluidine blue O for Use according to the general procedure taught by Mashberg.
An in vivo procedure includes the use of Lugol's solution (iodine) and toluidine blue 0 was proposed to detect esophageal cancer at the same time with cancers in the upper aerodigestive tract in Papazian, Gastroenterologic Clinique et Biologique 9: 16-22 (1985).
Recently, U.S. Patent No. 5,882,627 to Pomerantz describes a class The structurally defined oxazine and thiazine dyes are generally useful according to the Mashberg diagnostic protocol.
Bernal et al., Cancer Research 43, 716-720 (1983) describe that rhodamine dye selectively inhibits the growth of and kills carcinoma cells in vitro. Gaboury et al., US Patent No. 5,773,460 discloses that rhodamine is preferentially retained by multiple tumor cells and proposes that certain rhodamine esters are useful for in vitro photodynamic inhibition of certain tumor cell lines, but indicates that systemic toxicity may limit its use in chemotherapy.
Rhodamine, the 2- (6-amino-3-imino-3H-xanten-9-yl) benzoic acid methyl ester and the ionic salts thereof, for example, the hydrochloride salts, is a lipophilic cationic dye of the class pyriilio [sic]. This is effective to selectively identify and / or delineate cancerous and precancerous epithelial tissue by topical application to the epithelium, followed by normal visual examination, generally in accordance with the protocol described by the Mashberg patent 251.
Suitable compositions of rhodamine for application of the dye to the epithelial tissue are prepared by mixing the dye with a solvent suitable for pharmaceutical use, convenient. Preferably, the pH of the rhodamine solution is adjusted with a convenient, pharmaceutically acceptable buffer system to produce a final solution that is practically isotonic and has a pH in the range of from about 2.5 to 7.0, preferably 4.0-5.0. . This can be done by a buffer system acetic acid-sodium acetate. Other suitable buffer systems include citric acid-sodium citrate or mixed systems of acid salts such as citric acid-sodium phosphate and the like.
The solvent is used to produce the liquid rhodamine dye compositions of the invention is an aqueous solvent. According to the currently preferred embodiment of the invention, the solvent includes an alcohol acceptable for pharmaceutical use, ie non-toxic, non-reactive, for example ethyl alcohol. Solvents like this do not interfere appreciably with the staining mechanism and do not contribute to the reduction of the chromium forms of the dye to the leuco forms.
The flavor, stable with the other components of the coloring composition, can be added to improve the flavor of the composition if it is to be used as an oral "rinse". The amount of the rhodamine dye in the liquid composition is preferably adjusted to produce a concentration of about 1% by weight of the final composition, although it is possible to employ 10 higher concentrations, and the lower concentrations are at least partially effective. At present I prefer to employ coloring compositions containing from about 0.5 to about 3.5% by weight of the rhodamine component. The invention also contemplates the compositions for use according to the methods of the invention, in which any leuco form of the dye present in the composition is oxidized to the chromium form, by the 20 inclusion of an acceptable oxidizing agent for pharmaceutical use, in the same way as described in the '801 patent of Tucci. 25 ÍtaÉÉM --- -á - ^ - i ---- ¿--í.
EXAMPLES The following examples are presented to illustrate the practice of the invention to the person skilled in the art and not as a limitation of the scope thereof, which is defined only by the attached clauses.
• Example 1 Preparation of the diagnostic composition A diagnostic composition is prepared by mixing each of the indicated components in the following 15 proportions (% by weight): Purified water U. S. P. 83.85 Glacial acetic acid U. S. P. 4.61 Sodium acetate trihydrate U. S. P. 2.45 Ethyl alcohol SD18 7.48 Hydrogen peroxide 30%, U. S. P. 0.41 Raspberry IFF IC563457 0.20 Rhodamine 1.00 Example 2 Preparation of solution for rinsing 5 A solution for rinsing is prepared by mixing the following components in the proportions indicated (% by weight): Purified water U. S. P. 98.70 Glacial acetic acid U. S. P. 1.00 Sodium benzoate U. S. P. 0.10 Raspberry IFF IC563457 0.20 • 10 Example 3 Clinical efficacy The clinical efficacy of the compositions of Examples 1 and 2 is compared with the compositions for the diagnostic control of toluidine blue O prepared according to the '801 patent of Tucci, using the diagnostic protocol described in the' 251 patent. from 20 Mashberg.
First, patients with oral pathology are detected using the TBO control composition. After identifying the potential precancerous or cancerous pathology, all traces of the TBO are removed by repeatedly rinsing the suspect sites with water and with the acetic acid rinse of Example 2.
Those patients having oral pathology 10 are then taken as the test subjects for the rhodamine diagnostic composition of Example 1. 2-3 cc of the rhodamine composition is applied by rubbing the pathological mucosal surface, followed by rinsing with the rinse and water mixture to remove excess rhodamine composition.
Histological examination of the tissue of the areas stained by the rhodamine diagnostic composition of Example 1 confirms that the rhodamine composition is at least as effective as toluidine blue O for • identification and delineation of cancerous and precancerous epithelial tissue. 25 M * í "* ß? *? Ím < s u * ^ 'iA. ¿.?? J- - ?.
Example 4 The procedures of Example 3 are repeated, except that the test and control compositions are applied to the 5 oral mucosa rinsing with gargles, instead of direct application to the place of suspicious sites. Equivalent results are obtained.
Having described my invention in such terms 10 to enable those skilled in the art to understand and practice it, and having described the currently preferred mode, I claim: ^^ Aßiiitt

Claims (3)

1. A diagnostic method for identifying and delineating cancerous epithelial tissue comprises: (a) apply rhodamine to the epithelium, to mark • selectively cancerous tissue; Y 10 (b) visually examine the epithelium, to identify and delineate the suspicious cancerous tissue sites, comparing the color of the suspect sites with the color of the adjacent tissue.
2. In a method for in vivo detection of premalignant epithelial lesions and carcinomas, which includes the steps of: in sequence 20 • rinsing the epithelium with the composition of the dye which is selectively retained by the precancerous and cancerous tissue, where the dye composition consists mainly of toluidine blue O, and ^ e & * mt? »^ ^, ^ ^ ^ ^ rinse the epithelium with a rinse composition to remove the composition for non-retained staining, 5 the improvement in which the staining composition contains rhodamine. •
3. A composition for biological staining for in vivo detection of cancerous and precancerous tissue, 10 contains (a) rhodamine, • (b) an aqueous solvent acceptable for pharmaceutical use, and (c) an oxidizing agent acceptable for pharmaceutical use for leuco rhodamine. twenty •
MXPA02002184A 2000-06-30 2000-06-30 Rhodamine diagnostic agent and diagnostic methods for detection of epithelial cancer. MXPA02002184A (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US2000/018126 WO2002002149A1 (en) 2000-06-30 2000-06-30 Rhodamine diagnostic agent and diagnostic methods for detection of epithelial cancer

Publications (1)

Publication Number Publication Date
MXPA02002184A true MXPA02002184A (en) 2002-09-30

Family

ID=21741551

Family Applications (1)

Application Number Title Priority Date Filing Date
MXPA02002184A MXPA02002184A (en) 2000-06-30 2000-06-30 Rhodamine diagnostic agent and diagnostic methods for detection of epithelial cancer.

Country Status (11)

Country Link
EP (1) EP1294408A4 (en)
JP (1) JP2004501982A (en)
CN (1) CN1371290A (en)
AU (1) AU784558B2 (en)
BR (1) BR0013636A (en)
CA (1) CA2383697A1 (en)
IL (1) IL148341A0 (en)
MX (1) MXPA02002184A (en)
NO (1) NO20020958L (en)
NZ (1) NZ517445A (en)
WO (1) WO2002002149A1 (en)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109768151B (en) * 2019-01-04 2020-05-08 浙江大学 Multi-color LED for illumination and display and preparation method thereof

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE69229471T2 (en) * 1991-10-31 1999-11-25 Zila Inc BIOLOGICAL DYE COMPOSITION, PROCESS FOR ITS PRODUCTION AND USE FOR MARKING THE OUTLINE OF EPITHELIC CARSINOMAS
US5618831A (en) * 1992-11-17 1997-04-08 Fuji Photo Film Co., Ltd. Composition and method for treating cancer
CA2214829C (en) * 1996-01-16 2002-05-14 Edwin Pomerantz Methods and compositions for in-vivo detection of oral cancers and precancerous conditions
WO2001064110A1 (en) * 2000-02-28 2001-09-07 Zila, Inc. Method for detecting and killing epithelial cancer cells

Also Published As

Publication number Publication date
EP1294408A1 (en) 2003-03-26
NO20020958D0 (en) 2002-02-27
IL148341A0 (en) 2002-09-12
CN1371290A (en) 2002-09-25
NO20020958L (en) 2002-04-24
JP2004501982A (en) 2004-01-22
AU784558B2 (en) 2006-05-04
AU1675202A (en) 2002-01-14
NZ517445A (en) 2004-03-26
BR0013636A (en) 2005-01-11
EP1294408A4 (en) 2005-01-05
WO2002002149A1 (en) 2002-01-10
CA2383697A1 (en) 2002-01-10

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Owner name: ZILA BIOTECHNOLOGY, INC.

FA Abandonment or withdrawal