NZ517445A - 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
NZ517445A
NZ517445A NZ517445A NZ51744500A NZ517445A NZ 517445 A NZ517445 A NZ 517445A NZ 517445 A NZ517445 A NZ 517445A NZ 51744500 A NZ51744500 A NZ 51744500A NZ 517445 A NZ517445 A NZ 517445A
Authority
NZ
New Zealand
Prior art keywords
rhodamine
composition
tissue
cancerous
epithelium
Prior art date
Application number
NZ517445A
Inventor
Douglas D Burkett
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 NZ517445A publication Critical patent/NZ517445A/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

A diagnostic method for identifying and delineating cancerous epithelial tissue comprising: a) applying rhodamine to the epithelium, to selectively mark cancerous tissue; and b) visually examining said epithelium, to identify and delineate suspected cancerous tissue sites, by comparing the colour of the suspected sites with the colour of the adjacent tissue; wherein the method does not include a surgical step. Also disclosed is a dye composition containing rhodamine which is selectively retained by cancerous and precancerous tissue.

Description

New Zealand Paient Spedficaiion for Paient Number 517445 517445 WO 02/02149 PCT/US00/18126 RHODAMINE DIAGNOSTIC AGENT AND DIAGNOSTIC METHODS FOR DETECTION OF EPITHELIAL CANCER This invention relates to a novel diagnostic agent for detection of cancerous and precancerous epithelial tissue.
According to another aspect, the invention pertains to novel methods for detecting and/or delineating cancerous and/or precancerous tissue of the epithelium.
In another respect the invention concerns to such diagnostic procedures and agents useful therein which are especially useful for in vivo screening of patients for possible oral cancer as part of routine dentist's or physician's examinations or procedures, such as periodic dental or physical examinations, dental cleaning, etc.
In yet another aspect the invention relates to such procedures and compositions useful therein, which use dye stains that are more readily available and/or less expensive and less complicated to synthesize and/or purify than the dyes employed in prior art procedures.
In yet another respect, the invention concerns such in vivo procedures and compositions employing a dye which, despite prior art teachings otherwise, is sufficiently non-toxic that it can be employed by rinsing the entire oral cavity and/or gargling.
In-vivo diagnostic procedures for detecting premalignant epithelial lesions, such as oral lesions and oral carcinomas, employing dye compositions that are selectively retained by tissues rendered abnormal by dysplasia, hyperplasia, tumoriegnesis and other active surface lesions, are known in the art. For example, procedures employing fluorescein or fluorescein derivatives are disclosed in Chenz, Chinese Journal of Stomatology (27:44-47(1992)) and Filurin (Stomatologiia (Russian) 72:44-47 (1993)). These procedures involve application of the dye, followed by visual examination under ultraviolet light to detect cancerous/precancerous tissue, which is selectively fluorescent.
Another prior art procedure involves in vivo application by rinsing with toluidine blue O, followed by normal visual examination to detect any selectively stained tissue. Such procedures are disclosed, for example, in U.S. Patent 5,372,801 to Tucci, et al. and in U.S. Patent 4,321,251 to Mashberg. Toluidine blue has been used for decades as a histopathological stain for in-vitro use. Through this use it has become known as a metachromatic dye, staining nuclei rich in DNA and RNA a purple to pink color. The inherent deep blue color of toluidine blue 0 is changed to purple or pink when the dye is bound to nucleic acid or other acidic cellular macromolecules. Of course, this type of staining is dependent on the dye gaining access to internal subcellular structures such as the nucleus. Such access is readily obtained only by "fixing" a tissue sample with formaldehyde or other reagent that disrupts the cellular membrane without destroying general cellular structure.
In contrast to the mechanism involved in in-vitro use, the staining of oral tissue in vivo by toluidine blue 0 is due to its ability to penetrate the cell walls and attach to the mitochondria, which retains the dye longer than components of the extracellular matrix.
The Mashberg procedure involves application of the toluidine blue 0 solution as a rinse of the entire oral cavity, with gargling, followed by rinses with water and acetic acid to remove dye that is not retained by the cancerous or precancerous tissue. The preliminary diagnosis by the Mashberg procedure is then confirmed by direct application of the toluidine blue 0 composition to the suspect site 10-14 days later. The Tucci '801 patent discloses an improved toluidine blue 0 composition for use according to the general procedure taught by Mashberg.
Aii in vivo procedure involving use of Lugol's solution (iodine) and toluidine blue 0 was proposed for detecting esophageal cancer synchronous with upper aerodigestive tract cancers in Papazian, Gastroenterologic Clinique et Biologique 9:16-22 (1985).
More recently, Pomerantz U.S. Patent 5,882,627 disclosed a structurally defined class of oxazine and thiazine dyes that are useful in general accordance with the Mashberg diagnostic protocol.
Bernal et al., Cancer Research 43, 716-720 (1983) disclosed that rhodamine dye selectively inhibits the growth of and kills carcinoma cells in vitro. Gaboury et al., U.S. Patent 5,773,460 discloses that rhodamine is preferentially retained by many tumor cells and proposes that certain esters of rhodamine are useful for vitro photodynamic inhibition of certain tumor cell lines, but indicates that systemic toxicity may limit is usefulness in chemotherapy.
Rhodamine , (2-(6-amino-3-imino-3H-xanthen-9-yl) benzoic acid methyl ester and ionic salts thereof, e.g., hydrochloride salts, is a lipophilic cationic dye of the pyriylium class. It is effective to^selectively identify and/or delineate cancerous and precancerous epithelial tissue by topical application to the epithelium, followed by normal visual examination, in general accordance with the protocol disclosed by the Mashberg '251 patent.
Suitable compositions of rhodamine for application of the dye to epithelial tissue are prepared by mixing the dye with a suitable pharmaceutically acceptable solvent. Preferably the pH.of the rhodamine solution is adjusted with a suitable pharmaceutically acceptable buffer system to yield a final solution that is substantially isotonic and has a pH in the range of approximately 2.5 to 7.0, preferably 4.0-5.0. This can be accomplished by an acetic acid-sodium acetate buffer system. Other suitable buffer systems include citric acid-sodium citrate or mixed acid salt systems such as citric acid-sodium phosphate and the like.
The solvent used to provide the liquid rhodamine dye compositions of the invention is an aqueous solvent. According to the presently preferred embodiment of the invention, the solvent included a pharmaceutically acceptable, i.e., "non-toxic, non-reactive alcohol, e.g., ethyl alcohol. ..Such solvents do not appreciably interfere with the staining mechanism and do not themselves contribute to the reduction of chromo forms of the dye to leuco forms.
Flavoring, stable to the other components of the dye composition, may be added to improve the palatability of the composition if it is to be used as an oral "rinse." The amount of rhodamine dye in the liquid composition is preferably adjusted to yield a concentration of approximately 1% by weight of the final composition, although higher concentrations can be employed and lower concentrations are at least partially effective. At present, I prefer to employ dye compositions containing from about 0.5 to about 3.5% by weight of the rhodamine component.
The invention also contemplates compositions for use in accordance with the methods of the invention, in which any leuco form of the dye present in the composition is oxidized to the chromo form, by inclusion of a pharmaceutically acceptable oxidizing agent, in the manner analogous to that disclosed in the Tucci '801 patent.
EXAMPLES The following examples are presented in order to illustrate practice of the invention to those skilled in the art and not by way of limitation of the scope thereof, which is defined only by the appended claims. -8-Example 1 Preparation of Diagnostic Composition A diagnostic composition is prepared by mixing each of the indicated components in the following 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 SD18 Ethyl Alcohol 7.48 Hydrogen Peroxide 30%, U.S.P. 0.41 IFF Raspberry IC563457 0.20 Rhodamine 1.00 Example 2 Preparation of Rinse Solution A rinse solution is prepared by mixing the following components in the indicated proportions {weight %): Purified Water U.S.P 98.70 Glacial Acetic Acid U.S.P 1.00 Sodium Benzoate U.S.P 0.10 IFF Raspberry IC563457 0.20 Example 3 Clinical Effectiveness The clinical effectiveness of the compositions of Examples 1 and 2, is compared to toluidine blue 0 diagnostic control compositions prepared in accordance with the Tucci '801 patent, using the diagnostic protocol Patients are first screened for oral pathology employing the TBO control composition. After identifying potential cancerous or precancerous pathology, all traces of the TBO are removed by repeatedly rinsing the suspect sites with water and the acetic acid rinse of Example 2.
Those patients exhibiting oral pathology are then used as test subjects for the rhodamine diagnostic disclosed in the Mashberg '251 patent

Claims (7)

WO 02/02149 PCT/US00/18126 -10- composition of Example 1. 2-3 cc of the rhodamine composition is applied by painting the pathologic mucosal surface, followed by rinsing with the rinse mixture and water to remove excess rhodamine composition. Histological examination of tissue from the areas stained by the rhodamine diagnostic composition of Example 1 confirms that the rhodamine composition is at least as effective as toluidine blue 0 in identifying and delineating cancerous and precancerous epithelial tissue. Example 4 The procedures of Example 3 are repeated, except that the test and control compositions are applied to the oral mucosa by rinsing, with gargling, instead of by direct application to the locus of the suspect sites. Equivalent results are obtained. Having disclosed my invention in such terms as to enable those skilled in the art to understand and practice it, and having disclosed the presently preferred embodiment, I CLAIM: Feb- 22 -02 02:18P DRUMMOND&DUCKWORTH • ^ » 949 724 1139 P.13 WO 02/02149 PCT/US00mi26 claims -11-
1. A diagnostic method for identifying and delineating cancerous epithelial tissue, comprising: (a) applying rhodamine to the epithelium, to selectively mark cancerous tissue; and (b) visually examining said epithelium, to identify and delineate suspected cancerous tissue sites, by comparing the color of the suspected sites with the color of the adjacent tissuej wherein the method does not include a surgical step. intellectual property office of n.z 1 9 FEB 2004 received ' } WO 02/02149 PCT/USOO/18I26 -12-
2. In a method for in vivo detection of premalignant epithelial lesions and carcinomas, including the steps of sequentially rinsing the epithelium with dye stain, composition which is selectively retained by cancerous and precancerous tissue, wherein the stain composition comprises rhodamine, and rinsing the epithelium with a rinse composition for removing unretained stain composition^ wherein the method does not include a surgical step. o intellectual property OFFICE OF N2 19 FEB 2004 received WO 02/02149 PCT/US00/18126 -13-
3. A biological stain composition for in vivo detection of cancerous and precancerous tissue, comprising (a) rhodamine, (b) a pharmaceutically acceptable aqueous solvent, and (c) a pharmaceutically acceptable oxidizing agent for leuco rhodamine. -14-
4. Use of rhodamine for the preparation of a diagnostic composition for in vivo protection of cancer epithelium tissue and premalignant epithelium lesions.
5. A method as claimed in claim 1 or claim 2, substantially as hereinbefore described with reference to the Example.
6. A biological staining composition as claimed in claim 3, substantially as hereinbefore described with reference to the Example.
7. A use as claimed in claim 4, substantially as hereinbefore described with reference to the Example. end of claims intellectual property office of n.z 17 SEP 2003 received 84578J.DOC
NZ517445A 2000-06-30 2000-06-30 Rhodamine diagnostic agent and diagnostic methods for detection of epithelial cancer NZ517445A (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
NZ517445A true NZ517445A (en) 2004-03-26

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NZ517445A NZ517445A (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)

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* 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
MXPA02002184A (en) 2002-09-30
AU1675202A (en) 2002-01-14
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., US

Free format text: OLD OWNER(S): ZILA, INC.