Gemcitabine (2',2'-difluorodeoxyribofuranosylcytosine; dFdC) is an anticancer
nucleoside analog active against wide variety of solid
tumors. However, this compound is rapidly inactivated by enzymatic deamination and can also induce drug resistance. To overcome the above drawbacks, we recently designed a new squalenoyl nanomedicine of dFdC [4-N-trisnorsqualenoyl-
gemcitabine (
SQdFdC)] by covalently coupling
gemcitabine with the 1,1',2-trisnorsqualenic
acid; the resultant nanomedicine displayed impressively greater anticancer activity compared with the parent
drug in an experimental murine model. In the present study, we report that
SQdFdC nanoassemblies triggered controlled and prolonged release of dFdC and displayed considerably greater t(1/2) (approximately 3.9-fold), mean residence time (approximately 7.5-fold) compared with the dFdC administered as a free
drug in mice. It was also observed that the linkage of
gemcitabine to the 1,1',2-trisnorsqualenic
acid noticeably delayed the metabolism of dFdC into its inactive difluorodeoxyuridine (dFdU) metabolite, compared with dFdC. Additionally, the elimination of
SQdFdC nanoassemblies was considerably lower compared with free dFdC, as indicated by lower radioactivity found in urine and kidneys, in accordance with the plasmatic concentrations of dFdU.
SQdFdC nanoassemblies also underwent considerably higher distribution to the organs of the reticuloendothelial system, such as spleen and liver (p < 0.05), both after single- or multiple-dose administration schedule. Herein, this paper brings comprehensive pharmacokinetic and biodistribution insights that may explain the previously observed greater efficacy of
SQdFdC nanoassemblies against
experimental leukemia.