The objective of this study was to evaluate the feasibility of producing
10-hydroxycamptothecin nanosuspensions with high
drug payload and to then determine the in vitro and in vivo characteristics of these nanosuspensions. Using cholesterol-PEG600 as a stabilizer,
10-hydroxycamptothecin nanosuspensions were successfully prepared using a precipitation-combined high-pressure homogenization method. A satisfactory
drug payload of 90.39% (w/w) was achieved. The obtained nanosuspensions were spherical, with a mean particle size of 115.0 ± 0.4 nm, and they were monodisperse with a polydispersity index of 0.134 ± 0.001. The
10-hydroxycamptothecin remained in the same crystalline form in both the nanosuspensions and the bulk
powder. In vitro, the
10-hydroxycamptothecin nanosuspensions released the encapsulated
drug with nearly zero-order kinetics, and the accumulative release reached 90% within 72 hours. In vitro cytotoxicity assay showed that the 1 0-hydroxycamptothecin nanosuspensions had significantly enhanced cytotoxicity against HepG2 cells compared to the commercially available
10-hydroxycamptothecin injections. The in vivo study with H22
tumor-bearing mice and
intravenous injection of the
drug showed that in contrast to the
10-hydroxycamptothecin injections, the
10-hydroxycamptothecin nanosuspensions exhibited significantly enhanced biodistribution, particularly in the lung (393.40-fold AUC(0-24h)), liver (192.35-fold AUC(0-24h)), spleen (141.67-fold AUC(0-24h)) and
tumor (64.21-fold AUC(0-24h)). The
10-hydroxycamptothecin nanosuspensions also showed improved antitumor therapeutic efficacy over the
injections (89.83% vs. 30.56%). This suggests that cholesterol-PEG600 may be an effective stabilizer for the preparation of hydrophobic
drug nanosuspensions and that
10-hydroxycamptothecin nanosuspensions are a promising drug delivery system for
tumor treatment.