fig , confocal fluorescence images of bt cells stained with side effects of depo provera mitotracker red after exposure for lohrs to dna green complexed with cdqasomes left column circular mlspdna conjugate, right column linearized mlspdna conjugate top row a and b red channel, middle row c and d green channel, bottom row e and f corresponding overlaid images figure shows confocal fluorescence micrographs of cells incubated with mlspdna conjugates, which were vectorized with vesicles made from side effects of depo provera the cyclohexyl derivative of dequalinium cdqasomes for the cell exposures side effects of depo provera imaged in the left column panels �, � and e side effects of depo provera the nonrestricted, ie circular form of pdna was used, while for the experiments pictured in the right column panels b, d side effects of depo provera and f, the plasmid dna was linearized before dqaplex formation the characteristic red mitochondrial staining pattern panels a and b shows side effects of depo provera the functional viability of the imaged cells and the intracellular green fluorescence panels � and d demonstrates efficient cell internalization of the fluorescein labeled dna the green and red fluorescence channels side effects of depo provera were then overlaid to produce the composite image seen in side effects of depo provera panels e and f, where the regions of true colocalization of red and green fluorescence were pseudocolored in white for better side effects of depo provera visualization strikingly, in the overlaid images, there is hardly any green fluorescence detectable nearly all areas of green fluorescence in panels � and d appeared as white areas in panels e and f, strongly suggesting that almost the entire dna has been delivered not only towards mitochondria, can i crush aleve but also into the organelle however, whether all or at least a portion of the pdna has actually entered the mitochondrial matrix, ie has crossed side effects of depo provera both mitochondrial membranes, and therefore would potentially be accessible to side effects of depo provera the mitochondrial transcription machinery, remains yet to be determined dqasomes as carriers of proapoptotic drugs dysregulation of the apoptotic machinery is side effects of depo provera generally accepted as an almost universal component of the transformation process of normal cells into cancer cells and a large body of experimental data demonstrates that mitochondria play a key role in the complex apoptotic mechanism consequently, any therapeutic strategy aimed at specifically triggering apoptosis in cancer cells is believed to have potential therapeutic effect, several clinically approved drugs such as vp etoposide, arsenite and vinorelbine, as well as an increasing number side effects of depo provera of experimental anticancer drugs reviewed by constantini et al, such as betulinic acid, lonidamine, ceramide and cd have been found to side effects of depo provera act directly on mitochondria, resulting in triggering apoptosis in order to maximize the therapeutic potential of such anticancer drugs, which are known to act at or inside mitochondria, the use of dqasomes as a mitochondriaspecific drug delivery system has been proposed side effects of depo provera hypothetically, dqasomebased anticancer chemotherapy entails features which would make it putatively superior to conventional chemotherapeutic approaches on the cellular, as well as the subcellular level firstly, the delivery of drugs known side effects of depo provera to act directly on mitochondria may trigger apoptosis in circumstances side effects of depo provera in which conventional drugs fail to act, because endogenous, upstream of mitochondria apoptosis induction pathways are disrupted secondly, transporting the cytotoxic drug to its intracellular target could overcome multidrug resistance by hiding the drug inside the delivery system until it becomes selectively released at the particular intracellular site of action, ie mitochondria thirdly, many carcinoma cells, including human breast adenocarcinoma derived cells, side effects of depo provera have an elevated plasma membrane potential relative to their normal parent cell lines in addition to the higher mitochondrial membrane potential, they could provide the basis for a doubletargeting effect of dqasomes, ie on the cellular level normal cells vs carcinoma side effects of depo provera cells, and on the subcellular level mitochondria versus nucleus first data side effects of depo provera involving the encapsulation of anticancer drugs into dqasomes have been side effects of depo provera published most recently in this study, paclitaxel was chosen as side effects of depo provera a model compound paclitaxel is known as a potent antitubulin agent used in the treatment of malignancies its therapeutic potential, however, is limited due to a very narrow span between the maximal tolerated dose and intolerable toxic levels in addition, its poor side effects of depo provera aqueous solubility requires the formulation of emulsions containing cremophor el�, side effects of depo provera an oil of considerable toxicity by itself recently, it has side effects of depo provera been demonstrated that clinically relevant concentrations of paclitaxel target mitochondria directly side effects of depo provera and trigger apoptosis by inducing cytochrome � release in a side effects of depo provera permeability transition pore ptpdependent manner this mechanism of action is side effects of depo provera known from the other proapoptotic, directly on mitochondria acting agents a hour delay between the treatment with paclitaxel or with other ptp inducers, and the release of cytochrome � in cellfree side effects of depo provera systems, compared with intact cells, has been explained by the existence side effects of depo provera of several drug targets inside the cell, making only a subset of the drug available for mitochondria consequently, paclitaxel was side effects of depo provera considered a prime candidate to benefit from a mitochondriaspecific drug delivery system such as dqasomes it was demonstrated that paclitaxel can be incorporated into dqasomes at a stoichiometric molar ratio of side effects of depo provera paclitaxel to dequalinium considering the known spherical character of dqasomes, side effects of depo provera the results of an electron microscopic em analysis of dequasomal incorporated paclitaxel, however, seem rather surprising the transmission em image fig , left panel and the cryoem image fig of an identical side effects of depo provera sample show a remarkable conformity worm or rodlike structures approximately nm in length, the size of which could also be confirmed side effects of depo provera by the size distribution analysis shown in fig , right panel the molecular structureof this wormlike complex remains to be determined nevertheless side effects of depo provera fig left panel transmission electron microscopic image uranyl acetate staining of dqasomal incorporated paclitaxel mol taxolmol dequalinium right panel size side effects of depo provera distribution analysis of identical preparation shown in left panel the formation of wormlike micelles as described for selfassembling amphiphilic block copolymers appears possible � s � i in a preliminary study, paclitaxelloaded dqasomes were tested for their ability to inhibit the growth of human colon cancer cells in nude mice for controls side effects of depo provera with free paclitaxel, the drug was suspended in dmso at mm, stored at �c and immediately diluted in warm medium before use in all controls, the respective dose of free paclitaxel and empty dqasomes was adjusted according to the dose of paclitaxel and dequalinium given in the paclitaxelloaded dqasome sample due to side effects of depo provera the lack of any inhibitory effect on tumor growth, the dose was tripled after weeks figure shows that at concentrations where free paclitaxel and r hepes buffer v free paclitaxel empty dqasomes ?