Rapoport N
Department of Bioengineering, University of Utah, 50 S. Central Campus Drive, Room 2480, Salt Lake City, UT 84112, USA.
Int J Pharm. 2004 Jun 11;277(1-2):155-62. doi: 10.1016/j.ijpharm.2003.09.048.
A new modality of drug targeting to tumors that is under development in our lab is based on the drug encapsulation in polymeric micelles followed by a localized release at the tumor site triggered by focused ultrasound. The rationale behind this approach is that drug encapsulation in micelles decreases systemic concentration of drug and provides for a passive drug targeting to tumors via the enhanced penetration and retention (EPR) effect, thus, reducing unwanted drug interactions with healthy tissues. In addition, polymeric micelles sensitize multidrug resistant (MDR) cells to the action of drugs. Upon the accumulation of drug-loaded micelles at the tumor site, ultrasonic irradiation of the tumor is used to provide for the effective intracellular drug uptake. Ultrasound releases drug from micelles and enhances the intracellular uptake of both released and encapsulated drug. An important advantage of ultrasound is that it is noninvasive, can penetrate deep into the interior of the body, can be focused and carefully controlled. The results of the in vitro application of this technique for delivering anthracyclin drugs to ovarian carcinoma A2780 drug-sensitive and MDR cells are described.
我们实验室正在研发一种新的肿瘤靶向给药方式,该方式基于将药物包裹在聚合物胶束中,然后通过聚焦超声触发在肿瘤部位进行局部释放。这种方法背后的基本原理是,药物包裹在胶束中会降低药物的全身浓度,并通过增强渗透和滞留(EPR)效应实现药物对肿瘤的被动靶向,从而减少药物与健康组织的不必要相互作用。此外,聚合物胶束可使多药耐药(MDR)细胞对药物作用敏感。当载药胶束在肿瘤部位积聚后,利用肿瘤的超声照射来实现有效的细胞内药物摄取。超声可从胶束中释放药物,并增强释放药物和包裹药物的细胞内摄取。超声的一个重要优点是它是非侵入性的,能够深入身体内部,可聚焦且能精确控制。本文描述了该技术在体外将蒽环类药物递送至卵巢癌A2780药敏细胞和MDR细胞的应用结果。