Udrea Laura Elena, Strachan Norval J C, Bădescu Vasile, Rotariu Ovidiu
National Institute of Research and Development for Technical Physics-IFT, Iasi 700050, Romania.
Phys Med Biol. 2006 Oct 7;51(19):4869-81. doi: 10.1088/0031-9155/51/19/010. Epub 2006 Sep 14.
The magnetic guidance and capture of particles inside the human body, via the circulatory system, is a novel method for the targeted delivery of drugs. This experimental study confirms in vitro that a dipolar capturing device, based on high-energy magnets with an active space of 8.7 cm x 10 cm x 10 cm, retains colloidal magnetic particles (MPs) (<30 nm) injected in the capillary tubes, where flow velocities are comparable to that encountered in the capillary beds of tumours (<0.5 cm s(-1)). The build-up of the deposition of the MPs was investigated using video imaging techniques that enabled continuous monitoring of the blocking of the vessel whilst simultaneously recording the colloid's flow rate. The parameters of practical importance (length of MP deposit, time of capillary blocking) were estimated and were found to be dependent on the initial fluid velocity, the MP concentration and the distance between the capillary tube and the polar magnetic pieces. Although the tube used in this experiment is larger (diameter = 0.75 mm, length = 100 mm) than that of real capillaries (diameter = 0.01 mm, length approximately 1.5 mm), the flow velocities chosen were similar to those encountered in the capillary beds of tumours and the length/diameter ratio was approximately equal (133 for the present set-up, 100-150 for real capillaries). In these circumstances and using the same magnetic field conditions (intensity, gradient) and MPs, there is close similarity with magnetic capture in a microscopic capillary system. Moreover, the macroscopic system permits analysis of the distribution of MPs in the active magnetic space, and consequently the maximum targetable volume. This study revealed that the capture of particles within the active space was strongly influenced by the gradient of the magnetic field and the flow velocity. Thus, when the magnetic field gradient had medium values (0.1-0.3 T cm(-1)) and the fluid velocity was small (0.15 cm s(-1)), the particles were captured in small, compact and stable deposits (L < 4 cm) and the time necessary for blocking of the capillary was <150 s. Doubling the value for the flow velocity did not influence significantly either the length of MP deposits nor the blocking time. However, lower gradients (<0.1 T cm(-1)) and larger velocities (0.3-0.9 cm s(-1)) result in the formation of larger deposits (4 cm < L < 10 cm) that are unstable at the beginning of the capture process. These large deposits do become stable given sufficient time for the deposition process to take place in conjunction with a decrease in the flow rate. As a consequence, the time necessary for blocking of the capillary increased up to 450 s. Decreasing the MP concentration from 0.02 g cm(-3) to 0.005 g cm(-3) decreased the deposit lengths by approximately 20% and doubled the values of the blocking time. The maximum targetable volume obtained by the present method is approximately 350 cm(3), which corresponds to medium-sized tumours. The capillary vessels were blocked only for the situation that occurs for microcirculation within a tumour. This reduces the concentration of MPs trapped within the normal tissues, which occurs when using particles of micrometre size. This work showed the potential of using colloidal MPs and dipolar magnetic devices for treatment of human patients, when the affected sites are positioned at medium distances from the surface of the body (e.g. head, neck, breast, hands and legs).
通过循环系统在人体内对粒子进行磁引导和捕获,是一种新型的药物靶向递送方法。这项实验研究在体外证实,基于高能磁体、有效空间为8.7 cm×10 cm×10 cm的偶极捕获装置,能够保留注入毛细管中的胶体磁性粒子(MPs,<30 nm),毛细管中的流速与肿瘤毛细血管床中的流速相当(<0.5 cm s⁻¹)。使用视频成像技术研究了MPs沉积的形成过程,该技术能够在记录胶体流速的同时,持续监测血管的堵塞情况。估算了具有实际重要性的参数(MP沉积长度、毛细管堵塞时间),发现这些参数取决于初始流体速度、MP浓度以及毛细管与极性磁片之间的距离。尽管本实验中使用的管子(直径 = 0.75 mm,长度 = 100 mm)比实际毛细血管(直径 = 0.01 mm,长度约1.5 mm)大,但所选的流速与肿瘤毛细血管床中的流速相似,且长度/直径比大致相等(本装置为133,实际毛细血管为100 - 150)。在这些情况下,使用相同的磁场条件(强度、梯度)和MPs,与微观毛细管系统中的磁捕获有密切相似性。此外,宏观系统允许分析MPs在有效磁空间中的分布,从而分析最大可靶向体积。该研究表明,有效空间内粒子的捕获受到磁场梯度和流速的强烈影响。因此,当磁场梯度为中等值(0.1 - 0.3 T cm⁻¹)且流体速度较小时(0.15 cm s⁻¹),粒子会被捕获形成小的、紧凑且稳定的沉积物(L < 4 cm),毛细管堵塞所需时间<150 s。将流速加倍对MP沉积物长度和堵塞时间均无显著影响。然而,较低的梯度(<0.1 T cm⁻¹)和较大的流速(0.3 - 0.9 cm s⁻¹)会导致形成较大的沉积物(4 cm < L < 10 cm),这些沉积物在捕获过程开始时不稳定。随着沉积过程的进行以及流速的降低,这些大沉积物最终会变得稳定。因此,毛细管堵塞所需时间增加到450 s。将MP浓度从0.02 g cm⁻³降至0.005 g cm⁻³,沉积物长度减少约20%,堵塞时间值翻倍。通过本方法获得的最大可靶向体积约为350 cm³,这对应于中等大小的肿瘤。仅在肿瘤内微循环的情况下毛细管才会堵塞。这降低了正常组织中捕获的MPs浓度,而使用微米级粒子时会出现这种情况。这项研究表明,当患病部位位于距身体表面中等距离处(如头部、颈部、乳房、手部和腿部)时,使用胶体MPs和偶极磁体装置治疗人类患者具有潜力。