Husseini Ghaleb A, Pitt William G
Chemical Engineering Department, American University of Sharjah, Sharjah, United Arab Emirates.
Adv Drug Deliv Rev. 2008 Jun 30;60(10):1137-52. doi: 10.1016/j.addr.2008.03.008. Epub 2008 Apr 4.
Drug delivery research employing micelles and nanoparticles has expanded in recent years. Of particular interest is the use of these nanovehicles that deliver high concentrations of cytotoxic drugs to diseased tissues selectively, thus reducing the agent's side effects on the rest of the body. Ultrasound, traditionally used in diagnostic medicine, is finding a place in drug delivery in connection with these nanoparticles. In addition to their non-invasive nature and the fact that they can be focused on targeted tissues, acoustic waves have been credited with releasing pharmacological agents from nanocarriers, as well as rendering cell membranes more permeable. In this article, we summarize new technologies that combine the use of nanoparticles with acoustic power both in drug and gene delivery. Ultrasonic drug delivery from micelles usually employs polyether block copolymers and has been found effective in vivo for treating tumors. Ultrasound releases drug from micelles, most probably via shear stress and shock waves from the collapse of cavitation bubbles. Liquid emulsions and solid nanoparticles are used with ultrasound to deliver genes in vitro and in vivo. The small packaging allows nanoparticles to extravasate into tumor tissues. Ultrasonic drug and gene delivery from nanocarriers has tremendous potential because of the wide variety of drugs and genes that could be delivered to targeted tissues by fairly non-invasive means.
近年来,利用胶束和纳米颗粒的药物递送研究不断扩展。特别令人感兴趣的是使用这些纳米载体,它们能将高浓度的细胞毒性药物选择性地递送至患病组织,从而减少药物对身体其他部位的副作用。传统上用于诊断医学的超声波,正与这些纳米颗粒一起在药物递送领域找到用武之地。除了其非侵入性以及能够聚焦于目标组织这一事实外,声波还被认为可从纳米载体中释放药理剂,并使细胞膜更具渗透性。在本文中,我们总结了在药物和基因递送中结合使用纳米颗粒与声能的新技术。从胶束进行超声药物递送通常采用聚醚嵌段共聚物,并且已发现在体内治疗肿瘤方面有效。超声从胶束中释放药物,很可能是通过空化气泡崩溃产生的剪切应力和冲击波。液体乳液和固体纳米颗粒与超声一起用于在体外和体内递送基因。小尺寸的包装使纳米颗粒能够渗出进入肿瘤组织。由于可以通过相当非侵入性的方式将多种药物和基因递送至目标组织,纳米载体的超声药物和基因递送具有巨大潜力。