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超声介导的靶向药物递送。

Ultrasound mediated localized drug delivery.

机构信息

Department of Bioengineering, University of California, La Jolla, CA 92093-0815, USA.

出版信息

Adv Exp Med Biol. 2012;733:145-53. doi: 10.1007/978-94-007-2555-3_14.

Abstract

Chemotherapy is one of the frontline treatments for cancer patients, but the toxic side effects limit its effectiveness and potential. The goal of drug delivery is to reduce these side effects by encapsulating the drugs in a carrier which prevents release and can circulate throughout the body causing minimal damage to the healthy tissue. Slow release carriers have been developed which reduce the exposure to healthy tissue but this slow release also limits the maximum levels of drug in the tumor and nonspecific accumulation in healthy tissue remains a major hurdle. The next advance is to design these carriers to produce a rapid burst release of drug, but only in response to a localized trigger. The trigger of choice is low intensity focused ultrasound. A new particle is described here which incorporates an ultrasound sensitive microbubble of perfluorocarbon gas within a protective liposome carrier along with the payload. It is shown that this design can accomplish the desired burst release when exposed to ultrasound focused to small spatial locations within tissue phantoms. The ability to trigger release could provide a second level of spatial and temporal control beyond biochemical targeting or passive accumulation, making these promising particles for further development.

摘要

化疗是癌症患者的一线治疗方法之一,但毒性副作用限制了其效果和潜力。药物输送的目标是通过将药物包裹在载体中来减少这些副作用,载体可以防止药物释放并在体内循环,从而对健康组织造成最小的损害。已经开发出了缓慢释放载体,可以减少对健康组织的暴露,但这种缓慢释放也限制了肿瘤中药物的最大水平,并且在健康组织中的非特异性积累仍然是一个主要障碍。下一步的进展是设计这些载体,以产生药物的快速爆发释放,但仅响应局部触发。首选的触发是低强度聚焦超声。本文描述了一种新的颗粒,它将超声敏感的氟碳气体微泡纳入保护性脂质体载体中,并携带有效载荷。结果表明,当暴露于聚焦在组织体模中小空间位置的超声时,这种设计可以实现所需的爆发释放。释放的触发能力可以提供超越生化靶向或被动积累的第二级空间和时间控制,使这些有前途的颗粒进一步发展。

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