Division of Thoracic Surgery, Brigham and Women's Hospital, Boston, MA 02115, USA.
J Am Coll Surg. 2012 Mar;214(3):328-37. doi: 10.1016/j.jamcollsurg.2011.11.006. Epub 2012 Jan 5.
The aim of this study was to demonstrate feasibility of migration and in situ chemotherapy delivery to regional lymph nodes (LN) in a large animal model using an expansile polymer nanoparticle (eNP) delivery system.
Dual-labeled 50-nm and 100-nm eNP were prepared by encapsulating an IR-813 near-infrared (NIR) fluorescent dye within coumarin-conjugated expansile polymer nanoparticles (NIR-C-eNP). NIR imaging and fluorescent microscopy were used to identify intralymphatic migration of NIR-nanoparticles to draining inguinal or mesenteric LN after injection in swine hind legs or intestine. Nanoparticle-mediated intranodal delivery of chemotherapy was subsequently assessed with Oregon Green paclitaxel-loaded NIR-eNP (NIR-OGpax-eNP).
NIR imaging demonstrated direct lymphatic migration of 50-nm, but not 100-nm, NIR-C-eNP and NIR-OGpax-eNP to the draining regional LNs after intradermal injection in the hind leg or subserosal injection in intestine. Fluorescent microscopy demonstrated that IR-813 used for NIR real-time trafficking colocalized with both the coumarin-labeled polymer and paclitaxel chemotherapy and was identified within the subcapsular spaces of the draining LNs. These studies verify nodal migration of both nanoparticle and encapsulated payload, and confirm the feasibility of focusing chemotherapy delivery directly to regional nodes.
Regionally-targeted intranodal chemotherapy can be delivered to draining LNs for both skin and solid organs using 50-nm paclitaxel-loaded eNP.
本研究旨在展示使用可扩张聚合物纳米粒子(eNP)递药系统将迁移和原位化疗递送至局部淋巴结(LN)在大动物模型中的可行性。
通过将近红外(NIR)荧光染料 IR-813 封装在香豆素缀合的可扩张聚合物纳米粒子(NIR-C-eNP)内,制备了双标记的 50nm 和 100nm eNP。NIR 成像和荧光显微镜用于识别经皮注射猪后腿或肠内后 NIR-纳米粒子向引流腹股沟或肠系膜 LN 的淋巴管内迁移。随后,用载有奥克绿紫杉醇的近红外 eNP(NIR-OGpax-eNP)评估纳米颗粒介导的腔内化疗递送至 LN 内。
NIR 成像显示,50nm 的 NIR-C-eNP 和 NIR-OGpax-eNP 而非 100nm 的 NIR-C-eNP 和 NIR-OGpax-eNP 经皮注射后腿或皮下注射肠后可直接向引流的局部 LN 进行淋巴迁移。荧光显微镜显示,用于 NIR 实时示踪的 IR-813 与香豆素标记的聚合物和紫杉醇化疗药物共定位,并在引流 LN 的被膜下空间中被识别。这些研究证实了纳米颗粒和包裹的有效载荷都可以向 LN 迁移,并证实了将化疗药物直接聚焦递送至局部淋巴结的可行性。
使用载有紫杉醇的 50nm eNP 可将区域靶向的腔内化疗递送至引流的 LN,用于皮肤和实体器官。