Department of Diagnostic Radiology, The University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USA.
J Vasc Interv Radiol. 2012 Apr;23(4):553-61. doi: 10.1016/j.jvir.2011.12.017. Epub 2012 Feb 15.
To evaluate the effects of near-infrared (NIR) laser irradiation of microspheres (MS) containing hollow gold nanospheres (HAuNS) and paclitaxel (PTX) administered intraarterially in an animal model.
For the ex vivo experiments, VX2 tumor-bearing rabbits underwent administration of MS-HAuNS or MS via the hepatic artery (HA). The animals were killed, the liver tumors were subjected to NIR irradiation, and temperature changes were estimated with magnetic resonance (MR) imaging. For the in vivo study, VX2 tumor-bearing rabbits were randomly assigned to three groups: MS-HAuNS-PTX-plus-NIR, MS-HAuNS-PTX, and saline-plus-NIR. Laser irradiation was delivered at 1 hour and at 3 days after administration of saline or MS-HAuNS-PTX via the HA. Animals were euthanized, and tumors were analyzed for necrosis and apoptosis. Plasma samples were collected from the MS-HAuNS-PTX-plus-NIR animals for PTX analysis.
Ex vivo experiments showed intratumoral heating in animals that received MS-HAuNS but no temperature change in animals that received MS. Animals treated with MS-HAuNS-PTX-plus-NIR showed a transient increase in plasma PTX levels after each NIR irradiation and significantly greater tumor necrosis than animals that received MS-HAuNS-PTX or saline-plus-NIR (44.9% vs 13.8% or 23.7%; P < .0001). The mean apoptotic index in the MS-HAuNS-PTX-plus-NIR group (5.01 ± 1.66) was significantly higher than the mean apoptotic index in the MS-HAuNS-PTX (2.99 ± 0.97) or saline-plus-NIR (1.96 ± 0.40) groups (P = .0013).
NIR laser irradiation after MS-HAuNS-PTX administration results in intratumoral heating and increases the efficacy of treatment. Further studies are required to evaluate the optimal laser settings to maximize therapeutic efficacy.
评估经肝动脉(HA)给予载紫杉醇(PTX)中空金纳米球(HAuNS)微球(MS)后近红外(NIR)激光照射在动物模型中的效果。
在离体实验中,VX2 肿瘤荷瘤兔经 HA 给予 MS-HAuNS 或 MS。处死动物,对肝肿瘤进行 NIR 照射,通过磁共振(MR)成像估计温度变化。在体内研究中,VX2 肿瘤荷瘤兔随机分为 3 组:MS-HAuNS-PTX-NIR 联合组、MS-HAuNS-PTX 组和生理盐水-NIR 联合组。经 HA 给予生理盐水或 MS-HAuNS-PTX 后 1 小时和 3 天给予激光照射。处死动物,分析肿瘤坏死和凋亡。从 MS-HAuNS-PTX-NIR 联合组动物收集血浆样本,用于 PTX 分析。
离体实验显示,接受 MS-HAuNS 的动物肿瘤内有升温,但接受 MS 的动物无温度变化。接受 MS-HAuNS-PTX-NIR 联合治疗的动物每次 NIR 照射后血浆 PTX 水平均升高,肿瘤坏死程度明显大于接受 MS-HAuNS-PTX 或生理盐水-NIR 联合治疗的动物(44.9%比 13.8%或 23.7%;P<.0001)。MS-HAuNS-PTX-NIR 联合组的平均凋亡指数(5.01±1.66)明显高于 MS-HAuNS-PTX 组(2.99±0.97)或生理盐水-NIR 联合组(1.96±0.40)(P=.0013)。
MS-HAuNS-PTX 给药后 NIR 激光照射可导致肿瘤内升温,提高治疗效果。需要进一步研究以评估最佳激光设置,以最大限度地提高治疗效果。