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超声微泡造影技术在眼科靶向治疗中的应用:文献分析

Application of ultrasound microbubble contrast technology in ophthalmic targeted therapy: literature analysis.

作者信息

Yuan Jia-Ying, Zhang Jian-Hua, Tang Chong, Zhu Hong, Xie Hua, Gao Shuan-Jie

机构信息

Department of Ultrasonography Directly under Hospital of Military Area of Henan, Zhengzhou 450003, Henan Province,China.

出版信息

Int J Ophthalmol. 2011;4(5):537-42. doi: 10.3980/j.issn.2222-3959.2011.05.15. Epub 2011 Oct 18.

DOI:10.3980/j.issn.2222-3959.2011.05.15
PMID:22553717
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3340723/
Abstract

AIM

To analyze the application of microbubble contrast technology in the treatment of ophthalmic diseases, mainly analyzing its advantages and existing problems.

METHODS

A total of 30 representative literatures about the application of ultrasound contrast agent in gene targeted therapy at home and abroad were collected, and focusing on sorting out the literature reporting the treatment of ophthalmic diseases with microbubble contrast technology in recent years, then recalling its advantages and problems, finally making reasonable assessment on existing problems and proposing possible solutions to the problems.

RESULTS

DUE TO ITS UNIQUE SAFETY AND EFFICACY, THE TREATMENT OF OPHTHALMIC DISEASES WITH MICROBUBBLE CONTRAST TECHNOLOGY HAS INCREASINGLY DRAWN THE ATTENTION OF CLINICIANS, BUT TWO RELEVANT ISSUES SHOULD BE CONSIDERED: first, the nature of contrast agent and the choice of corresponding ultrasound parameters; second, relative incidence of tissue bleeding, intravascular hemolysis, moderate or severe allergy as well as other side effects.

CONCLUSION

Microbubble may become the carrier of targeted therapy, and as a kind of new non-invasive delivery system, the ultrasound contrast agent has broad application prospects, but its application in ophthalmic research is still in its initial stage and the safety of contrast-enhanced ultrasound still needs further study.

摘要

目的

分析微泡造影技术在眼科疾病治疗中的应用,主要分析其优势及存在的问题。

方法

收集国内外30篇关于超声造影剂在基因靶向治疗中应用的代表性文献,重点梳理近年来报道用微泡造影技术治疗眼科疾病的文献,回顾其优势与问题,最后对存在的问题进行合理评估并提出可能的解决办法。

结果

由于其独特的安全性和有效性,微泡造影技术治疗眼科疾病越来越受到临床医生的关注,但应考虑两个相关问题:一是造影剂的性质及相应超声参数的选择;二是组织出血、血管内溶血、中度或重度过敏以及其他副作用的相对发生率。

结论

微泡可能成为靶向治疗的载体,超声造影剂作为一种新型非侵入性给药系统具有广阔的应用前景,但其在眼科研究中的应用仍处于初始阶段,超声造影增强的安全性仍需进一步研究。

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1
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本文引用的文献

1
Ultrasound microbubbles enhance recombinant adeno-associated virus vector delivery to retinal ganglion cells in vivo.超声微泡增强体内重组腺相关病毒载体向视网膜神经节细胞的传递。
Acad Radiol. 2010 Oct;17(10):1242-8. doi: 10.1016/j.acra.2010.05.008.
2
Ultrasound-mediated microbubble delivery of pigment epithelium-derived factor gene into retina inhibits choroidal neovascularization.超声介导的微泡递送色素上皮衍生因子基因入视网膜抑制脉络膜新生血管。
Chin Med J (Engl). 2009 Nov 20;122(22):2711-7.
3
Adverse reactions after the use of sulphur hexafluoride (SonoVue) echo contrast agent.使用六氟化硫(声诺维)超声造影剂后的不良反应。
J Cardiovasc Med (Hagerstown). 2009 Jan;10(1):75-7. doi: 10.2459/JCM.0b013e328319bfba.
4
[Sonopermeabilization: therapeutic alternative with ultrasound and microbubbles].[声透法:超声与微泡结合的治疗新选择]
J Radiol. 2007 Nov;88(11 Pt 2):1777-86. doi: 10.1016/s0221-0363(07)73957-4.
5
A novel bubble liposome and ultrasound-mediated gene transfer to ocular surface: RC-1 cells in vitro and conjunctiva in vivo.一种新型气泡脂质体与超声介导的眼表基因转染:体外RC-1细胞及体内结膜实验
Exp Eye Res. 2007 Dec;85(6):741-8. doi: 10.1016/j.exer.2007.08.006. Epub 2007 Aug 19.
6
The application of microbubbles for targeted drug delivery.微泡在靶向给药中的应用。
Expert Opin Drug Deliv. 2007 Sep;4(5):475-93. doi: 10.1517/17425247.4.5.475.
7
Inhibition of melanoma by ultrasound-microbubble-aided drug delivery suggests membrane permeabilization.超声微泡辅助给药对黑色素瘤的抑制作用表明存在膜通透性改变。
Cancer Biol Ther. 2007 Aug;6(8):1276-83. doi: 10.4161/cbt.6.8.4485. Epub 2007 Mar 24.
8
Insonation of the eye in the presence of microbubbles: preliminary study of the duration and degree of vascular bioeffects--work in progress.在存在微泡的情况下对眼睛进行超声检查:血管生物效应持续时间和程度的初步研究——正在进行的工作
J Ultrasound Med. 2007 Jun;26(6):731-8. doi: 10.7863/jum.2007.26.6.731.
9
Ocular gene therapy: a review of nonviral strategies.眼部基因治疗:非病毒策略综述
Mol Vis. 2006 Oct 30;12:1334-47.
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Encapsulated ultrasound microbubbles: therapeutic application in drug/gene delivery.封装超声微泡:在药物/基因递送中的治疗应用。
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