Department of Electrical Engineering, Chang-Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan 333, Taiwan.
Biomed Res Int. 2013;2013:627496. doi: 10.1155/2013/627496. Epub 2013 Mar 31.
Microbubble-enhanced focused ultrasound (FUS) can enhance the delivery of therapeutic agents into the brain for brain tumor treatment. The purpose of this study was to investigate the influence of brain tumor conditions on the distribution and dynamics of small molecule leakage into targeted regions of the brain after FUS-BBB opening. A total of 34 animals were used, and the process was monitored by 7T-MRI. Evans blue (EB) dye as well as Gd-DTPA served as small molecule substitutes for evaluation of drug behavior. EB was quantified spectrophotometrically. Spin-spin (R1) relaxometry and area under curve (AUC) were measured by MRI to quantify Gd-DTPA. We found that FUS-BBB opening provided a more significant increase in permeability with small tumors. In contrast, accumulation was much higher in large tumors, independent of FUS. The AUC values of Gd-DTPA were well correlated with EB delivery, suggesting that Gd-DTPA was a good indicator of total small-molecule accumulation in the target region. The peripheral regions of large tumors exhibited similar dynamics of small-molecule leakage after FUS-BBB opening as small tumors, suggesting that FUS-BBB opening may have the most significant permeability-enhancing effect on tumor peripheral. This study provides useful information toward designing an optimized FUS-BBB opening strategy to deliver small-molecule therapeutic agents into brain tumors.
微泡增强的聚焦超声(FUS)可增强治疗剂向脑内的传递,用于脑肿瘤治疗。本研究旨在探讨脑肿瘤状态对 FUS-BBB 开放后小分子向脑内靶向区域分布和动力学的影响。共使用了 34 只动物,并通过 7T-MRI 进行监测。 Evans 蓝(EB)染料和 Gd-DTPA 用作小分子替代物,用于评估药物行为。通过分光光度法定量 EB。通过 MRI 测量自旋-自旋(R1)弛豫率和曲线下面积(AUC)来定量 Gd-DTPA。我们发现,FUS-BBB 开放可使小肿瘤的通透性显著增加。相比之下,FUS 对大肿瘤的积累影响较小。Gd-DTPA 的 AUC 值与 EB 传递密切相关,表明 Gd-DTPA 是目标区域中总小分子积累的良好指标。大肿瘤的外周区域在 FUS-BBB 开放后表现出与小肿瘤相似的小分子泄漏动力学,表明 FUS-BBB 开放对肿瘤外周可能具有最显著的增强通透性作用。本研究为设计优化的 FUS-BBB 开放策略以将小分子治疗剂递送至脑肿瘤提供了有用的信息。