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超声刺激药物递送用于治疗头颈部癌不完全切除术后的残留病灶。

Ultrasound-stimulated drug delivery for treatment of residual disease after incomplete resection of head and neck cancer.

作者信息

Sorace Anna G, Korb Melissa, Warram Jason M, Umphrey Heidi, Zinn Kurt R, Rosenthal Eben, Hoyt Kenneth

机构信息

Department of Biomedical Engineering, University of Alabama at Birmingham, Birmingham, Alabama, USA; Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.

出版信息

Ultrasound Med Biol. 2014 Apr;40(4):755-64. doi: 10.1016/j.ultrasmedbio.2013.11.002. Epub 2014 Jan 10.

Abstract

Microbubbles triggered with localized ultrasound (US) can improve tumor drug delivery and retention. Termed US-stimulated drug delivery, this strategy was applied to head and neck cancer (HNC) in a post-surgical tumor resection model. Luciferase-positive HNC squamous cell carcinoma (SCC) was implanted in the flanks of nude athymic mice (N = 24) that underwent various degrees of surgical tumor resection (0%, 50% or 100%). After surgery, animals received adjuvant therapy with cetuximab-IRDye alone, or cetuximab-IRDye in combination with US-stimulated drug delivery or saline injections (control) on days 4, 7 and 10. Tumor drug delivery was assessed on days 0, 4, 7, 10, 14 and 17 with an in vivo fluorescence imaging system, and tumor viability was evaluated at the same times with in vivo bioluminescence imaging. Tumor caliper measurements occurred two times per week for 24 d. Optical imaging revealed that in the 50% tumor resection group, US-stimulated drug delivery resulted in a significant increase in cetuximab delivery compared with administration of drug alone on day 10 (day of peak fluorescence) (p = 0.03). Tumor viability decreased in all groups that received cetuximab-IRDye in combination with US-stimulated drug delivery, compared with the group that received only the drug. After various degrees of surgical resection, this novel study reports positive improvements in drug uptake in the residual cancer cells when drug delivery is stimulated with US.

摘要

局部超声(US)触发的微泡可改善肿瘤药物递送和滞留。这种被称为超声刺激药物递送的策略被应用于头颈部癌(HNC)的术后肿瘤切除模型中。将荧光素酶阳性的HNC鳞状细胞癌(SCC)植入接受不同程度手术肿瘤切除(0%、50%或100%)的无胸腺裸鼠(N = 24)侧腹。手术后,动物在第4、7和10天接受单独使用西妥昔单抗-IRDye的辅助治疗,或西妥昔单抗-IRDye联合超声刺激药物递送或盐水注射(对照)。在第0、4、7、10、14和17天,使用体内荧光成像系统评估肿瘤药物递送情况,并在同一时间使用体内生物发光成像评估肿瘤活力。每周进行两次肿瘤卡尺测量,持续24天。光学成像显示,在50%肿瘤切除组中,与仅在第10天(荧光峰值日)单独给药相比,超声刺激药物递送导致西妥昔单抗递送显著增加(p = 0.03)。与仅接受药物治疗的组相比,所有接受西妥昔单抗-IRDye联合超声刺激药物递送治疗的组肿瘤活力均下降。在进行不同程度的手术切除后,这项新研究报告称,当用超声刺激药物递送时,残留癌细胞的药物摄取有积极改善。

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