Shi Lingyan, Palacio-Mancheno Paolo, Badami Joseph, Shin Da Wi, Zeng Min, Cardoso Luis, Tu Raymond, Fu Bingmei M
Department of Biomedical Engineering, The City College of the City University of New York, New York, NY, USA.
Department of Chemical Engineering, The City College of the City University of New York, New York, NY, USA.
Int J Nanomedicine. 2014 Sep 18;9:4437-48. doi: 10.2147/IJN.S68882. eCollection 2014.
Radioimmunotherapy using a radiolabeled monoclonal antibody that targets tumor cells has been shown to be efficient for the treatment of many malignant cancers, with reduced side effects. However, the blood-brain barrier (BBB) inhibits the transport of intravenous antibodies to tumors in the brain. Recent studies have demonstrated that focused ultrasound (FUS) combined with microbubbles (MBs) is a promising method to transiently disrupt the BBB for the drug delivery to the central nervous system. To find the optimal FUS and MBs that can induce reversible increase in the BBB permeability, we employed minimally invasive multiphoton microscopy to quantify the BBB permeability to dextran-155 kDa with similar molecular weight to an antibody by applying different doses of FUS in the presence of MBs with an optimal size and concentration. The cerebral microcirculation was observed through a section of frontoparietal bone thinned with a micro-grinder. About 5 minutes after applying the FUS on the thinned skull in the presence of MBs for 1 minute, TRITC (tetramethylrhodamine isothiocyanate)-dextran-155 kDa in 1% bovine serum albumin in mammalian Ringer's solution was injected into the cerebral circulation via the ipsilateral carotid artery by a syringe pump. Simultaneously, the temporal images were collected from the brain parenchyma ~100-200 μm below the pia mater. Permeability was determined from the rate of tissue solute accumulation around individual microvessels. After several trials, we found the optimal dose of FUS. At the optimal dose, permeability increased by ~14-fold after 5 minutes post-FUS, and permeability returned to the control level after 25 minutes. FUS without MBs or MBs injected without FUS did not change the permeability. Our method provides an accurate in vivo assessment for the transient BBB permeability change under the treatment of FUS. The optimal FUS dose found for the reversible BBB permeability increase without BBB disruption is reliable and can be applied to future clinical trials.
使用靶向肿瘤细胞的放射性标记单克隆抗体进行放射免疫治疗已被证明对许多恶性癌症的治疗有效,且副作用减少。然而,血脑屏障(BBB)会抑制静脉注射抗体向脑内肿瘤的转运。最近的研究表明,聚焦超声(FUS)与微泡(MBs)相结合是一种有前景的方法,可暂时破坏血脑屏障,以便将药物递送至中枢神经系统。为了找到能够诱导血脑屏障通透性可逆增加的最佳FUS和MBs,我们采用微创多光子显微镜,通过在存在最佳大小和浓度的MBs的情况下应用不同剂量的FUS,来量化血脑屏障对与抗体分子量相似的155 kDa葡聚糖的通透性。通过用微型研磨器磨薄的额顶骨切片观察脑微循环。在存在MBs的情况下,在磨薄的颅骨上施加FUS 1分钟后约5分钟,通过注射泵经同侧颈动脉将溶解于含1%牛血清白蛋白的哺乳动物林格氏液中的155 kDa四甲基罗丹明异硫氰酸酯(TRITC)-葡聚糖注入脑循环。同时,从软脑膜下方约100 - 200μm的脑实质采集颞部图像。通透性由单个微血管周围组织溶质积累的速率确定。经过多次试验,我们找到了FUS的最佳剂量。在最佳剂量下,FUS后5分钟通透性增加约14倍,25分钟后通透性恢复到对照水平。无MBs的FUS或无FUS注射的MBs均未改变通透性。我们的方法为FUS治疗下血脑屏障通透性的瞬时变化提供了准确的体内评估。所发现的用于可逆性增加血脑屏障通透性而不破坏血脑屏障的最佳FUS剂量是可靠的,可应用于未来的临床试验。
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