Wei Jiaojun, Luo Xiaoming, Chen Maohua, Lu Jinfu, Li Xiaohong
Key Laboratory of Advanced Technologies of Materials, Ministry of Education of China, School of Materials Science and Engineering, Southwest Jiaotong University, Chengdu 610031, PR China.
Key Laboratory of Advanced Technologies of Materials, Ministry of Education of China, School of Materials Science and Engineering, Southwest Jiaotong University, Chengdu 610031, PR China.
Acta Biomater. 2015 Sep;23:189-200. doi: 10.1016/j.actbio.2015.05.020. Epub 2015 May 23.
There was only a small percentage of drug delivered to tumors after systemic administration, and solid tumors also have many barriers to prevent drug penetration within tumors. In the current study, intratumoral injection of drug-loaded fiber fragments was proposed to overcome these barriers, allowing drug accumulation at the target site to realize the therapeutic efficacy. Fragmented fibers with hydroxycamptothecin (HCPT) loaded were constructed by cryocutting of aligned electrospun fibers, and the fiber lengths of 5 (FF-5), 20 (FF-20), and 50μm (FF-50) could be easily controlled by adjusting the slice thickness. Fragmented fibers were homogeneously dispersed into 2% sodium alginate solution, and could be smoothly injected through 26G1/2 syringe needles. FF-5, FF-20 and FF-50 fiber fragments indicated similar release profiles except a lower burst release from FF-50. In vitro viability tests showed that FF-5 and FF-20 fiber fragments caused higher cytotoxicity and apoptosis rates than FF-50. After intratumoral injection into murine H22 subcutaneous tumors, fragmented fibers with longer lengths indicated a higher accumulation into tumors and a better retention at the injection site, but showed less apparent diffusion within tumor tissues. In addition to the elimination of invasive surgery, HCPT-loaded fiber fragments showed superior in vivo antitumor activities and fewer side effects than intratumoral implantation of drug-loaded fiber mats. Compared with FF-5 and FF-50, FF-20 fiber fragments indicated optimal spatial distribution of HCPT within tumors and achieved the most significant effects on the animal survival, tumor growth inhibition and tumor cell apoptosis induction. It is suggested that the intratumoral injection of drug-loaded fiber fragments provided an efficient strategy to improve patient compliance, allow the retention of fragmented fibers and spatial distribution of drugs within tumor tissues to achieve a low systemic toxicity and an optimal therapeutic efficacy.
全身给药后仅有小部分药物能够输送至肿瘤部位,而且实体瘤还存在诸多阻碍药物在肿瘤内部渗透的屏障。在本研究中,提出通过瘤内注射载药纤维片段来克服这些屏障,使药物在靶位点蓄积以实现治疗效果。通过对排列的电纺纤维进行冷冻切割构建了负载羟基喜树碱(HCPT)的片段化纤维,通过调整切片厚度可轻松控制纤维长度为5(FF - 5)、20(FF - 20)和50μm(FF - 50)。片段化纤维均匀分散于2%海藻酸钠溶液中,可通过26G1/2注射器针头顺利注射。FF - 5、FF - 20和FF - 50纤维片段呈现相似的释放曲线,只是FF - 50的突释较低。体外活力测试表明,FF - 5和FF - 20纤维片段比FF - 50具有更高的细胞毒性和凋亡率。将片段化纤维瘤内注射到小鼠H22皮下肿瘤后,较长长度的片段化纤维在肿瘤中的蓄积更高,在注射部位的保留更好,但在肿瘤组织内的扩散不太明显。除了无需进行侵入性手术外,与瘤内植入载药纤维垫相比,负载HCPT的纤维片段在体内显示出更优的抗肿瘤活性且副作用更少。与FF - 5和FF - 50相比,FF - 20纤维片段显示HCPT在肿瘤内的空间分布最佳,对动物存活、肿瘤生长抑制和肿瘤细胞凋亡诱导的影响最为显著。提示瘤内注射载药纤维片段提供了一种有效的策略,可提高患者依从性,使片段化纤维得以保留并使药物在肿瘤组织内实现空间分布,从而实现低全身毒性和最佳治疗效果。
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