Hood R Lyle, Bruno Giacomo, Jain Priya, Anderson Jeff, Wolfe Tatiana, Quini Caio, Schmulen Jeffery, Li Xian C, Butler E Brian, Krishnan Suni, Grattoni Alessandro
J Biomed Nanotechnol. 2016 Oct;12(10):1907-15. doi: 10.1166/jbn.2016.2288.
Novel approaches to achieve local, intratumoral drug delivery have the dual benefit of reducing systemic toxicity while enhancing efficacy for malignant cells. We have developed a new implantable system combining a next-generation BioNEMS nanofluidic membrane with parallel nanochannels that offers controlled release of biomolecules. Based on concentration-driven diffusive transport, nanochannel membranes provide a “drug agnostic” delivery mechanism. Integrating this nanotechnology within a small implantable capsule permits multipurpose functionality and compatibility with different therapeutic approaches as well as diagnostic imaging capability. A minimally-invasive, percutaneous trocar delivery mechanism enables serial implantation throughout a target tissue volume. In this manuscript, we demonstrate that this platform is capable of sustained delivery for chemotherapy, radiosensitization, immunomodulation, and imaging contrast, among others. This platform's utility was established through release of doxorubicin, OX86, FGK45, and Magnevist. Further proof-of-concept experiments demonstrated successful in vivo implantation and intratumoral release of antibodies and contrast agents, as well as the platform's MR-compatibility and capability as a radiopaque fiducial. These results provide strong evidence for a flexible, multifunctional nanofluidic implant capable of broadening local delivery utility in the clinic.
实现局部肿瘤内药物递送的新方法具有双重益处,既能降低全身毒性,又能提高对恶性细胞的疗效。我们开发了一种新的可植入系统,它将下一代生物纳米机电系统(BioNEMS)纳米流体膜与平行纳米通道相结合,可实现生物分子的控释。基于浓度驱动的扩散传输,纳米通道膜提供了一种“与药物无关”的递送机制。将这种纳米技术集成到一个小型可植入胶囊中,可实现多功能性,并与不同的治疗方法以及诊断成像能力兼容。一种微创经皮套管递送机制能够在整个目标组织体积内进行连续植入。在本论文中,我们证明了该平台能够持续递送化疗药物、进行放射增敏、免疫调节以及提供成像造影等。该平台的实用性通过阿霉素、OX86、FGK45和钆喷酸葡胺的释放得以确立。进一步的概念验证实验证明了抗体和造影剂在体内成功植入和肿瘤内释放,以及该平台的磁共振兼容性和作为不透射线标志物的能力。这些结果为一种灵活、多功能的纳米流体植入物提供了有力证据,该植入物能够拓宽临床局部递送的应用范围。