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载药球囊血管内成形术治疗心血管疾病。

Nanoparticle eluting-angioplasty balloons to treat cardiovascular diseases.

机构信息

Department of Bioengineering, University of Texas at Arlington, Arlington, TX, USA.

Department of Biomedical Engineering, Materials Research Institute, The Huck Institutes of the Life Sciences, Pennsylvania State University, University Park, PA, USA.

出版信息

Int J Pharm. 2019 Jan 10;554:212-223. doi: 10.1016/j.ijpharm.2018.11.011. Epub 2018 Nov 5.

Abstract

Nanoparticles (NPs) can be used to locally deliver anti-restenosis drugs when they are infused directly to the injured arteries after intervention procedures such as angioplasty. However, the efficacy of transferring NPs via infusion to the arterial wall is limited, at least partially, due to poor NP retention on the inner artery wall. To improve NP retention, angioplasty balloons coated with drug-loaded NPs were fabricated via either layer-by-layer (LbL) electrostatic coating or acrylic-based hydrogel (AAH) coating techniques. Three types of NPs, namely poly (lactide-co-glycolide) (PLGA), biodegradable photo-luminescent PLGA and urethane doped polyester were studied. The transfer efficacy of NPs from various coatings to the arterial wall were further evaluated to find the optimal coating conditions. The ex vivo NP transfer studies showed significantly more NPs being transferred to the rat arterial wall after the angioplasty procedure by the AAH coating (95% transfer efficiency) compared to that of the LbL technique (60%) and dip coating (20%) under flow conditions (10 dyn/cm). Our results suggest that the AAH coating of drug-loaded NPs on the angioplasty balloon could potentially provide superior retention of drug-loaded NPs onto the arterial wall for a better local delivery of drug-loaded NPs to effectively treat arterial diseases.

摘要

纳米颗粒 (NPs) 可在介入治疗(如血管成形术)后直接注入损伤的动脉内,用于局部递送抗再狭窄药物。然而,通过输注将 NPs 递送至动脉壁的效果有限,至少部分原因是 NP 在动脉内表面的保留率较差。为了提高 NP 的保留率,通过层层 (LbL) 静电涂层或基于丙烯酸的水凝胶 (AAH) 涂层技术制备了涂有载药 NPs 的血管成形术球囊。研究了三种 NPs,即聚(乳酸-共-乙醇酸)(PLGA)、可生物降解的光致发光 PLGA 和聚氨酯掺杂聚酯。进一步评估了从各种涂层向动脉壁转移 NPs 的效果,以找到最佳的涂层条件。在体外 NP 转移研究中,与 LbL 技术(60%)和浸涂(20%)相比,在流动条件(10 dyn/cm)下,AAH 涂层(95%的转移效率)可将更多的 NPs 转移到血管成形术后的大鼠动脉壁(10 dyn/cm)。我们的结果表明,在血管成形术球囊上涂覆载药 NPs 的 AAH 涂层可能会将载药 NPs 更好地保留在动脉壁上,从而更有效地将载药 NPs 局部递送至动脉壁,以有效治疗动脉疾病。

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Nanoparticle eluting-angioplasty balloons to treat cardiovascular diseases.载药球囊血管内成形术治疗心血管疾病。
Int J Pharm. 2019 Jan 10;554:212-223. doi: 10.1016/j.ijpharm.2018.11.011. Epub 2018 Nov 5.

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