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载多柔比星的多磷酸盐玻璃微球用于经动脉化疗栓塞。

Doxorubicin-loaded polyphosphate glass microspheres for transarterial chemoembolization.

机构信息

School of Biomedical Engineering, Dalhousie University, Halifax, Nova Scotia, Canada.

Department of Applied Oral Sciences, Dalhousie University, Halifax, Nova Scotia, Canada.

出版信息

J Biomed Mater Res B Appl Biomater. 2020 Aug;108(6):2621-2632. doi: 10.1002/jbm.b.34594. Epub 2020 Feb 26.

Abstract

The standard of care for intermediate stage hepatocellular carcinoma is transarterial chemoembolization (TACE). Drug-eluting bead TACE (DEB-TACE) has emerged as a leading form of TACE, as it uses highly calibrated microspheres to deliver consistent embolization and controlled drug release to the tumor microenvironment. We report here on doxorubicin (DOX)-loaded polyphosphate glass microspheres (PGM) as a novel resorbable, radiopaque, preloaded DEB-TACE platform. Coacervate composed of polyphosphate chains complexed with Ba , Ca , and Cu can be loaded with DOX prior to PGM synthesis, with PGM production achieved using a water-in-oil emulsion technique at room temperature yielding highly spherical particles in clinically relevant size fractions. In vitro, DOX release was found to be linear, pH dependent, and in accordance with Type II non-Fickian transport. PGM degradation was characterized by an initial burst release of degradation products over 7 days, followed by a plateau in mass loss at approximately 75% over a period of several weeks. in vitro studies indicate that PGM degradation products, namely Cu , are cytotoxic and may interact with eluted DOX to impair its pharmacological activity. With additional compositional considerations, this approach may prove promising for DEB-TACE applications.

摘要

标准的护理为中期肝细胞癌是经动脉化疗栓塞(TACE)。载药微球 TACE(DEB-TACE)已成为 TACE 的主要形式,因为它使用高度校准的微球来向肿瘤微环境输送一致的栓塞和受控的药物释放。我们在这里报告多柔比星(DOX)负载的聚磷酸盐玻璃微球(PGM)作为一种新型可吸收、放射线不透、预装的 DEB-TACE 平台。聚磷酸盐链与 Ba、Ca 和 Cu 复合的凝聚体可以在 PGM 合成前加载 DOX,使用水包油乳液技术在室温下生产,得到具有临床相关粒径的高度球形颗粒。体外研究发现,DOX 的释放呈线性、pH 依赖性,符合 II 型非菲克扩散。PGM 的降解表现为初始降解产物的爆发释放,持续 7 天,随后在数周内质量损失达到约 75%的平台期。体外研究表明,PGM 的降解产物,即 Cu,具有细胞毒性,并且可能与洗脱的 DOX 相互作用,从而损害其药理活性。通过进一步的组成考虑,这种方法可能对 DEB-TACE 的应用有很大的潜力。

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