Graham-Gurysh Elizabeth G, Moore Kathryn M, Schorzman Allison N, Lee Taek, Zamboni William C, Hingtgen Shawn D, Bachelder Eric M, Ainslie Kristy M
Division of Pharmacoengineering and Molecular Pharmaceutics, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, 4211 Marsico Hall, 125 Mason Farm Road, Chapel Hill, North Carolina 27599, United States.
UNC/NCSU Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, United States.
ACS Appl Mater Interfaces. 2020 Apr 29;12(17):19345-19356. doi: 10.1021/acsami.0c04102. Epub 2020 Apr 17.
Current interstitial therapies for glioblastoma can overcome the blood-brain barrier but fail to optimally release therapy at a rate that stalls cancer reoccurrence. To address this lapse, acetalated dextran (Ace-DEX) nanofibrous scaffolds were used for their unique degradation rates that translate to a broad range of drug release kinetics. A distinctive range of drug release rates was illustrated via electrospun Ace-DEX or poly(lactic acid) (PLA) scaffolds. Scaffolds composed of fast, medium, and slow degrading Ace-DEX resulted in 14.1%, 2.9%, and 1.3% paclitaxel released per day. To better understand the impact of paclitaxel release rate on interstitial therapy, two clinically relevant orthotopic glioblastoma mouse models were explored: (1) a surgical model of resection and recurrence (resection model) and (2) a distant metastasis model. The effect of unique drug release was illustrated in the resection model when a 78% long-term survival was observed with combined fast and slow release scaffolds, in comparison to a survival of 20% when the same dose is delivered at a medium release rate. In contrast, only the fast release rate scaffold displayed treatment efficacy in the distant metastasis model. Additionally, the acid-sensitive Ace-DEX scaffolds were shown to respond to the lower pH conditions associated with GBM tumors, releasing more paclitaxel in vivo when a tumor was present in contrast to nonacid sensitive PLA scaffolds. The unique range of tunable degradation and stimuli-responsive nature makes Ace-DEX a promising drug delivery platform to improve interstitial therapy for glioblastoma.
目前用于胶质母细胞瘤的间质治疗方法可以突破血脑屏障,但未能以阻止癌症复发的速率实现最佳治疗释放。为了解决这一不足,使用了乙缩醛化葡聚糖(Ace-DEX)纳米纤维支架,因为其独特的降解速率可转化为广泛的药物释放动力学。通过静电纺丝Ace-DEX或聚乳酸(PLA)支架展示了一系列独特的药物释放速率。由快速、中等和缓慢降解的Ace-DEX组成的支架,每天释放的紫杉醇分别为14.1%、2.9%和1.3%。为了更好地理解紫杉醇释放速率对间质治疗的影响,研究了两种临床相关的原位胶质母细胞瘤小鼠模型:(1)切除和复发的手术模型(切除模型)和(2)远处转移模型。在切除模型中,当联合使用快速和缓慢释放支架时,观察到78%的长期生存率,而以中等释放速率给予相同剂量时生存率为20%,这说明了独特药物释放的效果。相比之下,在远处转移模型中只有快速释放速率的支架显示出治疗效果。此外,酸敏感的Ace-DEX支架被证明对与胶质母细胞瘤肿瘤相关的较低pH条件有反应,与非酸敏感的PLA支架相比,当存在肿瘤时,体内释放更多的紫杉醇。Ace-DEX独特的可调节降解范围和刺激响应特性使其成为一个有前途的药物递送平台,可改善胶质母细胞瘤的间质治疗。
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