Chiang Ping-Fang, Peng Cheng-Liang, Shih Ying-Hsia, Cho Yung-Hung, Yu Chun-Sheng, Kuo Yu-Min, Shieh Ming-Jium, Luo Tsai-Yueh
Isotope Application Division, Institute of Nuclear Energy Research, Longtan, Taoyuan 325, Taiwan.
Institute of Biomedical Engineering, College of Medicine and College of Engineering, National Taiwan University, #1, Section 1, Jen-Ai Road, Taipei 100, Taiwan.
ACS Biomater Sci Eng. 2018 Sep 10;4(9):3425-3433. doi: 10.1021/acsbiomaterials.8b00635. Epub 2018 Aug 8.
To improve the effectiveness of cancer treatment, this study aimed to develop biodegradable microspheres and to combine chemotherapy and radiotherapy via transcatheter arterial embolization/chemoembolization (TAE/TACE) with local radiation therapy for the slow release of chemotherapeutic agents. Microparticles were prepared by double emulsification using a biodegradable and biocompatible polymer Poly(D,l-lactide--glycolide) (PLGA). Since the microspheres contain a water-soluble Poly(vinylsulfonic acid) (PVSA) solution, the functional groups of this polymer dissociate into -SO in water. The positively charged doxorubicin can be loaded into beads, ensuring slow release. After Retin colloids were added into the microspheres, TACE was performed in a rat hepatocellular carcinoma model. Single photon emission computed tomography/computed tomography imaging and biodistribution analyses showed that the microspheres were still in the liver after 72 h. During 4 weeks of observation, ultrasound images showed that the Re/DOX@MS treatment had the most significant inhibitory effect on tumor growth. Biodegradable PLGA microspheres have the advantage of enabling local embolization therapy with reduced adverse effects. In the future, microspheres could serve as a drug delivery system for cancer treatment by combining therapeutic radionuclides and chemotherapeutic drugs, thereby improving treatment effects for hepatocellular carcinoma.
为提高癌症治疗效果,本研究旨在开发可生物降解微球,并通过经导管动脉栓塞/化疗栓塞(TAE/TACE)与局部放射治疗相结合,实现化疗药物的缓释。使用可生物降解且生物相容的聚合物聚(D,L-丙交酯-乙交酯)(PLGA)通过复乳化法制备微球。由于微球含有水溶性聚(乙烯磺酸)(PVSA)溶液,该聚合物的官能团在水中会解离成-SO 。带正电荷的阿霉素可被载入微球,确保其缓慢释放。将瑞替胶体加入微球后,在大鼠肝细胞癌模型中进行TACE。单光子发射计算机断层扫描/计算机断层扫描成像及生物分布分析表明,72小时后微球仍在肝脏中。在4周的观察期内,超声图像显示Re/DOX@MS治疗对肿瘤生长的抑制作用最为显著。可生物降解的PLGA微球具有实现局部栓塞治疗且副作用减少的优势。未来,微球可作为一种癌症治疗的药物递送系统,通过结合治疗性放射性核素和化疗药物,从而提高肝细胞癌的治疗效果。