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基于 PGCL/PLGA 的电纺紫杉醇局部给药系统联合近距离放疗。

Electrospun paclitaxel delivery system based on PGCL/PLGA in local therapy combined with brachytherapy.

机构信息

Centre of Polymer and Carbon Materials, Polish Academy of Sciences, 41-819 Zabrze, M. Curie-Sklodowskiej 34, Poland.

Center for Translational Research and Molecular Biology of Cancer, Maria Skłodowska-Curie National Research Institute of Oncology, Gliwice Branch, Wybrzeże Armii Krajowej Street 15, 44-102 Gliwice, Poland.

出版信息

Int J Pharm. 2021 Jun 1;602:120596. doi: 10.1016/j.ijpharm.2021.120596. Epub 2021 Apr 20.

Abstract

The local administration of different drugs in anticancer therapy continue to attract attention. Thus, the idea of local delivery of cytostatics from nonwoven-structured polyesters seems to be highly desirable. It could reduce systemic drug levels and provide high local concentration of the chemotherapeutics at the tumor site and contribute to enhance the efficiency of the anticancer therapy. Poly(glycolide-ɛ-caprolactone) (PGCL) and poly(D,L-lactide-co-glycolide) (PLGA) synthesized with zirconium-based initiator have been used to prepare electrospun, drug-eluting patches since they possess very good fiber-forming ability. Well-known chemotherapeutic drug-paclitaxel has been loaded into fibrous structure as a model anticancer agent in order to obtain drug delivery systems for local administration. The drug dose in obtained nonwovens might be regulated by the thickness and total area of the implanted patches. Electrospinning of PGCL/PLGA blend allowed to obtain soft and flexible implantable materials. Flexibility has been important factor since it ensures convenient use when covering a tumor or filling a resection cavity. The effectiveness of designed nonwovens presented in the study has been tested in vivo on mouse model of breast cancer. The growth of the tumors was slowed down during in vivo study in comparison with drug-free nonwovens- The volume of the tumor was 40% lower. Drug-loaded electrospun systems implanted locally to the tumor site was further combined with brachytherapy which improved the effectiveness of the therapy in about 18%. Detailed analysis of the nonwovens before and during degradation process has been performed by means of Scanning Electron Microscopy, Differential Scanning Calorimetry, Nuclear Magnetic Resonance, Gel Permeation Chromatography, X-ray Diffraction. The molar mass changes of the nonwoven were quite rapid contrary to changes of comonomer unit content, thermal properties and morphology of the fiber.

摘要

在癌症治疗中,局部给予不同药物的方法一直备受关注。因此,局部给予无纺结构聚酯类药物的想法似乎非常可取。这种方法可以降低系统药物水平,在肿瘤部位提供高浓度的化疗药物,并有助于提高癌症治疗的效率。使用基于锆的引发剂合成的聚(乙交酯-ε-己内酯)(PGCL)和聚(D,L-乳酸-共-乙二醇酸)(PLGA)已被用于制备电纺、载药贴片,因为它们具有很好的纤维形成能力。众所周知的化疗药物紫杉醇已被负载到纤维结构中作为模型抗癌药物,以获得局部给药的药物传递系统。所获得的无纺材料中的药物剂量可以通过植入贴片的厚度和总面积来调节。PGCL/PLGA 共混物的电纺可以得到柔软且有弹性的可植入材料。弹性是一个重要因素,因为它确保了在覆盖肿瘤或填充切除腔时的方便使用。研究中设计的无纺物的有效性已经在乳腺癌的小鼠模型中进行了体内测试。与无药物的无纺物相比,体内研究中肿瘤的生长速度减缓,肿瘤体积降低了 40%。局部植入肿瘤部位的载药电纺系统进一步与近距离放射治疗相结合,使治疗效果提高了约 18%。通过扫描电子显微镜、差示扫描量热法、核磁共振、凝胶渗透色谱、X 射线衍射对无纺物在降解过程前后进行了详细分析。无纺物的摩尔质量变化相当快,与共单体单元含量、热性能和纤维形态的变化相反。

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