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一种由辐射响应性和放射显影水凝胶递呈的胶质母细胞瘤新型治疗方法。

Novel Treatment for Glioblastoma Delivered by a Radiation Responsive and Radiopaque Hydrogel.

机构信息

Department of Radiology, University of Pennsylvania, 3400 Spruce Street, 1 Silverstein Philadelphia, Pennsylvania 19104, United States.

Department of Bioengineering, University of Pennsylvania, 210 South 33rd Street, Philadelphia, Pennsylvania 19104, United States.

出版信息

ACS Biomater Sci Eng. 2021 Jul 12;7(7):3209-3220. doi: 10.1021/acsbiomaterials.1c00385. Epub 2021 Jun 23.

Abstract

Successful treatment of glioblastoma (GBM) is hampered by primary tumor recurrence after surgical resection and poor prognosis, despite adjuvant radiotherapy and chemotherapy. In search of improved outcomes for this disease, quisinostat appeared as a lead compound in drug screening. A delivery system was devised for this drug and to exploit current clinical methodology: an injectable hydrogel, loaded with both the quisinostat drug and radiopaque gold nanoparticles (AuNP) as contrast agent, that can release these payloads as a response to radiation. This hydrogel grants high local drug concentrations, overcoming issues with current standards of care. Significant hydrogel degradation and quisinostat release were observed due to the radiation trigger, providing high in vitro anticancer activity. In vivo, the combination of radiotherapy and the radiation-induced delivery of quisinostat from the hydrogel, successfully inhibited tumor growth in a mice model bearing xenografted human GBM tumors with a total response rate of 67%. Long-term tolerability was observed after intratumoral injection of the quisinostat loaded hydrogel. The AuNP payload enabled precise image-guided radiation delivery and the monitoring of hydrogel degradation using computed tomography (CT). These exciting results highlight this hydrogel as a versatile imageable drug delivery platform that can be activated simultaneously to radiation therapy and potentially offers improved treatment for GBM.

摘要

尽管术后辅助放疗和化疗,神经胶质瘤(GBM)的肿瘤切除后复发和预后差仍严重阻碍其治疗。为提高该疾病的治疗效果,喹唑啉酮作为一种先导化合物在药物筛选中出现。为了将该药物和利用当前的临床方法,设计了一种输送系统:一种可注射水凝胶,载有喹唑啉酮药物和作为对比剂的放射状金纳米颗粒(AuNP),可以作为辐射的响应释放这些有效载荷。这种水凝胶可提供高局部药物浓度,克服当前治疗标准的问题。由于辐射触发,观察到明显的水凝胶降解和喹唑啉酮释放,提供了高体外抗癌活性。在体内,放射治疗与水凝胶中喹唑啉酮的辐射诱导释放相结合,成功抑制了携带异种移植人 GBM 肿瘤的小鼠模型中的肿瘤生长,总有效率为 67%。经肿瘤内注射载喹唑啉酮水凝胶后,观察到长期耐受性。AuNP 有效载荷可实现精确的图像引导放射治疗,并使用计算机断层扫描(CT)监测水凝胶降解。这些令人兴奋的结果突出了这种水凝胶作为一种多功能的可成像药物输送平台,可与放射治疗同时激活,并可能为 GBM 提供更好的治疗效果。

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