Institute of Medical & Biological Engineering, Medical Research Center, Seoul National University, Seoul 03080, Republic of Korea.
Interdisciplinary Program in Bioengineering, College of Engineering, Seoul National University, Seoul 08826, Republic of Korea.
Int J Pharm. 2022 Apr 25;618:121664. doi: 10.1016/j.ijpharm.2022.121664. Epub 2022 Mar 12.
A bolus of human growth hormone (hGH) is often prescribed for the treatment of growth hormone deficiency, which requires frequent injections in current clinical settings. This painful needle-involved delivery often results in poor patient compliance, leading to low medication adherence and poor clinical outcomes. Therefore, we propose a magnetically actuating implantable pump (MAP) that can infuse an accurate dose of hGH only at the time of non-invasive magnet application from the skin. The MAP herein could reproducibly infuse 20.6 ± 0.9 μg hGH per actuation without any leak at times without actuation. The infused amount increased proportionally with an increase in the number of actuations. When the MAP was implanted and actuated with a magnet in animals with growth hormone deficiency for 21 days, the profiles of plasma hGH concentration and insulin-like growth factor (IGF)-1, as well as changes in body weight, were similar to those observed in animals treated with conventional subcutaneous hGH injections. Therefore, we anticipate that the MAP fabricated in this study can be a non-invasive alternative to administer hGH without repeated and frequent needle injections.
人 生长激素(hGH) 通常被规定用于治疗生长激素缺乏症,而在当前的临床环境中,需要经常注射这种药物。这种涉及疼痛的针剂给药方式常常导致患者的依从性较差,导致药物依从性低和临床效果不佳。因此,我们提出了一种磁驱动可植入式给药泵(MAP),它可以在皮肤非侵入性磁应用时仅输送准确剂量的 hGH。在此,MAP 可在无操作时无泄漏地重复输注 20.6±0.9μg hGH/次,并且输注量随操作次数的增加而呈比例增加。当 MAP 在生长激素缺乏症的动物中植入并在 21 天内通过磁铁驱动时,血浆 hGH 浓度和胰岛素样生长因子(IGF-1)的曲线以及体重变化与接受常规皮下 hGH 注射治疗的动物相似。因此,我们预计本研究中制造的 MAP 可以作为一种非侵入性替代方案,无需重复和频繁的针剂注射即可给予 hGH。