Lu Shirui, Zhao Pengxuan, Deng Youbin, Liu Yani
Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Pharmaceutics. 2022 Feb 22;14(3):480. doi: 10.3390/pharmaceutics14030480.
Ultrasound with low frequency (20-100 kHz) assisted drug delivery has been widely investigated as a non-invasive method to enhance the permeability and retention effect of drugs. The functional micro/nanobubble loaded with drugs could provide an unprecedented opportunity for targeted delivery. Then, ultrasound with higher intensity would locally burst bubbles and release agents, thus avoiding side effects associated with systemic administration. Furthermore, ultrasound-mediated destruction of micro/nanobubbles can effectively increase the permeability of vascular membranes and cell membranes, thereby not only increasing the distribution concentration of drugs in the interstitial space of target tissues but also promoting the penetration of drugs through cell membranes into the cytoplasm. These advancements have transformed ultrasound from a purely diagnostic utility into a promising theragnostic tool. In this review, we first discuss the structure and generation of micro/nanobubbles. Second, ultrasound parameters and mechanisms of therapeutic delivery are discussed. Third, potential biomedical applications of micro/nanobubble-assisted ultrasound are summarized. Finally, we discuss the challenges and future directions of ultrasound combined with micro/nanobubbles.
低频(20 - 100千赫兹)超声辅助给药已作为一种增强药物通透性和滞留效应的非侵入性方法得到广泛研究。负载药物的功能性微/纳米气泡可为靶向给药提供前所未有的机会。然后,高强度超声会使气泡在局部破裂并释放药剂,从而避免与全身给药相关的副作用。此外,超声介导的微/纳米气泡破坏可有效增加血管膜和细胞膜的通透性,从而不仅提高药物在靶组织间质空间中的分布浓度,还促进药物穿过细胞膜进入细胞质。这些进展已将超声从单纯的诊断工具转变为一种有前景的治疗诊断工具。在本综述中,我们首先讨论微/纳米气泡的结构和产生。其次,讨论超声参数和治疗性给药机制。第三,总结微/纳米气泡辅助超声的潜在生物医学应用。最后,我们讨论超声与微/纳米气泡结合的挑战和未来方向。