Whitener Ricky, Henchir Jeremy J, Miller Thomas A, Levy Emily, Krysiewicz-Bell Aubrienne, Abrams Eliza S LaRovere, Carlson Shaun W, Menon Naresh, Dixon C Edward, Whalen Michael J, Rogers Claude J
ChromoLogic LLC, Monrovia, California, USA.
Neurological Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Neurotrauma Rep. 2022 Apr 5;3(1):158-167. doi: 10.1089/neur.2021.0049. eCollection 2022.
Severe traumatic brain injury (TBI), such as that suffered by patients with cerebral contusion, is a major cause of death and disability in young persons. Effective therapeutics to treat or mitigate the effects of severe TBI are lacking, in part because drug delivery to the injured brain remains a challenge. Promising therapeutics targeting secondary injury mechanisms may have poor pharmacokinetics/pharmacodynamics, unwanted side effects, or high hydrophobicity. To address these challenges, we have developed a multi-lamellar vesicle nanoparticle (MLV-NP) formulation with a narrow size distribution (243 nm in diameter, 0.09 polydispersity index) and the capability of encapsulating hydrophobic small molecule drugs for delivery to the injured brain. To demonstrate the utility of these particles, we produced dual-fluorescent labeled nanoparticles containing the organic dyes, coumarin 153 and rhodamine B, that were delivered intravenously to Sprague-Dawley rats and C57Bl6/J mice at 1, 1 and 4, 24, or 48 h after controlled cortical impact injury. Distribution of particles was measured at 5, 25, 48, or 49 h post-injury by fluorescence microscopy of coronal brain sections. In all cases of MLV administration, a 1.2- to 1.9-fold enhancement of ipsilateral fluorescence signal was observed compared to the contralateral cortex. Enhanced fluorescence was also observed in the injured hippocampal tissue in these animals. MLV-NPs administered at 1 h were observed intracellularly in the injured hemisphere at 48 h, suggesting the possibility of concentrated drug delivery to injured cells. These results suggest that MLV-NP delivery of therapeutic agents may be a viable strategy for treating cerebral contusion TBI.
严重创伤性脑损伤(TBI),例如脑挫裂伤患者所遭受的损伤,是年轻人死亡和残疾的主要原因。目前缺乏有效治疗或减轻严重TBI影响的疗法,部分原因是向受伤大脑给药仍然是一项挑战。针对继发性损伤机制的有前景的疗法可能具有不良的药代动力学/药效学、不良副作用或高疏水性。为应对这些挑战,我们开发了一种多层囊泡纳米颗粒(MLV-NP)制剂,其尺寸分布狭窄(直径243 nm,多分散指数0.09),并且能够封装疏水性小分子药物以递送至受伤大脑。为了证明这些颗粒的效用,我们制备了含有有机染料香豆素153和罗丹明B的双荧光标记纳米颗粒,在可控皮质撞击损伤后1、1以及4、24或48小时静脉注射给Sprague-Dawley大鼠和C57Bl6/J小鼠。在损伤后5、25、48或49小时,通过冠状脑切片的荧光显微镜测量颗粒的分布。在所有MLV给药的情况下,与对侧皮质相比,同侧荧光信号增强了1.2至1.9倍。在这些动物的受伤海马组织中也观察到荧光增强。在1小时给药的MLV-NP在48小时时在受伤半球的细胞内被观察到,这表明有可能将药物集中递送至受伤细胞。这些结果表明,MLV-NP递送治疗剂可能是治疗脑挫裂伤性TBI的一种可行策略。