Dental Biomaterials, Faculty of Dentistry, Zagazig University, Mansoura, Egypt.
Dental Biomaterials, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
Sci Rep. 2023 Jul 25;13(1):11984. doi: 10.1038/s41598-023-38230-6.
The treatment of oral squamous cell carcinoma (OSCC) includes systemic chemotherapy and is associated with aggressive side effects on patients. This study evaluated a new intra-tumor-targeted drug delivery method for the treatment of OSCC induced on the dorsum of the tongue in white mice. The induced tumors were examined by needle biopsy. A targeted anticancer drug (Cetuximab) and [Cisplatin and 5 Fluorouracil (5-FU)] chemotherapeutic agents were loaded on polyethylene glycol-polylactide-polyethylene glycol (PEG-PLA-PEG) nanoparticles (NPs) designed for intralesional injection while systemic administration was used as control. Fourier transform infrared spectroscopy (FTIR) was performed to study NP chemical structure, a drug release profile was conducted to study release kinetics, and histopathological evaluation was performed before and after treatment to evaluate tissue reactions (n-28, ά = 0.05). The drug release profile was characteristic of the chemotherapeutic agent showing early quick ascend followed by sustained slow release. FTIR peaks identified the polymeric structure of the drug nano-carrier. Histopathologic examination of chemically induced OSCC revealed different grades ranging from non-invasive to invasive stages of OSCC. Intra-tumoral test group revealed significant remission of observed cancer grade compared to the systemically administered group (X = 12.63, P < 0.001). Finally, using synthesized PEG-PLA-PEG NPs for intralesional injection is a promising route for the treatment of OSCC.
口腔鳞状细胞癌 (OSCC) 的治疗包括全身化疗,并伴有对患者的侵袭性副作用。本研究评估了一种新的肿瘤内靶向药物输送方法,用于治疗在白色小鼠舌背诱导的 OSCC。通过针吸活检检查诱导的肿瘤。将靶向抗癌药物(西妥昔单抗)和[顺铂和 5-氟尿嘧啶 (5-FU)]化疗药物加载到设计用于瘤内注射的聚乙二醇-聚乳酸-聚乙二醇(PEG-PLA-PEG)纳米颗粒(NPs)上,同时进行全身给药作为对照。进行傅里叶变换红外光谱 (FTIR) 以研究 NP 的化学结构,进行药物释放曲线以研究释放动力学,并在治疗前后进行组织病理学评估以评估组织反应(n-28,α=0.05)。药物释放曲线是化疗药物的特征,表现为早期快速上升,随后持续缓慢释放。FTIR 峰鉴定了药物纳米载体的聚合物结构。化学诱导的 OSCC 的组织病理学检查显示出不同的分级,从非浸润性到 OSCC 的浸润性阶段。肿瘤内实验组与全身给药组相比,观察到的癌症分级有明显缓解(X=12.63,P<0.001)。最后,使用合成的 PEG-PLA-PEG NPs 进行瘤内注射是治疗 OSCC 的一种很有前途的途径。
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