Qiqihar Medical University, Qiqihar, China.
Department of Ultrasound, The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, China.
Drug Deliv Transl Res. 2024 Feb;14(2):555-570. doi: 10.1007/s13346-023-01421-9. Epub 2023 Aug 28.
Celastrol (CST) has positive pharmacological effects on various cancers, but clinical application is limited because of poor water solubility and systemic toxicity. Ferric oxide (FeO) has a large specific surface area and can be functionalized by inorganic modification to form complex magnetic drug delivery systems. Herein, FeO was surface-modified with citric acid and polyethylene glycol (PEG) (via) the Mitsunobu reaction and then covalently bound to CST. Finally, magnetic microbubbles (MMBs) containing perfluoropropane (CF) and FeO-PEG-CST particles were constructed with poly(lactic-co-glycolic acid) (PLGA) as the shell membrane. In vitro studies showed that ultrasound-mediated MMBs exhibited improved inhibition of VX2 cell proliferation compared to inhibition achieved using MMBs without ultrasound mediation, blank MMBs, or free CST. In ultrasound mode, MMBs have favorable imaging properties. After the application of a high mechanical index, MMBs collapse through the cavitation effect, releasing their internal FeO-PEG-CST. The CST is then delivered to the tumor microenvironment under acidic conditions. In magnetic resonance imaging T2 mode, a specific hypointense signal was observed in the tumor area compared with that before treatment, whereas no significant change occurred in the signal intensity of the surrounding organs. After treatment, pathological examination of tumor-bearing rabbit tissues showed that iron elements accumulated in several apoptosis cells in the tumor area, with no apparent abnormalities found in other areas. Thus, ultrasound-mediated MMBs could significantly improve the drug uptake of solid tumors and inhibit tumor growth with favorable biological safety.
三萜化合物(CST)对多种癌症具有积极的药理作用,但由于其水溶性差和全身毒性,临床应用受到限制。氧化铁(FeO)具有较大的比表面积,并可通过无机修饰进行功能化,形成复杂的磁性药物递送系统。在此,通过 Mitsunobu 反应将柠檬酸和聚乙二醇(PEG)对 FeO 进行表面修饰,然后与 CST 发生共价结合。最后,以聚乳酸-羟基乙酸共聚物(PLGA)为壳膜,构建了含有全氟丙烷(CF)和 FeO-PEG-CST 颗粒的磁性微泡(MMB)。体外研究表明,与未超声介导的 MMB、空白 MMB 或游离 CST 相比,超声介导的 MMB 可显著提高对 VX2 细胞增殖的抑制作用。在超声模式下,MMB 具有良好的成像特性。在施加高机械指数后,MMB 通过空化效应破裂,释放其内部的 FeO-PEG-CST。然后 CST 在酸性条件下递送至肿瘤微环境。在磁共振成像 T2 模式下,与治疗前相比,肿瘤区域观察到特定的低信号强度,而周围器官的信号强度没有明显变化。治疗后,对荷瘤兔组织的病理检查显示,铁元素在肿瘤区域的几个凋亡细胞中积累,而其他区域没有明显异常。因此,超声介导的 MMB 可显著提高实体瘤的药物摄取,并具有良好的生物安全性抑制肿瘤生长。
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