用于图像引导癌症手术的多模态纳米颗粒制剂(纳米对比剂-CF800)的犬类临床前安全性评估。

Canine preclinical safety evaluation of a multimodal nanoparticle agent (Nanotrast-CF800) for image-guided cancer surgery.

作者信息

Wan Jennifer, Sanchez Andrea, McKenna Charly, Nykamp Stephanie, Oblak Michelle L

机构信息

Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.

Department of Biomedical Sciences, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.

出版信息

PLoS One. 2024 Jun 13;19(6):e0296913. doi: 10.1371/journal.pone.0296913. eCollection 2024.

Abstract

Surgical oncology often requires the use of contrast-enhanced cross-sectional imaging preoperatively to characterize solitary tumours and identify sentinel lymph nodes. Intraoperative optical guidance can effectively aid tissue-sparing tumour excision and locate sentinel lymph nodes. Nanotrast-CF800 (CF800) is a novel dual-modality contrast agent, which co-encapsulates iohexol and indocyanine green (ICG) within a liposomal nanoparticle. It was developed for preoperative and intraoperative imaging of solitary tumours and sentinel lymph node mapping and its efficacy has been demonstrated in preclinical animal models (Zheng et al. 2015). The objective of this study is to evaluate the safety profile of CF800 following intravenous administration in healthy dogs. Six research dogs were randomized into two groups. Group 1 received a low dose (1 mL/kg) and group 2 received a high dose (5 mL/kg). Dogs were placed under general anesthesia and a continuous rate infusion of CF800 was administered based on group allocation. Physiologic parameters including heart rate, respiratory rate, direct arterial blood pressure, cardiac output, and temperature were measured at set time points. Plasma concentrations of iohexol, ICG, and histamine were measured at set time points. Dogs underwent whole body computed tomography scans pre-injection, 2-, and 7-days post-injection (p.i.). Contrast enhancement was measured in select organ systems and great vessels at each time point. There were no significant changes in physiologic parameters following IV infusion of CF800 in all dogs. Plasma iohexol and ICG concentrations peaked at 1 day p.i., while histamine concentrations peaked at 30 minutes p.i. Significant contrast enhancement was noted within the liver, heart, aorta, and caudal vena cava on day 2 p.i., which was significantly different compared to baseline. Prolonged contrast retention within the liver was identified. Intravenous administration of CF800 was safe to use in healthy dogs with no significant systemic adverse effects.

摘要

外科肿瘤学通常需要在术前使用对比增强横断面成像来表征孤立性肿瘤并识别前哨淋巴结。术中光学引导可有效辅助进行保留组织的肿瘤切除并定位前哨淋巴结。纳米造影剂CF800是一种新型双模态造影剂,它将碘海醇和吲哚菁绿(ICG)共包封在脂质体纳米颗粒中。它是为孤立性肿瘤的术前和术中成像以及前哨淋巴结定位而开发的,其疗效已在临床前动物模型中得到证实(Zheng等人,2015年)。本研究的目的是评估健康犬静脉注射CF800后的安全性。六只实验犬被随机分为两组。第1组接受低剂量(1 mL/kg),第2组接受高剂量(5 mL/kg)。犬只接受全身麻醉,并根据分组情况进行CF800的持续静脉输注。在设定的时间点测量包括心率、呼吸频率、直接动脉血压、心输出量和体温在内的生理参数。在设定的时间点测量血浆中碘海醇、ICG和组胺的浓度。犬只在注射前、注射后2天和7天接受全身计算机断层扫描。在每个时间点测量选定器官系统和大血管的对比增强情况。所有犬只静脉输注CF800后生理参数均无显著变化。血浆碘海醇和ICG浓度在注射后1天达到峰值,而组胺浓度在注射后30分钟达到峰值。注射后第2天,肝脏、心脏、主动脉和尾腔静脉内出现显著的对比增强,与基线相比有显著差异。发现肝脏内有对比剂长时间滞留。在健康犬中静脉注射CF800是安全的,没有明显的全身不良反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5fe/11175465/169aaafb4df2/pone.0296913.g001.jpg

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