Idu Andreea-Anamaria, Albu Kaya Mădălina Georgiana, Rău Ileana, Radu Nicoleta, Dinu-Pîrvu Cristina-Elena, Ghica Mihaela Violeta
Department of General Chemistry, Faculty of Chemical Engineering and Biotechnologies, National University of Science and Technology POLITEHNICA Bucharest, 011061 Bucharest, Romania.
Department of Neurosurgery, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Materials (Basel). 2024 Jul 15;17(14):3510. doi: 10.3390/ma17143510.
Our study explores the development of collagen membranes with integrated minocycline or irinotecan, targeting applications in tissue engineering and drug delivery systems. Type I collagen, extracted from bovine skin using advanced fibril-forming technology, was crosslinked with glutaraldehyde to create membranes. These membranes incorporated minocycline, an antibiotic, or irinotecan, a chemotherapeutic agent, in various concentrations. The membranes, varying in drug concentration, were studied by water absorption and enzymatic degradation tests, demonstrating a degree of permeability. We emphasize the advantages of local drug delivery for treating high-grade gliomas, highlighting the targeted approach's efficacy in reducing systemic adverse effects and enhancing drug bioavailability at the tumor site. The utilization of collagen membranes is proposed as a viable method for local drug delivery. Irinotecan's mechanism, a topoisomerase I inhibitor, and minocycline's broad antibacterial spectrum and inhibition of glial cell-induced membrane degradation are discussed. We critically examine the challenges posed by the systemic administration of chemotherapeutic agents, mainly due to the blood-brain barrier's restrictive nature, advocating for local delivery methods as a more effective alternative for glioblastoma treatment. These local delivery strategies, including collagen membranes, are posited as significant advancements in enhancing therapeutic outcomes for glioblastoma patients.
我们的研究探索了整合米诺环素或伊立替康的胶原膜的开发,目标是应用于组织工程和药物递送系统。使用先进的原纤维形成技术从牛皮中提取的I型胶原,与戊二醛交联以制成膜。这些膜包含不同浓度的抗生素米诺环素或化疗药物伊立替康。通过吸水和酶降解测试研究了药物浓度不同的膜,证明了一定程度的渗透性。我们强调局部药物递送在治疗高级别胶质瘤方面的优势,突出了靶向方法在减少全身不良反应和提高肿瘤部位药物生物利用度方面的有效性。提出利用胶原膜作为局部药物递送的可行方法。讨论了伊立替康(一种拓扑异构酶I抑制剂)的作用机制以及米诺环素的广谱抗菌特性和对胶质细胞诱导的膜降解的抑制作用。我们批判性地审视了化疗药物全身给药所带来的挑战,主要是由于血脑屏障的限制性,主张局部递送方法作为胶质母细胞瘤治疗更有效的替代方案。这些局部递送策略,包括胶原膜,被认为是胶质母细胞瘤患者提高治疗效果的重大进展。