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Chemotherapy of glioblastoma by targeted liposomal platinum compounds with focused ultrasound

机译:靶向超声脂质体铂化合物对胶质母细胞瘤的化学治疗

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Giloblastoma multiforme (GBM) is the most aggressive brain neoplasm, and patients have a poor prognosis after radiation and chemotherapy. The chemotherapy protocols still marginally improve the anti-tumor effect of patients with glioblastoma because the therapeutic dosage of many drugs is impeded by the blood-brain barrier (BBB). The use of liposomal drugs to GBM treatment might benefit from a more crossing of the BBB due to the lipid nature achieving higher doses of drug at the tumor sites. Human GBM-bearing mice were injected intravenously with cisplatin encapsulated in atherosclerotic plaque-specific peptide-1 (AP-1)-conjugated liposomes or unconjugated liposome. Moreover, the administration of AP-1 liposomal cisplatin (lipoplatin) followed by focused ultrasound (FUS)-induced BBB disruption. Tumor progression was monitored by biophotonic imaging. The preliminary data demonstrated that the GBM chemotherapy with AP-1 lipoplatin followed by pulsed FUS showed a modest improvement of tumor growth in the brain compared to the group treated with lipoplatin alone. Further investigations are needed to use this new targeted lipoplatin in treatment of malignancies.
机译:多形性成纤维细胞母细胞瘤(GBM)是最具侵略性的脑肿瘤,放疗和化疗后患者的预后较差。化疗方案仍在一定程度上改善胶质母细胞瘤患者的抗肿瘤作用,因为许多药物的治疗剂量受到血脑屏障(BBB)的阻碍。脂质体药物用于GBM的治疗可能受益于血脑屏障的更多交叉,因为脂质性质在肿瘤部位实现了更高剂量的药物。给人类GBM小鼠静脉注射被包裹在动脉粥样硬化斑块特异性肽1(AP-1)结合脂质体或未结合脂质体中的顺铂。此外,先给予AP-1脂质体顺铂(lipoplatin),再进行聚焦超声(FUS)诱导的BBB破坏。通过生物光子成像监测肿瘤进展。初步数据表明,与单独使用脂铂治疗的组相比,先用AP-1脂铂联合脉冲FUS进行的GBM化疗显示了脑部肿瘤生长的适度改善。需要使用这种新的靶向脂铂治疗恶性肿瘤的进一步研究。

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