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NEURAL DRUG DELIVERY: NOVEL MICROFLUIDIC DELIVERY DEVICES AND STUDIES OF TRANSPORT PHENOMENA

机译:神经药物输送:新的微流体输送装置和运输现象的研究

摘要

There are many promising pharmacological treatments for neurological disorders whose efficacies are limited by difficulties in delivering therapeutics to disease afflicted tissue. The work in this dissertation addresses some of the issues associated with neural drug delivery through three main investigative routes: development of new and more effective delivery devices, comprehension of drug transport mechanisms, and improvement in pre-clinical testing models for new therapeutics. A major focus of this work is convection enhanced delivery (CED). In CED, drugs are infused directly into tissue through a needle or catheter, and therefore are able to penetrate deeper into tissue than diffusion mediated delivery. A novel implantable microfluidic device was fabricated and characterized for chronic convection enhanced delivery protocols. The device consists of a flexible parylene microfluidic channel that is supported during tissue insertions by a biodegradable poly(DL-lactide-co-glycolide) scaffold. The device was able to reproducibly inject fluid into neural tissue with final infusate distributions that closely approximate delivery from an ideal point source. Also, real-time studies of drug transport through tissue were carried out using 2-photon excited fluorescence microscopy to monitor the movement of fluorescent nanoparticles in the rat cortex during delivery via CED. We found that perivascular spaces can drastically affect the distribution of therapeutic constructs larger than approximately 50nm by providing a high permeability conduit for transport through neural tissue. Finally, a new endovascular microcatheter was developed that allows for selective intra-arterial injections in the rat brain. The device consists of a 169?m outer-diameter polyimide tube that has laser machined fluid delivery side-ports in the distal tip. A 450?m diameter by 1mm long poly(dimethyl siloxane) cylinder is attached to the distal end of the catheter to block blood flow in the carotid artery, to simulate an ischemic stroke. This device shows great promise for testing intra-arterial delivery of novel therapeutics in rat models.
机译:对于神经系统疾病,有许多有希望的药理学治疗方法,其功效因难以将治疗剂运送到患病组织而受到限制。本论文的工作通过三种主要的研究途径解决了与神经药物输送有关的一些问题:开发新的更有效的输送装置,理解药物转运机制以及改进新疗法的临床前测试模型。这项工作的主要重点是对流增强传输(CED)。在CED中,药物是通过针头或导管直接注入组织的,因此与扩散介导的递送相比,它们能够更深入地渗透到组织中。制造了一种新型的可植入微流体装置,并对其进行了对流增强的慢性对流协议。该设备由一个柔性的聚对二甲苯微流体通道组成,该通道在组织插入过程中由可生物降解的聚(DL-丙交酯-乙交酯-乙交酯)支架支撑。该设备能够以可重复的方式将液体注入神经组织,最终输注液的分布与理想点源的输注十分接近。同样,使用2光子激发荧光显微镜对药物在组织中的运输进行了实时研究,以监测通过CED递送时大鼠大脑皮层中荧光纳米颗粒的运动。我们发现血管周间隙可通过提供一个高渗透性的导管来输送通过神经组织而严重影响大于约50nm的治疗性结构的分布。最后,开发了一种新的血管内微导管,该导管可在大鼠脑中进行选择性动脉内注射。该设备由一个外径为169?m的聚酰亚胺管组成,该管的远端尖端具有激光加工的流体输送侧端口。直径450mm×1mm长的聚(二甲基硅氧烷)圆柱体连接到导管的远端,以阻止血液在颈动脉中的流动,从而模拟缺血性中风。该装置显示出在大鼠模型中测试新型疗法的动脉内递送的巨大前景。

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    Foley Conor Patrick;

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