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A dynamic magnetic shift method to increase nanoparticle concentration in cancer metastases: a feasibility study using simulations on autopsy specimens

机译:一种动态磁位移法,可提高癌症转移中的纳米颗粒浓度:使用尸检标本模拟的可行性研究

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摘要

A nanoparticle delivery system termed dynamic magnetic shift (DMS) has the potential to more effectively treat metastatic cancer by equilibrating therapeutic magnetic nanoparticles throughout tumors. To evaluate the feasibility of DMS, histological liver sections from autopsy cases of women who died from breast neoplasms were studied to measure vessel number, size, and spatial distribution in both metastatic tumors and normal tissue. Consistent with prior studies, normal tissue had a higher vascular density with a vessel-to-nuclei ratio of 0.48 ± 0.14 (n = 1000), whereas tumor tissue had a ratio of 0.13 ± 0.07 (n = 1000). For tumors, distances from cells to their nearest blood vessel were larger (average 43.8 μm, maximum 287 μm, n ≈ 5500) than normal cells (average 5.3 μm, maximum 67.8 μm, n ≈ 5500), implying that systemically delivered nanoparticles diffusing from vessels into surrounding tissue would preferentially dose healthy instead of cancerous cells. Numerical simulations of magnetically driven particle transport based on the autopsy data indicate that DMS would correct the problem by increasing nanoparticle levels in hypovascular regions of metastases to that of normal tissue, elevating the time-averaged concentration delivered to the tumor for magnetic actuation versus diffusion alone by 1.86-fold, and increasing the maximum concentration over time by 1.89-fold. Thus, DMS may prove useful in facilitating therapeutic nanoparticles to reach poorly vascularized regions of metastatic tumors that are not accessed by diffusion alone.
机译:被称为动态磁位移(DMS)的纳米粒子输送系统具有通过在整个肿瘤中平衡治疗性磁性纳米粒子来更有效地治疗转移性癌症的潜力。为了评估DMS的可行性,研究了从死于乳腺肿瘤的妇女的尸检病例中获得的组织学肝切片,以测量转移性肿瘤和正常组织中的血管数量,大小和空间分布。与先前的研究一致,正常组织的血管密度更高,血管核比为0.48±0.14(n = 1000),而肿瘤组织的比率为0.13±0.07(n = 1000)。对于肿瘤,从细胞到最近血管的距离(平均43.8μm,最大287μm,n≈5500)比正常细胞(平均5.3μm,最大67.8μm,n≈5500)大,这意味着系统地递送了从血管进入周围组织将优先选择健康而不是癌细胞。基于尸体解剖数据的磁驱动颗粒传输的数值模拟表明,DMS将通过将转移的血管下区域的纳米颗粒水平提高到正常组织水平,从而提高传递给肿瘤的时间平均浓度(仅通过磁驱动而不是扩散)来纠正该问题。增加1.86倍,随时间增加最大浓度1.89倍。因此,DMS可能被证明有助于促进治疗性纳米颗粒到达仅通过扩散不能进入的转移性肿瘤的血管化不良区域。

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