Ultrasound-stimulated drug delivery for treatment of residual disease after incomplete resection of head and neck cancer.

Ultrasound-stimulated drug delivery for treatment of residual disease after incomplete resection of head and neck cancer.
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DOI:
10.1016/j.ultrasmedbio.2013.11.002
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发表时间:
2014-04
影响因子:
2.9
通讯作者:
Hoyt, Kenneth
Hoyt, Kenneth
中科院分区:
医学3区
文献类型:
--
作者:
Sorace, Anna G.;Korb, Melissa;Warram, Jason M.;Umphrey, Heidi;Zinn, Kurt R.;Rosenthal, Eben;Hoyt, Kenneth

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Microbubbles triggered with localized ultrasound (US) can improve tumor drug delivery and retention. Termed US-stimulated drug delivery, this strategy was applied to head and neck cancer (HNC) in a post-surgical tumor resection model. Nude athymic mice (N = 24) were implanted in the flank with luciferase-positive HNC squamous cell carcinoma (SCC) and underwent various degrees of surgical tumor resection (0%, 50% or 100%). Following surgery, animals received adjuvant therapy with cetuximab-IRDye alone, cetuximab-IRDye in combination with US-stimulated drug delivery, or saline injections (control) on days 4, 7, and 10. Tumor drug delivery was assessed on days 0, 4, 7, 10, 14, and 17 with an in vivo fluorescence imaging system, while tumor viability was evaluated at the same time points with in vivo bioluminescence imaging. Tumor caliper measurements occurred two times per week for days. Optical imaging demonstrated that in the 50% tumor resection group, US-stimulated drug delivery resulted in a significant increase in cetuximab delivery compared to drug alone on day 10 (day of peak fluorescence) (p = 0.03). Tumor viability decreased in all groups receiving US-stimulated drug delivery plus drug compared to the drug alone group. After various degrees of surgical resection, this novel study demonstrates positive improvements in drug uptake in the residual cancer cells when combined with US-stimulated drug delivery.
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