Mechanisms of Ultrasound-Mediated Bioeffects

描述（由申请人提供）：将药物、蛋白质和基因细胞内递送到活细胞中是药物和基因递送中最大的挑战之一。 先前的研究表明，在适当的条件下，将细胞暴露于超声驱动分子进入细胞，以非侵入性地增加药物的药理作用和体外和动物体内多种不同细胞类型中的基因表达。 这些影响发生在与临床超声成像或加热中所采用的超声条件不同的超声条件下。 在超声的这种新用途的背景下，化合物被驱动进入细胞的机制尚不清楚，作为一种常见的副作用，一些细胞可能在此过程中被杀死。 我们以前在这一领域的工作强调了将分子传递到活细胞中的声学和物理条件。 因此，本提案的具体目标通过确定（1）暴露于超声的细胞吸收分子的机制和（2）暴露于超声时细胞死亡的机制来解决细胞响应的生物学和生物物理学机制。 实现这些目标将朝着合理设计方案、制剂和装置的长期目标取得重大进展，这些方案、制剂和装置实现高水平的细胞内递送，同时保持高细胞活力。 具体而言，目标1研究是由以下假设指导的：分子摄取是通过1微米量级的膜破裂扩散发生的，这些膜破裂通过使用细胞内囊泡的主动修补在1分钟量级的寿命内重新密封。 实验将确定膜破裂的存在、大小和寿命，以及破裂被主动或被动重新密封的机制。 通过膜破裂的运输将数学建模和主动运输的作用也将被检查。 目的2研究的指导假设是细胞死亡可以发生在秒的时间尺度上，并表现出凋亡，坏死和下垂的特征。 实验将确定细胞凋亡的特征性核、线粒体、超微结构和酶特征，并将其与坏死和下垂的特征进行对比。 细胞死亡的动力学是特别感兴趣的，因为初步结果表明，细胞暴露于超声波后几秒钟内表现出晚期凋亡的特征，这与其他凋亡机制通常观察到的数小时的动力学形成对比。 研究将采用多种形式的电子和共聚焦显微镜，流式细胞术和数学分析作为其核心工具，部分通过与已知的细胞膜破坏机制（包括电穿孔和机械细胞损伤）进行比较来指导。 在最后一年，机械研究结果将用于设计和测试优化分子吸收和细胞活力的超声方案。

DESCRIPTION (provided by applicant): Intracellular delivery of drugs, proteins and genes into viable cells in one of the greatest challenges in drug and gene delivery. Previous studies show that exposure of cells to ultrasound under appropriate conditions drives molecules into cells to non-invasively increase pharmacological effect of drugs and expression of genes in a variety of different cell types in vitro and in animals in vivo. These effects occur under different ultrasound conditions from those employed in clinical ultrasonic imaging or heating. In the context of this new use of ultrasound, the mechanisms are not known by which compounds can be driven into cells and, as a common side effect, some cells can be killed in the process. Our previous work in this area has emphasized the acoustic and physical conditions that deliver molecules into viable cells. For this reason, the Specific Aims of this proposal address biological and biophysical mechanisms of the cell's response by determining (1) the mechanism(s) by which molecules are taken up into cells exposed to ultrasound and (2) the mechanism(s) by which ceils die when exposed to ultrasound. Carrying out these Aims will make significant advances toward the long term goal of rationally designing protocols, formulations and devices that achieve high levels of intracellular delivery while maintaining high cell viability. Specifically, Aim 1 studies are guided by the hypothesis that molecular uptake occurs by diffusion through membrane disruptions on the order of 1 micron in size that reseal over a lifetime on the order of 1 minute by active patching using intracellular vesicles. Experiments will determine the existence, size and lifetime of membrane disruptions, as well as the mechanism by which disruptions are actively or passively resealed. Transport through membrane disruptions will be modeled mathematically and the role of active transport will be examined too. Aim 2 studies are guided by the hypothesis that cell death can occur on a timescale of seconds and exhibits characteristic features of apoptosis, necrosis and paraptosis. Experiments will identify characteristic nuclear, mitochondrial, ultrastructural and enzymatic features of apoptosis and contrast them with features of necrosis and paraptosis. The kinetics of cell death is of special interest, since preliminary results suggest that cells exhibit characteristics of late stage apoptosis within seconds after exposure to ultrasound, which contrasts with kinetics typically of hours observed by other apoptosis mechanisms. Studies will employ multiple forms of electron and confocal microscopy, flow cytometry and mathematical analysis as their core tools guided in part by comparison with known mechanisms of cell membrane disruption, including electroporation and mechanical cell wounding. During the final year, mechanistic findings will be used to design and test ultrasound protocols that optimize molecular uptake and cell viability.