Effects of ultrasound combinations of different pulse lengths and pulse repetition frequencies to stimulate microbubble cavitation on tumor perfusion and drug delivery in mice
Biomedical Engineering|更新时间:2026-01-09
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Effects of ultrasound combinations of different pulse lengths and pulse repetition frequencies to stimulate microbubble cavitation on tumor perfusion and drug delivery in mice
Journal of Army Medical UniversityVol. 44, Issue 9, Pages: 935-942(2022)
作者机构:
400037 重庆,陆军军医大学第二附属医院超声科
作者简介:
基金信息:
the Major Program of National Natural Science Foundation of China(82127804);the Chongqing Talents Program, Chongqing Chief Expert Program and National Key Research and Development Program of China(2017YFC0107300)
Luhua BAI, Tingting LUO, Jiawei TANG, et al. Effects of ultrasound combinations of different pulse lengths and pulse repetition frequencies to stimulate microbubble cavitation on tumor perfusion and drug delivery in mice[J]. Journal of Army Medical University, 2022, 44(9): 935-942.
DOI:
Luhua BAI, Tingting LUO, Jiawei TANG, et al. Effects of ultrasound combinations of different pulse lengths and pulse repetition frequencies to stimulate microbubble cavitation on tumor perfusion and drug delivery in mice[J]. Journal of Army Medical University, 2022, 44(9): 935-942. DOI: 10.16016/j.2097-0927.202202130.
Effects of ultrasound combinations of different pulse lengths and pulse repetition frequencies to stimulate microbubble cavitation on tumor perfusion and drug delivery in mice
=8):对照组(A组,超声假照),PL3.0+PRF2000+DOX组(B组,较高PRF较低PL超声辐照),PL34.5+PRF200+DOX(C组,较高PL较低PRF超声辐照)。USMB治疗前后分别进行超声造影(contrast-enhanced ultrasound,CEUS),比较各组肿瘤峰值强度(peak intensity,PI)、曲线下面积(area under curve,AUC)和肿瘤血流灌注面积百分比。治疗后缓慢推注阿霉素(doxorubicin,DOX),检测肿瘤组织中DOX药物浓度;病理切片观察小鼠肿瘤组织微结构。
To determine the effects of ultrasound stimulated microbubble (USMB) by different ultrasound combinations of pulse length (PL) and pulse repetition frequency (PRF) under fixed mechanical index and duty cycle on tumor perfusion and drug delivery in C57BL/6 mice.
Methods
2
Twenty-four female C57BL/6 mice (6~8 weeks old
average body weight 17.74±0.43 g) were randomly divided into 3 groups (
n
=8): control group (group A)
DOX+PL3.0+PRF2000 group (group B) and DOX+PL30.5+PRF200 group (group C) after being carried with MC38 xenograft tumor. Contrast-enhanced ultrasound (CEUS) was performed before and after USMB treatment to compare the peak intensity (PI)
area under the curve (AUC) and tumor perfusion percentage. Doxorubicin (DOX) was injected slowly after USMB treatment
and then the concentration of DOX in the tumor was detected with high-performance liquid chromatography (HPLC). Microstructure of the tumor was observed pathologically.
Results
2
The values of PI and AUC after treatment had no significant differences when compared with those before treatment in group A (
P
>
0.05)
the values were increased by 19.3% and 18.0%
respectively in group B (
P
<
0.05)
and decreased by 16.0% and 15.8% in group C (
P
<
0.05). Compared with the tumor perfusion area before treatment
there was no significant difference in the area in group A (
P
>
0.05)
and the area increased by 21.0% in group B (
P
<
0.05)
and decreased by 8.2% in group C after treatment (
P
<
0.05). The results of HPLC showed that the concentration of Dox in gro
up B was 5.0 times higher than that of group A
and 4.8 times higher than that in group C (
P
<
0.05). No statistical difference was seen in the DOX concentration between group A and group C (
P
>
0.05). The pathological results showed that the tumor microvessels in group A and B were slightly and moderately dilated
while those in group C were ruptured and bleeding.
Conclusion
2
Under the fixed mechanical index and duty cycle
USMB with higher PRF and lower PL can enhance tumor blood perfusion and promote drug delivery. However
higher PL and lower PRF can block tumor blood perfusion.
关键词
Keywords
references
GRAHAM K, UNGER E. Overcoming tumor hypoxia as a barrier to radiotherapy, chemotherapy and immunotherapy in cancer treatment[J]. Int J Nanomed, 2018, 13: 6049-6058. DOI: 10.2147/IJN.S140462.
JING X M, YANG F M, SHAO C C, et al . Role of hypoxia in cancer therapy by regulating the tumor microenvironment[J ] . Mol Cancer, 2019, 18(1): 157. DOI: 10.1186/s12943-019-1089-9.
FILIPCZAK N, JOSHI U, ATTIA S A, et al . Hypoxia-sensitive drug delivery to tumors[J ] . J Control Release, 2022, 341: 431-442. DOI: 10.1016/j.jconrel.2021.11.034.
TRINER D, SHAH Y M. Hypoxia-inducible factors: a central link between inflammation and cancer[J]. J Clin Invest, 2016, 126(10): 3689-3698. DOI: 10.1172/JCI84430.
DEPREZ J, LAJOINIE G, ENGELEN Y, et al . Opening doors with ultrasound and microbubbles: beating biological barriers to promote drug delivery[J ] . Adv Drug Deliv Rev, 2021, 172: 9-36. DOI: 10.1016/j.addr.2021.02.015.
SNIPSTAD S, VIKEDAL K, MAARDALEN M, et al . Ultrasound and microbubbles to beat barriers in tumors: improving delivery of nanomedicine[J ] . Adv Drug Deliv Rev, 2021, 177: 113847. DOI: 10.1016/j.addr.2021.113847.
FERIL L B Jr, KONDO T, TAKAYA K, et al . Enhanced ultrasound-induced apoptosis and cell Lysis by a hypotonic medium[J ] . Int J Radiat Biol, 2004, 80(2): 165-175. DOI: 10.1080/09553000310001654684.
CHEN H, KREIDER W, BRAYMAN A A, et al . Blood vessel deformations on microsecond time scales by ultrasonic cavitation[J ] . Phys Rev Lett, 2011, 106(3): 034301. DOI: 10.1103/PhysRevLett.106.034301.
POSTEMA M, GILJA O H. Contrast-enhanced and targeted ultrasound[J]. World J Gastroenterol, 2011, 17(1): 28-41. DOI: 10.3748/wjg.v17.i1.28.
FENG S, QIAO W, TANG J W, et al . Chemotherapy augmentation using low-intensity ultrasound combined with microbubbles with different mec hanical indexes in a pancreatic cancer model[J ] . Ultrasound Med Biol, 2021, 47(11): 3221-3230. DOI: 10.1016/j.ultrasmedbio.2021.07.004.
LI N S, TANG J W, YANG J, et al . Tumor perfusion enhancement by ultrasound stimulated microbubbles potentiates PD-L1 blockade of MC38 colon cancer in mice[J ] . Cancer Lett, 2021, 498: 121-129. DOI: 10.1016/j.canlet.2020.10.046.
MARTIN K H, DAYTON P A. Current status and prospects for microbubbles in ultrasound theranostics[J]. Wiley Interdiscip Rev Nanomed Nanobiotechnol, 2013, 5(4): 329-345. DOI: 10.1002/wnan.1219.
CHOWDHURY S M, ABOU-ELKACEM L, LEE T, et al . Ultrasound and microbubble mediated therapeutic delivery: underlying mechanisms and future outlook[J ] . J Control Release, 2020, 326: 75-90. DOI: 10.1016/j.jconrel.2020.06.008.
TZU-YIN W, WILSON K E, MACHTALER S, et al . Ultrasound and microbubble guided drug delivery: mechanistic understanding and clinical implications[J ] . Curr Pharm Biotechnol, 2013, 14(8): 743-752. DOI: 10.2174/1389201014666131226114611.
KODAMA T, TOMITA Y, KOSHIYAMA K I, et al . Transfection effect of microbubbles on cells in superposed ultrasound waves and behavior of cavitation bubble[J ] . Ultrasound Med Biol, 2006, 32(6): 905-914. DOI: 10.1016/j.ultrasmedbio.2006.03.004.
KHOKHLOVA T D, HAIDER Y, HWANG J H. Therapeutic potential of ultrasound microbubbles in gastrointestinal oncology: recent advances and future prospects[J]. Ther Adv Gastroenterol, 2015, 8(6): 384-394. DOI: 10.1177/1756283X15592584..
TANG N J, TANG J W, ZHANG Y, et al . Perfusion augmentation in hypovascular tumor by ultrasound stimulated microbubble cavitation[J ] . Chin J Ultrason, 2021, 30(2): 167-172. DOI: 10.3760/cma.j.cn131148-20200902-00713.
LI N S, LIAO Y Y, TANG J W. Characteristic blood-perfusion reduction of walker 256 tumor induced by diagnostic ultrasound and microbubbles[J]. Ultrasound Med Biol, 2020, 46(11): 3069-3079. DOI: 10.1016/j.ultrasmedbio.2020.07.009.
FENG S, QIAO W, YI C, et al . Impact of diagnostic ultrasound with different mechanical index en hanced by microbubbles on chemotherapy of nude mice bearing pancreatic tumor[J ] . Chin J Interv Imaging Ther, 2019(2): 107-111.
MORSE S V, MISHRA A, CHAN T G, et al . Liposome delivery to the brain with rapid short-pulses of focused ultrasound and microbubbles[J ] . J Control Release, 2022, 341: 605-615. DOI: 10.1016/j.jconrel.2021.12.005.
ARANGO-RESTREPO A, RUBI J M, KJELSTRUP S, et al . Enhancing carrier flux for efficient drug delivery in cancer tissues[J ] . Biophys J, 2021, 120(23): 5255-5266. DOI: 10.1016/j.bpj.2021.10.036.
KELLER S, BRUCE M, AVERKIOU M A. Ultrasound imaging of microbubble activity during sonoporation pulse sequences[J]. Ultrasound Med Biol, 2019, 45(3): 833-845. DOI: 10.1016/j.ultrasmedbio.2018.11.011.
MASON O R, DAVIDSON B P, SHEERAN P, et al . Augmentation of tissue perfusion in patients with peripheral artery disease using microbubble cavitation[J ] . JACC Cardiovasc Imaging, 2020, 13(3): 641-651. DOI:10.1016/j.jcmg.2019.06.012.