Advances in ultrasound-targeted microbubble-mediated gene therapy for liver fibrosis

Hepatic fibrosis develops as a wound-healing scar in response to acute and chronic liver inflammation and can lead to cirrhosis in patients with chronic hepatitis B and C. The condition arises due to increased synthesis and reduced degradation of extracellular matrix (ECM) and is a common pathologic...

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Main Authors: Cuiyuan Huang, Hong Zhang, Ruidan Bai
Format: Article
Language:English
Published: Elsevier 2017-07-01
Series:Acta Pharmaceutica Sinica B
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211383516303045
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author Cuiyuan Huang
Hong Zhang
Ruidan Bai
author_facet Cuiyuan Huang
Hong Zhang
Ruidan Bai
author_sort Cuiyuan Huang
collection DOAJ
description Hepatic fibrosis develops as a wound-healing scar in response to acute and chronic liver inflammation and can lead to cirrhosis in patients with chronic hepatitis B and C. The condition arises due to increased synthesis and reduced degradation of extracellular matrix (ECM) and is a common pathological sequela of chronic liver disease. Excessive deposition of ECM in the liver causes liver dysfunction, ascites, and eventually upper gastrointestinal bleeding as well as a series of complications. However, fibrosis can be reversed before developing into cirrhosis and has thus been the subject of extensive researches particularly at the gene level. Currently, therapeutic genes are imported into the damaged liver to delay or prevent the development of liver fibrosis by regulating the expression of exogenous genes. One technique of gene delivery uses ultrasound targeting of microbubbles combined with therapeutic genes where the time and intensity of the ultrasound can control the release process. Ultrasound irradiation of microbubbles in the vicinity of cells changes the permeability of the cell membrane by its cavitation effect and enhances gene transfection. In this paper, recent progress in the field is reviewed with emphasis on the following aspects: the types of ultrasound microbubbles, the construction of an ultrasound-mediated gene delivery system, the mechanism of ultrasound microbubble–mediated gene transfer and the application of ultrasound microbubbles in the treatment of liver fibrosis.
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spelling doaj.art-1a49ff4639ee44079fb6269bae579ad32022-12-21T23:39:25ZengElsevierActa Pharmaceutica Sinica B2211-38352211-38432017-07-017444745210.1016/j.apsb.2017.02.004Advances in ultrasound-targeted microbubble-mediated gene therapy for liver fibrosisCuiyuan HuangHong ZhangRuidan BaiHepatic fibrosis develops as a wound-healing scar in response to acute and chronic liver inflammation and can lead to cirrhosis in patients with chronic hepatitis B and C. The condition arises due to increased synthesis and reduced degradation of extracellular matrix (ECM) and is a common pathological sequela of chronic liver disease. Excessive deposition of ECM in the liver causes liver dysfunction, ascites, and eventually upper gastrointestinal bleeding as well as a series of complications. However, fibrosis can be reversed before developing into cirrhosis and has thus been the subject of extensive researches particularly at the gene level. Currently, therapeutic genes are imported into the damaged liver to delay or prevent the development of liver fibrosis by regulating the expression of exogenous genes. One technique of gene delivery uses ultrasound targeting of microbubbles combined with therapeutic genes where the time and intensity of the ultrasound can control the release process. Ultrasound irradiation of microbubbles in the vicinity of cells changes the permeability of the cell membrane by its cavitation effect and enhances gene transfection. In this paper, recent progress in the field is reviewed with emphasis on the following aspects: the types of ultrasound microbubbles, the construction of an ultrasound-mediated gene delivery system, the mechanism of ultrasound microbubble–mediated gene transfer and the application of ultrasound microbubbles in the treatment of liver fibrosis.http://www.sciencedirect.com/science/article/pii/S2211383516303045Liver fibrosisUltrasound-targeted microbubblesGene therapyGene deliveryCavitationSonoporation
spellingShingle Cuiyuan Huang
Hong Zhang
Ruidan Bai
Advances in ultrasound-targeted microbubble-mediated gene therapy for liver fibrosis
Acta Pharmaceutica Sinica B
Liver fibrosis
Ultrasound-targeted microbubbles
Gene therapy
Gene delivery
Cavitation
Sonoporation
title Advances in ultrasound-targeted microbubble-mediated gene therapy for liver fibrosis
title_full Advances in ultrasound-targeted microbubble-mediated gene therapy for liver fibrosis
title_fullStr Advances in ultrasound-targeted microbubble-mediated gene therapy for liver fibrosis
title_full_unstemmed Advances in ultrasound-targeted microbubble-mediated gene therapy for liver fibrosis
title_short Advances in ultrasound-targeted microbubble-mediated gene therapy for liver fibrosis
title_sort advances in ultrasound targeted microbubble mediated gene therapy for liver fibrosis
topic Liver fibrosis
Ultrasound-targeted microbubbles
Gene therapy
Gene delivery
Cavitation
Sonoporation
url http://www.sciencedirect.com/science/article/pii/S2211383516303045
work_keys_str_mv AT cuiyuanhuang advancesinultrasoundtargetedmicrobubblemediatedgenetherapyforliverfibrosis
AT hongzhang advancesinultrasoundtargetedmicrobubblemediatedgenetherapyforliverfibrosis
AT ruidanbai advancesinultrasoundtargetedmicrobubblemediatedgenetherapyforliverfibrosis