Concurrent Osteosarcoma Theranostic Strategy Using Contrast-Enhanced Ultrasound and Drug-Loaded Bubbles

Osteosarcoma (OS) is the most common bone tumor in children and teenagers. The multidrug resistant property of OS produces a major obstacle to chemotherapy, since the effective drug dose cannot be achieved via conventional drug delivery routes without serious systemic cytotoxicity. Microbubbles in c...

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Main Authors: Tai-Tzung Kuo, Chung-Hsin Wang, Jir-You Wang, Hong-Jen Chiou, Ching-Hsiang Fan, Chih-Kuang Yeh
Format: Article
Language:English
Published: MDPI AG 2019-05-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/11/5/223
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author Tai-Tzung Kuo
Chung-Hsin Wang
Jir-You Wang
Hong-Jen Chiou
Ching-Hsiang Fan
Chih-Kuang Yeh
author_facet Tai-Tzung Kuo
Chung-Hsin Wang
Jir-You Wang
Hong-Jen Chiou
Ching-Hsiang Fan
Chih-Kuang Yeh
author_sort Tai-Tzung Kuo
collection DOAJ
description Osteosarcoma (OS) is the most common bone tumor in children and teenagers. The multidrug resistant property of OS produces a major obstacle to chemotherapy, since the effective drug dose cannot be achieved via conventional drug delivery routes without serious systemic cytotoxicity. Microbubbles in conjunction with ultrasound (US) has recently been shown to spatially and temporally permeabilize the cellular membrane, promoting drug penetration into tumors. Here, we investigated whether drug (doxorubicin, DOX)-loaded bubbles (DOX-bubbles) can serve as drug-loaded carriers in combination with US in order to facilitate tumor drug delivery. The proposed bubbles have a high payload capacity (efficiency of 69.4 &#177; 9.1%, payload of 1.4 mg/mL) for DOX. In vitro data revealed that when used in combination with US (1-MHz), these DOX-bubbles facilitate DOX entering into tumor cells. In tumor-bearing animals, DOX-bubbles + US could provide 3.7-fold suppression of tumor growth compared with the group without insonation (1.8 &#177; 0.9 cm<sup>3</sup> vs. 8.5 &#177; 2.2 cm<sup>3</sup>) because of the acceleration of DOX-induced tumor necrosis. In the meantime, the tumor perfusion and volume can be monitored by DOX-bubbles with contrast-enhanced ultrasound imaging. Our data provide useful information in support of translating the use of theranostic US-responsive bubbles for regulated tumor drug delivery into clinical use.
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spelling doaj.art-e0ea2b964b8d4ff88210a55fb13f4e6d2022-12-22T04:01:00ZengMDPI AGPharmaceutics1999-49232019-05-0111522310.3390/pharmaceutics11050223pharmaceutics11050223Concurrent Osteosarcoma Theranostic Strategy Using Contrast-Enhanced Ultrasound and Drug-Loaded BubblesTai-Tzung Kuo0Chung-Hsin Wang1Jir-You Wang2Hong-Jen Chiou3Ching-Hsiang Fan4Chih-Kuang Yeh5Department of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu 30013, TaiwanDepartment of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu 30013, TaiwanDepartment of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei 11217, TaiwanDepartment of Radiology, Taipei-Veterans General Hospital, Taipei 11217, TaiwanDepartment of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu 30013, TaiwanDepartment of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu 30013, TaiwanOsteosarcoma (OS) is the most common bone tumor in children and teenagers. The multidrug resistant property of OS produces a major obstacle to chemotherapy, since the effective drug dose cannot be achieved via conventional drug delivery routes without serious systemic cytotoxicity. Microbubbles in conjunction with ultrasound (US) has recently been shown to spatially and temporally permeabilize the cellular membrane, promoting drug penetration into tumors. Here, we investigated whether drug (doxorubicin, DOX)-loaded bubbles (DOX-bubbles) can serve as drug-loaded carriers in combination with US in order to facilitate tumor drug delivery. The proposed bubbles have a high payload capacity (efficiency of 69.4 &#177; 9.1%, payload of 1.4 mg/mL) for DOX. In vitro data revealed that when used in combination with US (1-MHz), these DOX-bubbles facilitate DOX entering into tumor cells. In tumor-bearing animals, DOX-bubbles + US could provide 3.7-fold suppression of tumor growth compared with the group without insonation (1.8 &#177; 0.9 cm<sup>3</sup> vs. 8.5 &#177; 2.2 cm<sup>3</sup>) because of the acceleration of DOX-induced tumor necrosis. In the meantime, the tumor perfusion and volume can be monitored by DOX-bubbles with contrast-enhanced ultrasound imaging. Our data provide useful information in support of translating the use of theranostic US-responsive bubbles for regulated tumor drug delivery into clinical use.https://www.mdpi.com/1999-4923/11/5/223microbubblescontrast-enhanced ultrasoundosteosarcomaenhanced permeabilitydrug-loadedultrasound contrast agentstherasostics
spellingShingle Tai-Tzung Kuo
Chung-Hsin Wang
Jir-You Wang
Hong-Jen Chiou
Ching-Hsiang Fan
Chih-Kuang Yeh
Concurrent Osteosarcoma Theranostic Strategy Using Contrast-Enhanced Ultrasound and Drug-Loaded Bubbles
Pharmaceutics
microbubbles
contrast-enhanced ultrasound
osteosarcoma
enhanced permeability
drug-loaded
ultrasound contrast agents
therasostics
title Concurrent Osteosarcoma Theranostic Strategy Using Contrast-Enhanced Ultrasound and Drug-Loaded Bubbles
title_full Concurrent Osteosarcoma Theranostic Strategy Using Contrast-Enhanced Ultrasound and Drug-Loaded Bubbles
title_fullStr Concurrent Osteosarcoma Theranostic Strategy Using Contrast-Enhanced Ultrasound and Drug-Loaded Bubbles
title_full_unstemmed Concurrent Osteosarcoma Theranostic Strategy Using Contrast-Enhanced Ultrasound and Drug-Loaded Bubbles
title_short Concurrent Osteosarcoma Theranostic Strategy Using Contrast-Enhanced Ultrasound and Drug-Loaded Bubbles
title_sort concurrent osteosarcoma theranostic strategy using contrast enhanced ultrasound and drug loaded bubbles
topic microbubbles
contrast-enhanced ultrasound
osteosarcoma
enhanced permeability
drug-loaded
ultrasound contrast agents
therasostics
url https://www.mdpi.com/1999-4923/11/5/223
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AT hongjenchiou concurrentosteosarcomatheranosticstrategyusingcontrastenhancedultrasoundanddrugloadedbubbles
AT chinghsiangfan concurrentosteosarcomatheranosticstrategyusingcontrastenhancedultrasoundanddrugloadedbubbles
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