Kirigami-inspired stents for sustained local delivery of therapeutics

Implantable drug depots have the capacity to locally meet therapeutic requirements by maximizing local drug efficacy and minimizing potential systemic side effects. Tubular organs including the gastrointestinal tract, respiratory tract and vasculature all manifest with endoluminal disease. The anato...

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Main Authors: Babaee, Sahab, Shi, Yichao, Abbasalizadeh, Saeed, Tamang, Siddartha, Hess, Kaitlyn, Collins, Joy E, Ishida, Keiko, Lopes, Aaron, Williams, Michael, Albaghdadi, Mazen, Hayward, Alison M, Traverso, Giovanni
Other Authors: Massachusetts Institute of Technology. Department of Mechanical Engineering
Format: Article
Language:English
Published: Springer Science and Business Media LLC 2022
Online Access:https://hdl.handle.net/1721.1/141398
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author Babaee, Sahab
Shi, Yichao
Abbasalizadeh, Saeed
Tamang, Siddartha
Hess, Kaitlyn
Collins, Joy E
Ishida, Keiko
Lopes, Aaron
Williams, Michael
Albaghdadi, Mazen
Hayward, Alison M
Traverso, Giovanni
author2 Massachusetts Institute of Technology. Department of Mechanical Engineering
author_facet Massachusetts Institute of Technology. Department of Mechanical Engineering
Babaee, Sahab
Shi, Yichao
Abbasalizadeh, Saeed
Tamang, Siddartha
Hess, Kaitlyn
Collins, Joy E
Ishida, Keiko
Lopes, Aaron
Williams, Michael
Albaghdadi, Mazen
Hayward, Alison M
Traverso, Giovanni
author_sort Babaee, Sahab
collection MIT
description Implantable drug depots have the capacity to locally meet therapeutic requirements by maximizing local drug efficacy and minimizing potential systemic side effects. Tubular organs including the gastrointestinal tract, respiratory tract and vasculature all manifest with endoluminal disease. The anatomic distribution of localized drug delivery for these organs using existing therapeutic modalities is limited. Application of local depots in a circumferential and extended longitudinal fashion could transform our capacity to offer effective treatment across a range of conditions. Here we report the development and application of a kirigami-based stent platform to achieve this. The stents comprise a stretchable snake-skin-inspired kirigami shell integrated with a fluidically driven linear soft actuator. They have the capacity to deposit drug depots circumferentially and longitudinally in the tubular mucosa of the gastrointestinal tract across millimetre to multi-centimetre length scales, as well as in the vasculature and large airways. We characterize the mechanics of kirigami stents for injection, and their capacity to engage tissue in a controlled manner and deposit degradable microparticles loaded with therapeutics by evaluating these systems ex vivo and in vivo in swine. We anticipate such systems could be applied for a range of endoluminal diseases by simplifying dosing regimens while maximizing drug on-target effects through the sustained release of therapeutics and minimizing systemic side effects.
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spelling mit-1721.1/1413982023-03-29T19:52:23Z Kirigami-inspired stents for sustained local delivery of therapeutics Babaee, Sahab Shi, Yichao Abbasalizadeh, Saeed Tamang, Siddartha Hess, Kaitlyn Collins, Joy E Ishida, Keiko Lopes, Aaron Williams, Michael Albaghdadi, Mazen Hayward, Alison M Traverso, Giovanni Massachusetts Institute of Technology. Department of Mechanical Engineering Massachusetts Institute of Technology. Department of Chemical Engineering Koch Institute for Integrative Cancer Research at MIT Implantable drug depots have the capacity to locally meet therapeutic requirements by maximizing local drug efficacy and minimizing potential systemic side effects. Tubular organs including the gastrointestinal tract, respiratory tract and vasculature all manifest with endoluminal disease. The anatomic distribution of localized drug delivery for these organs using existing therapeutic modalities is limited. Application of local depots in a circumferential and extended longitudinal fashion could transform our capacity to offer effective treatment across a range of conditions. Here we report the development and application of a kirigami-based stent platform to achieve this. The stents comprise a stretchable snake-skin-inspired kirigami shell integrated with a fluidically driven linear soft actuator. They have the capacity to deposit drug depots circumferentially and longitudinally in the tubular mucosa of the gastrointestinal tract across millimetre to multi-centimetre length scales, as well as in the vasculature and large airways. We characterize the mechanics of kirigami stents for injection, and their capacity to engage tissue in a controlled manner and deposit degradable microparticles loaded with therapeutics by evaluating these systems ex vivo and in vivo in swine. We anticipate such systems could be applied for a range of endoluminal diseases by simplifying dosing regimens while maximizing drug on-target effects through the sustained release of therapeutics and minimizing systemic side effects. 2022-03-30T13:21:30Z 2022-03-30T13:21:30Z 2021 2022-03-30T13:10:08Z Article http://purl.org/eprint/type/JournalArticle https://hdl.handle.net/1721.1/141398 Babaee, Sahab, Shi, Yichao, Abbasalizadeh, Saeed, Tamang, Siddartha, Hess, Kaitlyn et al. 2021. "Kirigami-inspired stents for sustained local delivery of therapeutics." Nature Materials, 20 (8). en 10.1038/S41563-021-01031-1 Nature Materials Article is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use. application/pdf Springer Science and Business Media LLC Prof. Traverso via Elizabeth Kuhlman
spellingShingle Babaee, Sahab
Shi, Yichao
Abbasalizadeh, Saeed
Tamang, Siddartha
Hess, Kaitlyn
Collins, Joy E
Ishida, Keiko
Lopes, Aaron
Williams, Michael
Albaghdadi, Mazen
Hayward, Alison M
Traverso, Giovanni
Kirigami-inspired stents for sustained local delivery of therapeutics
title Kirigami-inspired stents for sustained local delivery of therapeutics
title_full Kirigami-inspired stents for sustained local delivery of therapeutics
title_fullStr Kirigami-inspired stents for sustained local delivery of therapeutics
title_full_unstemmed Kirigami-inspired stents for sustained local delivery of therapeutics
title_short Kirigami-inspired stents for sustained local delivery of therapeutics
title_sort kirigami inspired stents for sustained local delivery of therapeutics
url https://hdl.handle.net/1721.1/141398
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