北京大学学报(医学版) ›› 2018, Vol. 50 ›› Issue (6): 1070-1077. doi: 10.3969/j.issn.1671-167X.2018.06.023

• 论著 • 上一篇    下一篇

空白及载阿霉素的聚丙烯酸栓塞微球的制备与评价

郭李盈1,刘晓昕1,李子圆1,覃小雅1,范则杨2,李真真2,关海涛2,宋莉2,邹英华2,范田园1,()   

  1. 1. 北京大学药学院天然及仿生药物国家重点实验室,北京大学药学院分子药剂学与新释药系统北京市重点实验室, 北京 100191
    2. 北京大学第一医院介入血管外科, 北京 100034
  • 收稿日期:2018-05-02 出版日期:2018-12-18 发布日期:2018-12-18
  • 通讯作者: 范田园 E-mail:tianyuan_fan@bjmu.edu.cn
  • 基金资助:
    国家自然科学基金(81571779)

Preparation and evaluation of blank and doxorubicin loaded poly (acrylic acid) microspheres for embolization

Li-ying GUO1,Xiao-xin LIU1,Zi-yuan LI1,Xiao-ya QIN1,Ze-yang FAN2,Zhen-zhen LI2,Hai-tao GUAN2,Li SONG2,Ying-hua ZOU2,Tian-yuan FAN1,()   

  1. 1. The State Key Laboratory of Natural and Biomimetic Drugs, Beijing Key Laboratory of Molecular Pharmaceutics and New Drug Delivery Systems, Peking University School of Pharmaceutical Sciences, Beijing 100191, China
    2. Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing 100034, China
  • Received:2018-05-02 Online:2018-12-18 Published:2018-12-18
  • Contact: Tian-yuan FAN E-mail:tianyuan_fan@bjmu.edu.cn
  • Supported by:
    Supported by the National Natural Science Foundation of China(81571779)

RICH HTML

  

摘要:

目的: 研究离子交换型载阿霉素聚丙烯酸栓塞微球的制备方法与性质评价。方法: 采用反相悬浮聚合法制备空白聚丙烯酸栓塞微球[poly (acrylic acid) microspheres,PMs],通过离子交换原理将阿霉素载入该微球,制备载阿霉素的聚丙烯酸栓塞微球[doxorubicin-loaded poly (acrylic acid) microspheres,DPMs]。采用光学显微镜考察两种微球的形态和粒径分布,荧光显微镜和激光扫描共聚焦显微镜考察载药微球中阿霉素的分布,物性测定仪测定PMs和DPMs的弹性,HPLC法测定PMs的载药性质和DPMs的释药性质。以0.1 mL的DPMs栓塞家兔肝动脉评价其在动物体内的栓塞效果。结果: 制备的PMs和DPMs形态圆整、表面光滑,能够均匀分散,阿霉素主要分布在靠近微球表面的区域且分布均匀。PMs和DPMs的平均粒径分别为(283±136) μm和(248±149) μm,杨氏模量分别为(62.63±1.65) kPa和(93.94±1.10) kPa,空白和载药微球均具有良好的抗压缩能力。PMs在12 h时达到载药平衡,包封率大于99%,在浓度为5.0 g/L和12.5 g/L的阿霉素溶液中微球的载药量分别为(19.78±0.27) g/L和(49.45±0.37) g/L;DPMs在磷酸盐缓冲液(phosphate buffered saline,PBS)中缓慢释放阿霉素,载药量为(19.78±0.27) g/L和(49.45±0.37) g/L的微球24 h体外累积释放百分数分别为6.82%±0.02%和2.83%±0.10%。影像学结果显示,DPMs成功地栓塞了家兔的肝动脉。结论: 聚丙烯酸微球具有良好的载阿霉素性能,DPMs是一种潜在的可用于动脉化疗栓塞的新型药物递送系统。

关键词: 微球, 化学栓塞, 治疗性, 离子交换, 阿霉素, 缓释

Abstract:

Objective: To prepare ion exchange doxorubicin-loaded poly (acrylic acid) microspheres (DPMs) and evaluate the properties of these chemoembolic agents.Methods:Poly (acrylic acid) microspheres (PMs) without drug were prepared by inverse suspension polymerization method and then doxorubicin was loaded by ion exchange mechanism to prepare DPMs. Optical microscope was used to investigate the morphology and particle size distribution of PMs and DPMs; fluorescence microscope and confocal microscope were used to observe the distribution of doxorubicin after drug loading. Elasticities of both the microspheres were evaluated by texture analyzer. High performance liquid chromatography (HPLC) method was established to determine the drug loading behavior of PMs and releasing behavior of DPMs. The in vivo embolic property was evaluated by embolizing the hepatic artery of a rabbit with 0.1 mL of DPMs.Results:PMs and DPMs were both spherical in shape, smooth in surface and dispersed well. Doxorubicin was mainly in the outer area inside of DPMs and distributed evenly. The average particle size of PMs and DPMs were (283±136) μm and (248±149) μm, respectively. PMs and DPMs both had good compression ability with the Young’s modulus of (62.63±1.65) kPa and (93.94±1.10) kPa separately. PMs reached the drug loading balance at 12 h, and the entrapment efficiency was greater than 99%. Drug loading of PMs in doxorubicin solution at the concentration of 5.0 g/L and 12.5 g/L was (19.78±0.27) g/L and (49.45±0.37) g/L, respectively. Doxorubicin released slowly from DPMs in PBS and the accumulative release percentages of DPMs with corresponding drug loading were 6.82%±0.02% and 2.83%±0.10% after 24 h, respectively. Arterial angiograms showed that the hepatic artery of the rabbit was successfully embolized with DPMs.Conclusion:DPMs with good performance of loading doxorubicin could be a potential embolic agent for transcatheter arterial chemoembolization.

Key words: Microspheres, Chemoembolization, therapeutic, Ion exchange, Doxorubicin, Sustained release

中图分类号: 

  • R94

图1

PMs在不同浓度阿霉素溶液中的载药量(A)和包封率(B)"

图2

光学显微镜下的PMs(A)和DPMs(B)(×64)"

图3

荧光显微镜下的DPMs(×100)"

图4

激光扫描共聚焦显微镜下的DPMs,A~D依次为顶端到最大截面处的横向扫描图(×100)"

图5

PMs和DPMs的粒径分布"

表1

PMs和DPMs的杨氏模量、半松弛时间、残余应力、破裂形变、破裂应力、粘弹性、凝聚性和回复性(n=3)"

Microspheres PMs DPMs
Young’s modulus/kPa 62.63±1.65 93.94±1.10#
RHT/s 37.45±1.90 15.42±0.71#
Residual force/% 71.68±6.15 41.54±3.73#
Percentage of failure deformation/% 94.0±1.7 99.4±0.31#
Failure stress/N 0.43±0.13 0.70±0.04*
Springiness 0.73±0.02 0.69±0.02
Cohesiveness 0.74±0.04 0.61±0.08
Resilience 0.51±0.04 0.35±0.06*

图6

不同载药量的DPMs随时间的药物累积释放百分数(n=3)"

图7

家兔肝动脉栓塞前(A)和栓塞后(B)的血管造影图像"

[1] 赵成如, 史文红, 金刚 . 医用介入栓塞材料[J]. 中国医疗器械信息, 2007,13(8):1-6.
[2] 金雪锋, 许颖, 沈晓兰 , 等. 载药动脉栓塞微球DC Bead TM研究进展 [J]. 药学与临床研究, 2012,20(4):319-325.
doi: 10.3969/j.issn.1673-7806.2012.04.012
[3] Gomes AS, Monteleone PA, Sayre JW , et al. Comparison of triple-drug transcatheter arterial chemoembolization (TACE) with single-drug TACE using doxorubicin-eluting beads: long-term survival in 313 patients[J]. AJR Am J Roentgenol, 2017,209(4):722-732.
doi: 10.2214/AJR.17.18219 pmid: 28705059
[4] Verret V, Namur J, Ghegediban SH , et al. Toxicity of doxorubicin on pig liver after chemoembolization with doxorubicin-loaded microspheres: a pilot DNA-microarrays and histology study[J]. Cardiovasc Intervent Radiol, 2013,36(1):204-212.
doi: 10.1007/s00270-012-0369-1 pmid: 22441757
[5] Namur J, Pascale F, Maeda N , et al. Safety and efficacy compared between irinotecan-loaded microspheres HepaSphere and DC Bead in a model of VX2 liver metastases in the rabbit[J]. J Vasc Interv Radiol, 2015,26(7):1067-1075.
doi: 10.1016/j.jvir.2015.03.014 pmid: 25952641
[6] Kaiser J, Krämer I . Loading profile of topotecan into polyvinyl alcohol microspheres (DC Bead TM) over a 7-day period [J]. J Oncol Pharm Pract, 2012,18(2):222-228.
doi: 10.1177/1078155211426197 pmid: 22075006
[7] Fuchs K, Bize PE, Dormond O , et al. Drug-eluting beads loaded with antiangiogenic agents for chemoembolization: in vitro sunitinib loading and release and in vivo pharmacokinetics in an animal mo-del[J]. J Vasc Interv Radiol, 2014,25(3):379-387.
doi: 10.1016/j.jvir.2013.11.039 pmid: 24468044
[8] Cui DC, Lu WL, Sa EA , et al. Poly (acrylic acid) microspheres loaded with lidocaine: preparation and characterization for arterial embolization[J]. Int J Pharm, 2012,436(1-2):527-535.
doi: 10.1016/j.ijpharm.2012.07.020 pmid: 22820132
[9] Omidian H, Zohuriaan-Mehr MJ, Bouhendi H . Polymerization of sodium acrylate in inverse-suspension stabilized by sorbitan fatty esters[J]. Eur Polym J, 2003,39(5):1013-1018.
doi: 10.1016/S0014-3057(02)00352-X
[10] Lewis AL, Gonzalez MV, Leppard SW , et al. Doxorubicin eluting beads-1: effects of drug loading on bead characteristics and drug distribution[J]. J Mater Sci Mater Med, 2007,18(9):1691-1699.
doi: 10.1007/s10856-007-3068-8
[11] Ahnfelt E, Sjögren E, Hansson P , et al. In vitro release mechanisms of doxorubicin from a clinical bead drug-delivery system[J]. J Pharm Sci, 2016,105(11):3387-3398.
doi: 10.1016/j.xphs.2016.08.011 pmid: 27663384
[12] Laurent A . Microspheres and nonspherical particles for embolization[J]. Tech Vasc Interv Radiol, 2007,10(4):248-256.
doi: 10.1053/j.tvir.2008.03.010 pmid: 18572137
[13] Bendszus M, Klein R, Burger R , et al. Efficacy of trisacryl gela-tin microspheres versus polyvinyl alcohol particles in the preoperative embolization of meningiomas[J]. AJNR Am J Neuroradiol, 2000,21(2):255-261.
[14] Chua GC, Wilsher M, Young MP , et al. Comparison of particle penetration with non-spherical polyvinyl alcohol versus trisacryl gelatin microspheres in women undergoing premyomectomy uterine artery embolization[J]. Clin Radiol, 2005,60(1):116-122.
doi: 10.1016/j.crad.2004.08.008
[15] Hu FQ, Liu LN, Du YZ , et al. Synjournal and antitumor activity of doxorubicin conjugated stearic acid-g-chitosan oligosaccharide po-lymeric micelles[J]. Biomaterials, 2009,30(36):6955-6963.
doi: 10.1016/j.biomaterials.2009.09.008 pmid: 19782395
[16] Weng L, Le HC, Lin J , et al. Doxorubicin loading and eluting characteristics of bioresorbable hydrogel microspheres: in vitro study[J]. Int J Pharm, 2011,409(1):185-193.
doi: 10.1016/j.ijpharm.2011.02.058 pmid: 21382461
[17] Flandroy P, Grandfils C, Collignon J , et al.( D, L) polylactide microspheres as embolic agent. A preliminary study[J]. Neuroradiology, 1990,32(4):311-315.
doi: 10.1007/BF00593051
[18] Golzarian J, Weng L . Particle embolization: factors affecting arterial distribution[J]. J Vasc Interv Radiol, 2014,25(11):1773-1774.
doi: 10.1016/j.jvir.2014.08.022
[19] Guiu B, Schmitt A, Reinhardt S , et al. Idarubicin-loaded ONCOZENE drug-eluting embolic agents for chemoembolization of hepatocellular carcinoma: In vitro loading and release and in vivo pharmacokinetics[J]. J Vasc Interv Radiol, 2015,26(2):262-270.
doi: 10.1016/j.jvir.2014.08.021 pmid: 25311967
[20] De BT, Plotkin S, Yu R , et al. An in vitro evaluation of four types of drug-eluting microspheres loaded with doxorubicin[J]. J Vasc Interv Radiol, 2016,27(9):1425-1431.
doi: 10.1016/j.jvir.2016.05.015 pmid: 27402527
[21] Brown KT . Re: Fatal pulmonary complications after arterial embolization with 40-120 microm tris-acryl gelatin microspheres[J]. J Vasc Interv Radiol, 2004,15(1):887-888.
doi: 10.1016/S1051-0443(07)60429-1 pmid: 14963189
[22] Jordan O, Denys A, Baere T D . Comparative study of chemo-embolization loadable beads: in vitro drug release and physical properties of DC Bead and hepasphere loaded with doxorubicin and irinotecan[J]. J Vasc Interv Radiol, 2010,21(7):1084-1090.
doi: 10.1016/j.jvir.2010.02.042 pmid: 20610183
[23] Ahnfelt E, Sjögren E, Axén N , et al. A miniaturized in vitro release method for investigating drug-release mechanisms[J]. Int J Pharm, 2015,486(1-2):339-349.
doi: 10.1016/j.ijpharm.2015.03.076 pmid: 25843760
[24] Gonzalez MV, Tang Y, Phillips GJ , et al. Doxorubicin eluting beads-2: methods for evaluating drug elution and in-vitro: in-vivo correlation[J]. J Mater Sci Mater Med, 2008,19(2):767-775.
doi: 10.1007/s10856-006-0040-y pmid: 17653626
[25] Zhao Z, Li J, Yang Y , et al. Preparation and characterization of sunitinib-loaded microspheres for arterial embolization[J]. J Chin Pharm Sci, 2014,23(8):558-564.
doi: 10.5246/jcps.2014.08.072
[26] Woo BH, Kostanski JW, Gebrekidan S , et al. Preparation, cha-racterization and in vivo evaluation of 120-day poly (d, l-lactide) leuprolide microspheres[J]. J Control Release, 2001,75(3):307-315.
doi: 10.1016/S0168-3659(01)00403-5 pmid: 11489318
[27] Altekruse SF, Henley SJ, Cucinelli JE , et al. Changing hepatocellular carcinoma incidence and liver cancer mortality rates in the United States[J]. Am J Gastroenterol, 2014,109(4):542-553.
doi: 10.1038/ajg.2014.11 pmid: 4148914
[28] 姚红, 于雷, 钟丽华 , 等. DKK-1与肝脏恶性肿瘤的相关研究进展[J]. 现代生物医学进展, 2016,16(10):1962-1965.
doi: 10.13241/j.cnki.pmb.2016.10.043
[29] Llovet JM, Bisceglie AMD, Bruix J , et al. Design and endpoints of clinical trials in hepatocellular carcinoma[J]. J Natl Cancer Inst, 2008,100(10):698-711.
doi: 10.1006/cviu.1998.0729 pmid: 18477802
[1] 袁昌巍,王盈进,张书杰,沈胜利,段鸿洲. 显微外科手术与血管内栓塞治疗硬脊膜动静脉瘘临床疗效比较的meta分析[J]. 北京大学学报(医学版), 2022, 54(2): 304-314.
[2] 高健,胡立宝,陈尘,郅新,徐涛. 经皮肾镜去石术后出血的介入治疗[J]. 北京大学学报(医学版), 2020, 52(4): 667-671.
[3] 陈英,刘中宁,李波,姜婷. 阿司匹林缓释微球的制备及体外缓释效果评估[J]. 北京大学学报(医学版), 2019, 51(5): 907-912.
[4] 詹颖,杜祎甜,仰浈臻,张春丽,齐宪荣. 紫杉醇微球-原位凝胶的制备及其局部注射的抗肿瘤药效[J]. 北京大学学报(医学版), 2019, 51(3): 477-486.
[5] 韩烨, 杜偲倩, 肖慧捷, 周颖, 丁洁, 丁娟娟, 崔一民. 他克莫司缓释剂治疗儿童原发性肾病综合征的药代动力学特点[J]. 北京大学学报(医学版), 2017, 49(5): 807-813.
[6] 李箐,于欣,周钢,毋育伟,胡洪成,王彤,唐志辉. 壳聚糖微球/小牛松质骨支架复合缓释体系的制备及体外生物活性评价[J]. 北京大学学报(医学版), 2016, 48(6): 1043-1048.
[7] 杨棽, 孟文静, 卢晓静, 吴雅楠, 仁增顿珠, 范田园. 交联聚乙烯醇栓塞微球的制备与体外性质[J]. 北京大学学报(医学版), 2014, 46(5): 733-738.
[8] 柳盈盈, 卢晓静, 郑卓肇, 关海涛, 付乃奇, 吕天石, 张水生, 宋莉, 邹英华, 范田园. 借助磁共振成像可定位的Eudragit-E液体栓塞剂的制备及性质[J]. 北京大学学报(医学版), 2014, 46(5): 744-750.
[9] 萨尔阿, 卢晓静, 崔代超, 关海涛, 吕天石, 张水生, 闫子光, 宋莉, 邹英华, 范田园. 载阿霉素离子交换微球的制备及性质评价[J]. 北京大学学报(医学版), 2014, 46(4): 629-634.
[10] 刘鸿1*,冯巧灵2*,张玮3△,谢拥军4,李超5,姜恒2,周恩亮6. 兔VX2肝癌模型的数字减影血管造影影像分析及改良肝动脉插管术[J]. 北京大学学报(医学版), 2013, 45(4): 649-.
[11] 李芳芳*, 乔朋艳, 董利民, 刘玉华, 徐韬, 谢秋菲. CPC固化中海藻酸钙凝胶微球对细胞的保护及相关影响因素[J]. 北京大学学报(医学版), 2013, 45(1): 33-39.
[12] 吴雅楠, 崔代超, 柳盈盈, 范田园. 栓塞用明胶微球的优化及性质评价[J]. 北京大学学报(医学版), 2012, 44(3): 464-468.
[13] 熊六林, 黄晓波, 叶雄俊, 李建兴, 杨波, 许清泉, 马凯, 陈亮, 王晓峰, 高健, 金龙, 陈雷. 经皮肾镜术后肾脏严重出血特点及选择性介入栓塞的时机选择(附13例报告)[J]. 北京大学学报(医学版), 2010, 42(4): 465-468.
[14] 张安阳, 范田园. 运用人工神经网络和响应曲面法体外优化阿司匹林海藻酸钙胃漂浮微球[J]. 北京大学学报(医学版), 2010, 42(2): 197-201.
[15] 吴昱, 苏涛, 杨莉, 王辰, 刘刚, 李晓玫. 几种尿标志物在急性药物性肾小管间质性肾炎鉴别诊断中的意义[J]. 北京大学学报(医学版), 2010, 42(2): 164-168.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!