Concurrent Osteosarcoma Theranostic Strategy Using Contrast-Enhanced Ultrasound and Drug-Loaded Bubbles
Tai-Tzung Kuo1,2, Chung-Hsin Wang3, Jir-You Wang4,5,6
1Department of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu 30013, Taiwan. 4348@mmh.org.tw.
Abstract:
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 ± 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 ± 0.9 cm3 vs. 8.5 ± 2.2 cm3) 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.
Insights
This study shows that doxorubicin-loaded microbubbles combined with ultrasound effectively deliver chemotherapy drugs to osteosarcoma tumors. This approach significantly suppresses tumor growth and allows for monitoring via ultrasound imaging.
Area of Science:
- Biomedical Engineering
- Oncology
- Nanotechnology
Background:
- Osteosarcoma (OS) is a common pediatric bone cancer with significant multidrug resistance.
- Conventional chemotherapy faces challenges in achieving effective drug doses in tumors without systemic toxicity.
Purpose of the Study:
- To investigate doxorubicin (DOX)-loaded microbubbles (DOX-bubbles) as carriers for enhanced tumor drug delivery using ultrasound (US).
- To evaluate the efficacy of DOX-bubbles combined with US in treating osteosarcoma in vitro and in vivo.
Main Methods:
- Development of DOX-bubbles with high drug payload capacity.
- In vitro assessment of DOX uptake into tumor cells mediated by DOX-bubbles and 1-MHz US.
- In vivo evaluation of tumor growth suppression, necrosis, and perfusion monitoring in tumor-bearing animals using DOX-bubbles and US.
Main Results:
- DOX-bubbles demonstrated high doxorubicin payload efficiency (69.4 ± 9.1%) and concentration (1.4 mg/mL).
- US-mediated DOX-bubble treatment significantly increased DOX entry into osteosarcoma cells in vitro.
- In vivo studies showed a 3.7-fold greater suppression of tumor growth with DOX-bubbles + US compared to controls, attributed to accelerated DOX-induced necrosis.
- DOX-bubbles facilitated contrast-enhanced ultrasound imaging for monitoring tumor perfusion and volume.
Conclusions:
- DOX-bubbles serve as effective drug carriers for ultrasound-triggered drug delivery in osteosarcoma.
- The combination of DOX-bubbles and US offers a promising theranostic approach for targeted cancer therapy.
- This strategy supports the potential translation of US-responsive microbubbles for regulated tumor drug delivery into clinical applications.
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