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Engineered Hierarchical Microdevices Enable Pre-Programmed Controlled Release for Postsurgical and Unresectable
Lihuang Wu1, Junhua Li1, Yuqi Wang1
1Research Institute for Biomaterials, Tech Institute for Advanced Materials Bioinspired Biomedical Materials & Devices Center, College of Materials Science and Engineering, Jiangsu Collaborative Innovation Center for Advanced Inorganic Function Composites, Suqian Advanced Materials Industry Technology Innovation Center, Nanjing Tech University, Nanjing, 211816, China.
Abstract:
Drug treatment is required for both resectable and unresectable cancers to strive for any meaningful improvement in patient outcomes. However, the clinical benefit of receiving conventional systemic administrations is often less than satisfactory. Drug delivery systems are preferable substitutes but still fail to meet diverse clinical demands due to the difficulty in programming drug release profiles. Herein, a microfabrication concept, termed "Hierarchical Multiple Polymers Immobilization" (HMPI), is introduced and biodegradable-polymer-based hierarchical microdevices (HMDs) that can pre-program any desired controlled release profiles are engineered. Based on the first-line medication of pancreatic and breast cancer, controlled release of single gemcitabine and the doxorubicin/paclitaxel combination in situ for multiple courses is implemented, respectively. Preclinical models of postsurgical pancreatic, postsurgical breast, and unresectable breast cancer are established, and the designed HMDs are demonstrated as well-tolerable and effective treatments for inhibiting tumor growth, recurrence, and metastasis. The proposed HMPI strategy allows the creation of tailorable and high-resolution hierarchical microstructures for pre-programming controlled release according to clinical medication schedules, which may provide promising alternative treatments for postsurgical and unresectable tumor control.
Insights
New microdevices precisely control drug release for cancer treatment, improving outcomes for pancreatic and breast cancers. This technology offers a promising alternative for managing tumors after surgery and in unresectable cases.
Area of Science:
- Biomaterials Engineering
- Drug Delivery Systems
- Oncology
Background:
- Conventional systemic cancer drug administration often yields unsatisfactory clinical benefits.
- Existing drug delivery systems struggle to provide programmable drug release profiles for diverse clinical needs.
- Effective cancer treatment requires improved drug delivery for both resectable and unresectable tumors.
Purpose of the Study:
- To introduce a microfabrication concept, Hierarchical Multiple Polymers Immobilization (HMPI).
- To engineer biodegradable-polymer-based hierarchical microdevices (HMDs) for pre-programmed controlled drug release.
- To evaluate the efficacy of HMDs in preclinical models of pancreatic and breast cancer.
Main Methods:
- Developed HMPI strategy to create tailorable hierarchical microstructures.
- Engineered biodegradable HMDs for controlled release of gemcitabine (pancreatic cancer) and doxorubicin/paclitaxel combination (breast cancer).
- Utilized preclinical models for postsurgical pancreatic, postsurgical breast, and unresectable breast cancer.
Main Results:
- Demonstrated well-tolerable and effective treatment with HMDs in preclinical models.
- Successfully inhibited tumor growth, recurrence, and metastasis.
- Achieved controlled, in situ drug release for multiple courses according to clinical schedules.
Conclusions:
- The HMPI strategy enables the creation of microdevices with precise control over drug release profiles.
- Engineered HMDs show significant potential as alternative treatments for postsurgical and unresectable tumors.
- This approach offers tailorable solutions for cancer therapy, potentially improving patient outcomes.
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