物理运输力量控制着药物分发以支架为基础的药物交付
1Harvard-MIT Division of Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA 02139, USA. cwhwang@mit.edu
Circulation
|August 2, 2001
概括
由于度梯度,来自支架的药物输送显示出可变的成功. 疏水性药物在内脏附近达到较高度,而支架放置影响了疏水性药物分布,影响了治疗结果.
科学领域:
- 药理动力学和药物输送方法
- 生物医学工程 生物医学工程
- 心血管研究研究心血管研究
背景情况:
- 早期以支架为基础的药物输送 (例如,肝素) 在临床上失败了,尽管有前临床数据很有希望.
- 最近的疏水药物 (例如,帕克利塔塞尔) 显示出更大的疗效,促使对属性驱动的差异进行调查.
研究的目的:
- 研究如何运输力和支架几何影响通过支架输送的水友性和疏水性药物的分布.
- 了解物理化学性质的影响,并针对以支架为基础的分娩中药物的疗效.
主要方法:
- 应用连续性药理动力学来模拟药物分配.
- 分析度梯度和基于药物特性 (水友性与疏水性) 和输送力 (佩克莱特数) 的变化.
- 评估不均的支架布置对支架布置的影响.
主要成果:
- 支架交付创造了显著的药物度梯度,在微米范围内差异很大.
- 与水友性药物相比,疏水性药物达到更高的平均度,并且更好地局部化到内脏.
- 不均的支架放置对水友性药物度产生了负面影响,远远超过水性药物度.
结论:
- 当地药物度和梯度,而不仅仅是接近,对于生物效应至关重要.
- 生理运输力导致从平均度显著偏差,挑战有效的准.
- 了解这些药理动力学原理对于优化支架药物输送和解释可变临床成功至关重要.
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