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Sonodynamic Therapy Based on Combined Use of Low Dose Administration of Epirubicin-Incorporating Drug Delivery System and Focused Ultrasound
Authors:Masanori Maeda  Yoshihiro Muragaki  Jun Okamoto  Shin Yoshizawa  Nobutaka Abe  Hidekazu Nakamoto  Hiroshi Ishii  Kenichi Kawabata  Shinichiro Umemura  Nobuhiro Nishiyama  Kazunori Kataoka  Hiroshi Iseki
Institution:1. Institute of Advanced Biomedical Engineering and Science, Tokyo Women''s Medical University, Shinjuku, Tokyo, Japan;2. Graduate School of Biomedical Engineering, Tohoku University, Sendai, Miyagi, Japan;3. Hitachi, Ltd., Chiyoda, Tokyo, Japan;4. Tokyo Animal Medical Center, Suginami, Tokyo, Japan;5. Polymer Chemistry Division, Tokyo Institute of Technology, Yokohama, Kanagawa, Japan
Abstract:Sonodynamic therapy (SDT) is currently considered as one of the promising minimally invasive treatment options for solid cancers. SDT is based on the combined use of a sonosensitizer drug and high-intensity focused ultrasound (HIFU) to produce cytotoxic reactive oxygen species (ROS) in and around neoplastic cells. Anthracycline drugs, including epirubicin (EPI), have been well known as effective sonosensitizers after interaction with focused ultrasound. Recently a new anticancer drug delivery system (DDS), NC-6300, has been developed that comprises EPI through an acid–labile hydrazone bond. In previous in vivo studies, NC-6300 showed basic drug safety and an excellent concentration property of EPI, and recently has been tested in clinical trials. For realizing minimally invasive cancer treatment, the present study demonstrated the effectiveness and feasibility of DDS-based SDT, which combined a small dose of NC-6300 and low energy of HIFU in mouse models of colon cancer and pancreatic cancer.
Keywords:Sonodynamic therapy (SDT)  High intensity focused ultrasound (HIFU)  Drug delivery system (DDS)  Micellar  Epirubicin  Pancreatic cancer  Colon cancer
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