CN102657612B - GDNF-carrying microbubble preparation and method for making the same - Google Patents
GDNF-carrying microbubble preparation and method for making the same Download PDFInfo
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Abstract
本发明公开了一种载GDNF微泡及制备方法。该载GDNF微泡由内部包裹生物惰性气体的脂质双分子层和连接于所述脂质双分子层外侧的生物素化的GDNF组成。采用MRI实时引导低频聚焦超声联合载有GDNF微泡开放BBB辐照大鼠颅脑顶叶皮层区(最佳参数设定为探头频率1MHz,微泡量0.5ml,照射时间60s,声压0.8MPa,延时60s),可促进GDNF透过血脑屏障,增加中枢神经系统内GDNF的有效药物浓度。通过低频聚焦超声联合靶向微泡技术,进行有效大分子突破BBB后的药理学研究,将进一步增加神经营养因子在治疗脑疾病方面的优势,提供GDNF治疗中枢神经疾病的科学依据。The invention discloses a GDNF-loaded microbubble and a preparation method thereof. The GDNF-loaded microvesicle is composed of a lipid bilayer that wraps biological inert gas inside and biotinylated GDNF connected to the outside of the lipid bilayer. Using MRI-guided real-time low-frequency focused ultrasound combined with GDNF-loaded microbubbles to open the BBB to irradiate the parietal cortex of the rat brain (the best parameters are set as probe frequency 1MHz, microbubble volume 0.5ml, irradiation time 60s, and sound pressure 0.8MPa , delay 60s), can promote GDNF through the blood-brain barrier, increase the effective drug concentration of GDNF in the central nervous system. Through low-frequency focused ultrasound combined with targeted microbubble technology, pharmacological research on effective macromolecules breaking through the BBB will further increase the advantages of neurotrophic factors in the treatment of brain diseases and provide a scientific basis for GDNF in treating central nervous diseases.
Description
技术领域 technical field
本发明涉及一种载GDNF微泡制剂及其制备方法。 The invention relates to a GDNF-loaded microbubble preparation and a preparation method thereof. the
背景技术 Background technique
胶质细胞源性神经营养因子(glial cell line derived neurotrophic factor,GDNF)是神经营养因子家族中最具代表性的成员之一,最初在大鼠的B49神经胶质细胞株中被发现,是分子量为24kDa的大分子蛋白。GDNF广泛存在于发育的中枢神经系统以及成熟的脑组织,高水平表达于在纹状体、丘脑、皮质及海马,对多种神经元如:神经胶质细胞、5-羟色胺能神经元和多巴胺能神经元都具有促进生长、保护和修复功能,而且也可以调节去甲肾上腺素能和γ-氨基丁酸能途径。GDNF对于帕金森病及阿尔茨海默病等神经变性疾病的作用已经得到了公认,近期的临床及动物实验表明GDNF在抗抑郁症治疗中起着重要作用。研究还发现GDNF与多种中枢神经系统疾病相关,如抑郁症、药物依赖、阿尔兹海默病等。 Glial cell line derived neurotrophic factor (GDNF) is one of the most representative members of the neurotrophic factor family. It was first discovered in the B49 glial cell line of rats. It is a 24kDa macromolecular protein. GDNF widely exists in the developing central nervous system and mature brain tissue, and is expressed at high levels in the striatum, thalamus, cortex and hippocampus, and has effects on various neurons such as glial cells, serotonergic neurons and dopamine Neurons have growth-promoting, protective and repairing functions, and can also regulate noradrenergic and GABAergic pathways. The role of GDNF in neurodegenerative diseases such as Parkinson's disease and Alzheimer's disease has been recognized. Recent clinical and animal experiments have shown that GDNF plays an important role in the treatment of depression. Studies have also found that GDNF is related to various central nervous system diseases, such as depression, drug dependence, Alzheimer's disease and so on. the
然而,由于GDNF分子量较大(24kDa),难以透过血脑屏障(Blood-Brain Barrier,BBB),其治疗效果受到了严重限制。因此,如何促进GDNF透过BBB、增加GDNF在中枢神系统内的有效药物浓度,将是应用GDNF治疗中枢神经系统疾病的一个关键科学问题。 However, due to the large molecular weight of GDNF (24kDa), it is difficult to penetrate the blood-brain barrier (Blood-Brain Barrier, BBB), and its therapeutic effect is severely limited. Therefore, how to promote GDNF to pass through the BBB and increase the effective drug concentration of GDNF in the central nervous system will be a key scientific issue in the application of GDNF to treat central nervous system diseases. the
BBB是指脑毛细血管阻止某些物质(多是有害的)进入脑循环血的结构,这种结构可使脑组织少受甚至不受循环血液中有害物质的损害,从而保持脑组织内环境的基本稳定,对维持中枢神经系统正常生理状态起着重要作用。近年研究结果提示,血脑屏障是一个复杂的细胞系统,其主要由内皮细胞、内皮细胞的紧密连接、星形细胞、周皮细胞和血管周围的小胶质细胞以及基膜等结构构成并维持了血脑屏障的特殊功能,保持了中枢神经系统内环境的稳定。BBB在有效阻挡血液中有害物质对脑的侵袭、保障其功能正常发挥的同时,也阻挡了98%以上小分子药物和100%的大分子药物,研究表明,只有高脂溶性的、低分子量(200-400Da)的小分子量物质才能通过BBB,这种限制阻挡了绝大多数治疗性药物的进入,使得脑恶性肿瘤、帕金森氏病、阿尔兹海默病、多发性硬化、中风、创伤性脑损伤等许多中枢神经系统疾病难以药物治疗,因此如何治疗性地开放BBB,是近年来研究的热点。 BBB refers to the structure of brain capillaries that prevent certain substances (mostly harmful) from entering the cerebral blood circulation. This structure can make brain tissue less or even not damaged by harmful substances in the circulating blood, thereby maintaining the environment of the brain tissue. It is basically stable and plays an important role in maintaining the normal physiological state of the central nervous system. Recent research results suggest that the blood-brain barrier is a complex cellular system, which is mainly composed of endothelial cells, tight junctions of endothelial cells, astrocytes, pericytes, microglia around blood vessels, and basement membranes. The special function of the blood-brain barrier is guaranteed, and the stability of the internal environment of the central nervous system is maintained. While effectively blocking harmful substances in the blood from invading the brain and ensuring its normal function, the BBB also blocks more than 98% of small molecule drugs and 100% of macromolecular drugs. Studies have shown that only highly fat-soluble, low molecular weight ( 200-400Da) small molecular weight substances can pass through the BBB, this restriction blocks the entry of most therapeutic drugs, making brain malignancies, Parkinson's disease, Alzheimer's disease, multiple sclerosis, stroke, traumatic Many diseases of the central nervous system, such as brain injury, are difficult to treat with drugs, so how to open the BBB therapeutically has become a research hotspot in recent years. the
开放血脑屏障的传统方法较多,但均未能取得满意效果。如通过动脉内注入高渗溶液(如甘露醇)引起内皮细胞皱缩,导致广泛血脑屏障数小时的紧密连接开放;溶剂如高剂量的酒精或者二甲基亚砜(DMSO)烷基化物如左旋苯丙氨酸氮芥、免疫辅助剂和细胞活素也被用于开放BBB。渗透和化学方法都要求施行导管插管术,这种直接注射是 侵入性的并且需要开放颅骨,容易引起非靶区脑组织的渗透性增加,甚至可能引起脑组织破坏、出血、感染;并且高渗溶液及化学试剂容易弥散,造成所注入动脉及分支所支配的BBB全部开放,因而缺乏选择性,限制了其在临床的应用。 There are many traditional methods for opening the blood-brain barrier, but none of them have achieved satisfactory results. For example, intra-arterial infusion of hypertonic solutions (such as mannitol) causes endothelial cell shrinkage, resulting in extensive tight junction opening of the blood-brain barrier for several hours; solvents such as high doses of alcohol or dimethyl sulfoxide (DMSO) alkyls such as Phenylalanine mustard, immune adjuvants, and cytokines are also used to open the BBB. Both infiltration and chemical methods require catheter intubation. This direct injection is invasive and requires an open skull, which can easily cause increased permeability of non-target brain tissue, and may even cause brain tissue destruction, hemorrhage, infection; and high The infiltration solution and chemical reagents are easy to diffuse, causing all the BBBs controlled by the injected arteries and branches to open, so the lack of selectivity limits its clinical application. the
大量研究显示,超声波能在一定条件下开放血组织屏障。Taniyama等在离体试验中成功实现DNA质粒转染入鼠颈动脉组织,体外证实了超声辐照能增加生物膜的通透性。随后Mesiwala等于2002年选用高功率聚焦超声研究证实,在一定超声强度下选择性开放BBB,并不引发明显的脑组织损伤。为降低超声能量,研究者发现用聚焦超声协同外源性的空化核(微泡)实现了在未引发急性神经元损伤的情况下短暂开放兔BBB,进而认为聚焦超声能实现高选择性、非侵入性地开放BBB;而在微泡存在的情况下,开放BBB所需的超声能量明显降低,这有利于实现用更低能量的超声达到选择性开放BBB而不损伤正常脑组织的目的。基于聚焦超声联合微泡有效无创地开放BBB,有学者在此基础上注入微泡optison后,用低频超声多点照射开窗的脑组织,采用多种手段(光镜、电镜及MRI),均观察到BBB的开放。实验证实超声联合微泡能局部、可逆和无创的开放BBB,为临床应用有效治疗颅内疾病的药物提供了非常积极的应用价值。 A large number of studies have shown that ultrasound can open the blood tissue barrier under certain conditions. Taniyama et al. successfully transfected DNA plasmids into mouse carotid artery tissue in vitro experiments, and confirmed that ultrasound irradiation can increase the permeability of biofilms in vitro. Subsequently, Mesiwala et al. used high-power focused ultrasound research in 2002 to confirm that selective opening of the BBB under a certain ultrasound intensity did not cause obvious brain tissue damage. In order to reduce the ultrasonic energy, the researchers found that the use of focused ultrasound in conjunction with exogenous cavitation nuclei (microbubbles) achieved short-term opening of the rabbit BBB without causing acute neuronal damage, and further believed that focused ultrasound can achieve high selectivity, The BBB can be opened non-invasively; in the presence of microbubbles, the ultrasonic energy required to open the BBB is significantly reduced, which is conducive to achieving the purpose of selectively opening the BBB with lower energy ultrasound without damaging normal brain tissue. Based on the combination of focused ultrasound and microbubbles to open the BBB effectively and non-invasively, some scholars injected microbubble optison on this basis, then irradiated the brain tissue with low-frequency ultrasound at multiple points, and adopted various methods (light microscope, electron microscope and MRI). Opening of the BBB was observed. Experiments have confirmed that ultrasound combined with microbubbles can open the BBB locally, reversibly and non-invasively, which provides a very positive application value for the clinical application of drugs that effectively treat intracranial diseases. the
在进行超声联合微泡开放BBB的可行性研究的同时,研究者并没有忽视安全性的评价。不同的研究小组都证实超声协同微泡开放血脑屏障存在安全域值,只是由于不同研究者使用的超声参数、辐照时间、微泡浓度、观察方法等不尽相同,因而得出的结论不尽一致。研究者发现采用发射频率1.5MHz、脉冲重复频率1Hz、瞬时峰值声压幅度2~12.7MPa超声辐照兔脑20s,MRI增强显像及组织学检查发现,当声压达6.3MPa时出现脑组织的损伤,表现为血管壁破坏、出血、偶见坏死。另一研究小组采用发射频率1.63MHz、脉冲重复频率1Hz、声压幅度0.7~1.0MPa的脉冲超声辐照兔脑20s,辐照后对整个脑组织进行组织病理学观察,发现在超声照射区仅见少数细胞凋亡;而且在超声辐照4周后无论进行增强MRI检查还是组织病理学检查都没有发现BBB损伤。以上多项研究中的结论均一致表明,现代影像学技术可以实时显示正常的BBB的完整性和被疾病损害的区域性BBB。同时,多种方法打开BBB的影像学研究未观测到脑组织受损。 While conducting the feasibility study of opening the BBB with ultrasound combined with microbubbles, the researchers did not neglect the evaluation of safety. Different research groups have confirmed that there is a safe threshold for opening the blood-brain barrier with ultrasound and microbubbles, but because different researchers use different ultrasound parameters, irradiation time, microbubble concentration, and observation methods, the conclusions drawn are different. Be consistent. The researchers found that the rabbit brain was irradiated with ultrasound with a transmission frequency of 1.5MHz, a pulse repetition frequency of 1Hz, and an instantaneous peak sound pressure amplitude of 2-12.7MPa for 20s. MRI-enhanced imaging and histological examination revealed that brain tissue appeared when the sound pressure reached 6.3MPa. Injury, manifested as vessel wall destruction, hemorrhage, and occasionally necrosis. Another research team irradiated the rabbit brain with pulsed ultrasound with a transmission frequency of 1.63MHz, a pulse repetition frequency of 1Hz, and a sound pressure amplitude of 0.7-1.0MPa for 20s. After irradiation, the whole brain tissue was observed histopathologically and found that only A small number of cells were apoptotic; and no BBB damage was found in enhanced MRI examination or histopathological examination after 4 weeks of ultrasound irradiation. The conclusions in the above multiple studies have consistently shown that modern imaging techniques can reveal the integrity of the normal BBB and the regional BBB damaged by disease in real time. At the same time, brain tissue damage was not observed in imaging studies that opened the BBB by various methods. the
随着聚焦超声联合微泡造影开放BBB研究的深入,有不少学者利用超声开放BBB,采取靶向释放的方式,治疗中枢神经系统的疾病。研究者用聚焦超声开放血脑屏障转运靶向多巴胺受体的抗体进入脑组织,结果显示在超声开放BBB后,所转运入脑的抗体能识别脑细胞膜上的多巴胺受体。总之,超声载药微泡的深入研究应用超声联合微泡开放BBB的同时,微泡携带药物或基因可靶向治疗颅内疾病,为颅内疾病的治疗提供了新的策略。但目前,关于核磁共振成像(magnetic resonance imaging,MRI)引 导聚焦超声联合载药微泡开放BBB,传递GDNF治疗各种中枢神经系统疾病的研究尚未报道。 With the in-depth research on opening the BBB with focused ultrasound combined with microbubble contrast, many scholars use ultrasound to open the BBB and adopt a targeted release method to treat diseases of the central nervous system. The researchers used focused ultrasound to open the blood-brain barrier and transport antibodies targeting dopamine receptors into brain tissue. The results showed that after ultrasound opened the BBB, the antibodies transported into the brain could recognize dopamine receptors on the brain cell membrane. In conclusion, the in-depth study of ultrasonic drug-loaded microbubbles uses ultrasound combined with microbubbles to open the BBB, and at the same time, microbubbles carrying drugs or genes can be targeted for the treatment of intracranial diseases, providing a new strategy for the treatment of intracranial diseases. However, at present, there is no report on the treatment of various central nervous system diseases by using magnetic resonance imaging (MRI)-guided focused ultrasound combined with drug-loaded microbubbles to open the BBB and deliver GDNF. the
发明内容 Contents of the invention
本发明的目的是提供一种载GDNF微泡及其制备方法。 The purpose of the present invention is to provide a GDNF-loaded microvesicle and a preparation method thereof. the
本发明所提供的载GDNF微泡,由内部包裹生物惰性气体的脂质双分子层和连接于所述脂质双分子层外侧的生物素化的GDNF组成。 The GDNF-carrying microbubble provided by the present invention is composed of a lipid bimolecular layer wrapped with biologically inert gas inside and biotinylated GDNF connected to the outside of the lipid bimolecular layer. the
其中,所述脂质双分子层具体可由下述质量份的物质组成:二硬脂酰磷脂酸胆碱4.9-5.1份、二硬脂酰磷脂酰乙醇胺-聚乙二醇2000 0.9-1.2份、二硬脂酰磷脂酰乙醇胺-聚乙二醇2000-生物素0.9-1.2份;所述脂质双分子层与生物素化的GDNF通过生物素-抗生物素蛋白-生物素连接。 Wherein, the lipid bilayer can be specifically composed of the following parts by mass: 4.9-5.1 parts of distearoylphosphatidylecholine, 0.9-1.2 parts of distearoylphosphatidylethanolamine-polyethylene glycol 2000, Distearoylphosphatidylethanolamine-polyethylene glycol 2000-biotin 0.9-1.2 parts; the lipid bilayer is connected with biotinylated GDNF through biotin-avidin-biotin. the
所述载GDNF微泡的平均粒径为2-3μm。 The average particle diameter of the GDNF-loaded microbubbles is 2-3 μm. the
所述载GDNF微泡的载药量为46.54%-46.62%。 The drug loading of the GDNF-loaded microbubbles is 46.54%-46.62%. the
所述生物惰性气体可为六氟化硫或者全氟丙烷。 The biologically inert gas can be sulfur hexafluoride or perfluoropropane. the
制备所述载GDNF微泡的方法,包括下述步骤: The method for preparing the described GDNF-loaded microvesicles comprises the following steps:
1)将二硬脂酰磷脂酸胆碱4.9-5.1份、二硬脂酰磷脂酰乙醇胺-聚乙二醇20000.9-1.2份、二硬脂酰磷脂酰乙醇胺-聚乙二醇2000-生物素0.9-1.2份溶解于三氯甲烷中混匀,在干燥的N2流作用下除去三氯甲烷,使磷脂在容器壁上形成一层均匀的薄膜,真空干燥2小时以上; 1) Distearoylphosphatidylethanolamine-polyethylene glycol 4.9-5.1 parts, distearoylphosphatidylethanolamine-polyethylene glycol 20000.9-1.2 parts, distearoylphosphatidylethanolamine-polyethylene glycol 2000-biotin 0.9 - Dissolve 1.2 parts in chloroform and mix well, remove the chloroform under the action of dry N2 flow, so that the phospholipids form a uniform film on the container wall, and vacuum dry for more than 2 hours;
2)在含有干燥磷脂薄膜的容器中加入脱气的pH值为7.4的Tris缓冲溶液,得到磷脂溶液,其中,所述Tris缓冲溶液中含体积分数为10%的甘油和体积分数为10%的丙二醇; 2) Add a degassed Tris buffer solution with a pH value of 7.4 to a container containing a dry phospholipid film to obtain a phospholipid solution, wherein the Tris buffer solution contains 10% glycerol and 10% tris by volume fraction Propylene glycol;
3)加热所述磷脂溶液到其相转变温度以上,并用水浴超声使磷脂溶液彻底分散直至透明,然后分装入西林瓶中,并将瓶中的空气置换成生物惰性气体,震荡,得到微泡; 3) Heating the phospholipid solution to above its phase transition temperature, and ultrasonically dispersing the phospholipid solution in a water bath until it becomes transparent, then filling it into vials, replacing the air in the vials with a biologically inert gas, and shaking to obtain microbubbles ;
4)离心漂浮法清洗微泡3-4次,除去未形成微泡的磷脂;在清洗后的微泡中加入抗生物素蛋白,室温下孵育15分钟以上,用PBS溶液离心漂浮法清洗3-4次,除去未耦合的抗生物素蛋白;然后在耦合抗生物素蛋白的微泡中加入生物素化的GDNF,室温下孵育10分钟以上,之后用漂浮法清洗3-4次除去未结合的生物素化GDNF,得到载GDNF微泡。
4) Wash the microbubbles 3-4 times by centrifugal flotation method to remove phospholipids that do not form microbubbles; add avidin to the microbubbles after cleaning, incubate at room temperature for more than 15 minutes, and wash 3-4 times with PBS solution
其中,所述步骤2)中所述磷脂溶液的浓度为2.8-3.1mg/ml。 Wherein, the concentration of the phospholipid solution in the step 2) is 2.8-3.1 mg/ml. the
步骤4)中所述微泡、抗生物素蛋白、生物素化的GDNF的配比为(0.85-1.1)ml∶(0.08-0.12)mg∶(0.9-1.2)mg。 The proportion of microbubbles, avidin and biotinylated GDNF in step 4) is (0.85-1.1) ml: (0.08-0.12) mg: (0.9-1.2) mg. the
本发明的再一个目的是提供一种载GDNF微泡的给药套装。 Another object of the present invention is to provide a drug delivery kit loaded with GDNF microbubbles. the
本发明所提供的载GDNF微泡的给药套装,包括本发明的载GDNF微泡和低频聚焦超声设备;其中,所述载GDNF微泡的给药量设定为0.5ml,所述低频聚焦超声设备的参数设置如下:探头频率1MHz,超声照射时间60s,声压0.8MPa,延迟时间60s。 The administration set of GDNF-loaded microbubbles provided by the present invention includes GDNF-loaded microbubbles and low-frequency focused ultrasound equipment of the present invention; wherein, the dosage of the GDNF-loaded microbubbles is set to 0.5ml, and the low-frequency focused The parameters of the ultrasound equipment are set as follows: probe frequency 1MHz, ultrasound irradiation time 60s, sound pressure 0.8MPa, delay time 60s. the
本发明采用MRI实时引导聚焦超声联合载有GDNF微泡开放BBB辐照大鼠颅脑顶叶皮层区,促进GDNF透过血脑屏障,增加中枢神经系统内GDNF的有效药物浓度。通过低频聚焦超声联合靶向微泡技术,进行有效大分子突破BBB后的药理学研究,将进一步增加神经营养因子在治疗脑疾病方面的优势,提供GDNF治疗中枢神经疾病的科学依据。 The invention adopts MRI real-time guided focused ultrasound combined with microbubbles loaded with GDNF to open BBB to irradiate the parietal lobe cortex area of the rat brain, so as to promote GDNF to penetrate the blood-brain barrier and increase the effective drug concentration of GDNF in the central nervous system. Through low-frequency focused ultrasound combined with targeted microbubble technology, pharmacological research on effective macromolecules breaking through the BBB will further increase the advantages of neurotrophic factors in the treatment of brain diseases and provide a scientific basis for GDNF in treating central nervous diseases. the
附图说明 Description of drawings
图1为自制微泡与声诺维在不同时间的粒径分析。 Figure 1 shows the particle size analysis of self-made microbubbles and Sonovent at different times. the
图2为聚焦超声联合不同微泡开放血脑屏障脑的脑组织大体观(左图)和切面观(右图)。 Figure 2 shows the general view (left image) and cross-sectional view (right image) of the brain tissue of the brain with focused ultrasound combined with different microbubbles to open the blood-brain barrier. the
图3为聚焦超声联合不同微泡开放血脑屏障脑脑组织中EB的含量。 Figure 3 shows the EB content in the brain tissue of focused ultrasound combined with different microbubbles to open the blood-brain barrier. the
图4为聚焦超声联合不同微泡开放血脑屏障脑组织HE染色。 Figure 4 is HE staining of brain tissue with focused ultrasound combined with different microbubbles to open the blood-brain barrier. the
图5为正交试验各组超声联合微泡开放血脑屏障脑组织中的EB含量。 Figure 5 shows the EB content in the brain tissue of each group in the orthogonal test of ultrasound combined with microbubbles to open the blood-brain barrier. the
图6为正交试验各组超声联合微泡开放血脑屏障脑组织切片HE染色(400×)。 Figure 6 shows the HE staining (400×) of brain tissue sections in each group of orthogonal test combined with ultrasound and microbubbles to open the blood-brain barrier. the
图7为正交试验各组超声联合微泡开放血脑屏障脑组织切片TUNEL染色(400×)。 Fig. 7 is the TUNEL staining (400×) of the brain tissue sections of each group of the orthogonal test combined with ultrasound and microbubbles to open the blood-brain barrier. the
图8为正交试验各组聚焦超声诱导血脑屏障细胞凋亡的作用。 Figure 8 shows the effects of focused ultrasound in each group on the induction of blood-brain barrier cell apoptosis in orthogonal experiments. the
图9为正交试验各组脑组织内皮细胞和神经细胞的超微结构变化。 Figure 9 shows the ultrastructural changes of brain tissue endothelial cells and nerve cells in each group of orthogonal experiments. the
图10为聚焦超声诱导血脑屏障破坏后超声组织中BSA浓度。 Figure 10 shows the concentration of BSA in ultrasound tissue after focused ultrasound-induced blood-brain barrier disruption. the
图11为聚焦超声诱导血脑屏障破坏后超声组织中的GDNF浓度。 Figure 11 shows the concentration of GDNF in ultrasound tissue after focused ultrasound-induced blood-brain barrier disruption. the
图12为GDNF诱导的PC-12细胞的分化。A微泡组;B,GDNF靶向微泡组;C:GDNF蛋白组。 Figure 12 shows the differentiation of PC-12 cells induced by GDNF. A microvesicle group; B, GDNF-targeted microvesicle group; C: GDNF protein group. the
图13为MRI引导的低频聚焦超声联合微泡开放血脑屏障及EB显示的血脑屏障开放区域。 Figure 13 shows the opening of the blood-brain barrier by MRI-guided low-frequency focused ultrasound combined with microbubbles and the opening area of the blood-brain barrier displayed by EB. the
具体实施方式 Detailed ways
下面通过具体实施例对本发明进行说明,但本发明并不局限于此。 The present invention will be described below through specific examples, but the present invention is not limited thereto. the
下述实施例中所述实验方法,如无特殊说明,均为常规方法;所述试剂和生物材料,如无特殊说明,均可从商业途径获得。 The experimental methods described in the following examples, unless otherwise specified, are conventional methods; the reagents and biological materials, unless otherwise specified, can be obtained from commercial sources. the
实施例1、制备载GDNF微泡造影剂及其开放血脑屏障的研究 Example 1. Preparation of GDNF-loaded microbubble contrast agent and its research on opening the blood-brain barrier
1)制备载GDNF微泡 1) Preparation of GDNF-loaded microbubbles
按一定比例将一定量的DSPC(二硬脂酰磷脂酸胆碱,10.64mg),DSPE-PEG2k(聚乙二醇-二硬脂酰磷脂酰乙醇胺,2.10mg)、DSPE-PEG2k-Biotin(聚乙二醇-二硬脂酰 磷脂酰乙醇胺-生物素,2.26mg)溶解于0.5ml三氯甲烷中在涡旋混合器上混匀。在干燥的N2流作用下除去三氯甲烷使磷脂在试管壁上形成一层均匀的薄膜,真空烘箱中干燥2小时以上。然后在含有干燥磷脂薄膜的试管中加入5ml脱气的pH7.4的Tris缓冲溶液:含有甘油(10%体积分数)和丙二醇(10%体积分数)得到一定浓度的磷脂溶液。加热磷脂溶液到其相转变温度(55-60℃)以上,并用水浴超声震荡器使牛奶状的磷脂溶液彻底分散直至透明,然后分成每毫升装入一2ml的西林瓶中,将瓶中的空气置换成六氟化硫或者全氟丙烷,然后进行用铝塑盖和橡胶塞封口后4℃存储备用。 A certain amount of DSPC (distearoylphosphatidylethanolamine, 10.64mg), DSPE-PEG2k (polyethylene glycol-distearoylphosphatidylethanolamine, 2.10mg), DSPE-PEG2k-Biotin (polyethylene glycol) was added in a certain proportion. Ethylene glycol-distearoylphosphatidylethanolamine-biotin, 2.26 mg) was dissolved in 0.5 ml of chloroform and mixed on a vortex mixer. Remove chloroform under the action of dry N2 flow to form a uniform film of phospholipid on the test tube wall, and dry it in a vacuum oven for more than 2 hours. Then add the Tris buffer solution of 5ml degassed pH7.4 in the test tube that contains dry phospholipid film: containing glycerol (10% volume fraction) and propylene glycol (10% volume fraction) obtain the phospholipid solution of certain concentration. Heat the phospholipid solution to above its phase transition temperature (55-60°C), and disperse the milky phospholipid solution thoroughly with a water-bath ultrasonic oscillator until it is transparent. Replace it with sulfur hexafluoride or perfluoropropane, seal it with an aluminum-plastic cap and a rubber stopper, and store it at 4°C for later use.
使用时,用机械震荡法(震荡45s)制备出微泡之后,用PBS溶液离心漂浮法清洗3-4次,除去未形成微泡的磷脂。在1ml的微泡中加入0.1mg抗生物素蛋白(avidin),轻轻摇动室温下孵育20分钟,继续用PBS溶液离心漂浮法清洗3-4次,除去未耦合的抗生物素蛋白avidin,然后在得到的微泡中混入1mg生物素化的GDNF(PeproTech公司,450-51),轻轻摇动并室温下孵育15分钟,之后用漂浮法清洗3-4次除去未结合的生物素化GDNF,得到GDNF靶向性的微泡。 When in use, after the microbubbles are prepared by a mechanical shaking method (shocking for 45s), the microbubbles are washed 3-4 times with a PBS solution centrifugal floating method to remove phospholipids that do not form microbubbles. Add 0.1 mg of avidin to 1 ml of microbubbles, incubate at room temperature for 20 minutes with gentle shaking, continue to wash with PBS solution centrifugal floating method for 3-4 times, remove uncoupled avidin, and then 1 mg of biotinylated GDNF (PeproTech Company, 450-51) was mixed into the obtained microbubbles, shaken gently and incubated at room temperature for 15 minutes, and then washed 3-4 times by flotation to remove unbound biotinylated GDNF, GDNF-targeted microvesicles were obtained. the
对制备的载GDNF微泡的性能检测: Performance testing of the prepared GDNF-loaded microbubbles:
颗粒计数仪(Accusizer 780/A,美国)对载GDNF微泡的粒径进行检测:其粒径分布为0.5-8μm,平均粒径为2.3μm。 Particle counter (Accusizer 780/A, USA) detected the particle size of GDNF-loaded microbubbles: the particle size distribution was 0.5-8 μm, and the average particle size was 2.3 μm. the
载GDNF微泡中的载药量和包封率:分别为46.58%和81.52%。 The drug loading and encapsulation efficiency in GDNF-loaded microbubbles: 46.58% and 81.52%, respectively. the
将自制的空白微泡与声诺维在聚焦超声(探头频率1MHz,微泡量1ml,照射时间60s,声压0.8MPa)作用下开放血脑屏障(BBB)的效果进行比较,结果见图1-4。 The effect of opening the blood-brain barrier (BBB) was compared between self-made blank microbubbles and Sonovi under the action of focused ultrasound (probe frequency 1MHz, volume of microbubbles 1ml, irradiation time 60s, sound pressure 0.8MPa), the results are shown in Figure 1 -4. the
图1为自制微泡与声诺维(Brocco公司,H20080059)不同时间粒径分析仪检测图,其中A:自制微泡0h组;B:自制微泡24h;C:声诺维0h组;D:声诺维24h组。 Figure 1 is the detection diagram of self-made microbubbles and Sonovo (Brocco, H20080059) particle size analyzer at different times, wherein A: self-made microbubble 0h group; B: self-made microbubble 24h; C: Sonovel 0h group; D : Sonovi 24h group. the
图2为聚焦超声联合不同微泡开放血脑屏障脑组织大体观和切面观,其中A:自制微泡0h组;B:自制微泡24h;C:声诺维0h组;D:声诺维24h组。 Figure 2 shows the general view and cross-sectional view of the brain tissue with focused ultrasound combined with different microbubbles to open the blood-brain barrier, in which A: self-made microbubble 0h group; B: self-made microbubble 24h; C: SonoVue 0h group; D: SonoVide 24h group. the
图3为各组脑组织中EB含量,其中A:自制微泡0h组;B:自制微泡24h;C:声诺维0h组;D:声诺维24h组。 Figure 3 shows the EB content in the brain tissue of each group, where A: self-made microbubble 0h group; B: self-made microbubble 24h; C: Sonovo 0h group; D: Sonovo 24h group. the
图4为聚焦超声联合不同微泡开放血脑屏障脑组织HE染色,其中A:自制微泡0h组;B:声诺维0h组。 Figure 4 is HE staining of brain tissue with focused ultrasound combined with different microbubbles to open the blood-brain barrier, in which A: self-made microbubble 0h group; B: Sonovo 0h group. the
结果显示,自制微泡和声诺维在BBB的开放中没有显著性差异,并且自制微泡开放BBB的效果更加稳定。 The results showed that there was no significant difference between self-made microbubbles and Sonovo in the opening of the BBB, and the effect of self-made microbubbles on opening the BBB was more stable. the
实施例2、确定MRI引导的低频聚焦超声联合靶向微泡局部开放BBB的最佳参数 Example 2. Determining the optimal parameters of MRI-guided low-frequency focused ultrasound combined with targeted microbubbles to partially open the BBB
以超声照射时间、微泡剂量、延迟时间(微泡注射时间与声震时间间隔)、超声频 率、声压为影响因素,每个因素选择三个水平,采用正交实验设计(见表1),以伊文思蓝(EB,Evens blue,Sigma公司,E2129)渗出量作为血脑屏障通过率的指标(EB渗出量),确定MRI引导的低频聚焦超声联合靶向微泡局部开放BBB,增加中枢GDNF水平的最佳参数。 Taking ultrasonic irradiation time, microbubble dose, delay time (microbubble injection time and acoustic shock time interval), ultrasonic frequency, and sound pressure as influencing factors, three levels were selected for each factor, and an orthogonal experimental design was adopted (see Table 1 ), taking Evans blue (EB, Evens blue, Sigma company, E2129) exudation as an indicator of the blood-brain barrier passage rate (EB exudation), to determine the partial opening of the BBB by MRI-guided low-frequency focused ultrasound combined with targeted microbubbles , the optimal parameter to increase central GDNF levels. the
试验方法:通透性的测定采用EB的渗出量定量估计。取PBS灌流后的大鼠脑组织,将局部蓝染的脑组织湿重按10ml/g浸入甲酰胺溶液,在60℃恒温水浴箱中抽提24h,甲酰胺溶液呈现深浅不同的蓝色,脑组织呈现无色透明状,然后在UV300紫外-可见光分光光度计下620nm波长处定量EB在甲酰胺中的OD值,定量分析样本脑组织中EB的含量。纯甲酰胺溶液设为空白对照,根据标准曲线,计算EB含量(μg/g)。 Test method: The permeability is measured by the quantitative estimation of the exudation of EB. Take the rat brain tissue perfused with PBS, immerse the partially blue-stained brain tissue in formamide solution at a wet weight of 10ml/g, and extract it in a constant temperature water bath at 60°C for 24 hours. The formamide solution presents different shades of blue. The tissue was colorless and transparent, and then the OD value of EB in formamide was quantified at a wavelength of 620nm under a UV300 ultraviolet-visible spectrophotometer, and the content of EB in the sample brain tissue was quantitatively analyzed. Pure formamide solution was set as blank control, and the EB content (μg/g) was calculated according to the standard curve. the
结果见表1。 The results are shown in Table 1. the
表1MRI引导的低频聚焦超声联合靶向微泡局部开放BBB的最佳参数的因素和水平 Table 1 Factors and levels of optimal parameters for MRI-guided low-frequency focused ultrasound combined with targeted microbubbles to partially open the BBB
表2MRI引导的低频聚焦超声联合靶向微泡局部开放BBB的最佳参数的正交设计及各组EB渗出量 Table 2 Orthogonal design of the optimal parameters of MRI-guided low-frequency focused ultrasound combined with targeted microbubbles to partially open the BBB and EB exudation in each group
结果见图5-9 The results are shown in Figure 5-9
图5为不同条件超声联合微泡开放血脑屏障脑组织中的EB含量,可见组6、组 11、组13和组14BBB通透性更强。
Figure 5 shows the EB content in the brain tissue of the blood-brain barrier opened by ultrasound combined with microbubbles under different conditions. It can be seen that the BBB permeability of
图6为不同条件超声联合微泡开放血脑屏障脑组织切片HE染色(A:对照组;B:组6;C:组11;D:组13;E:组14,400×)。
Figure 6 shows the HE staining of brain tissue sections under different conditions of ultrasound combined with microbubbles to open the blood-brain barrier (A: control group; B:
图7为不同条件超声联合微泡开放血脑屏障脑组织切片TUNEL染色(400×)(A:对照组;B:组6;C:组11;D:组13;E:组14,400×)。
Figure 7 is the TUNEL staining (400×) of the brain tissue sections of ultrasound combined with microbubbles to open the blood-brain barrier under different conditions (A: control group; B:
图8为聚焦超声诱导血脑屏障细胞凋亡的作用。每个样本的凋亡细胞数目在五个独立实验中计数(与对照组和第6组比较*P<0.01)。 Figure 8 shows the effect of focused ultrasound on inducing apoptosis of blood-brain barrier cells. The number of apoptotic cells in each sample was counted in five independent experiments (*P<0.01 compared with control group and group 6). the
图9为电子显微镜超微结构观察结果(A:对照组;B:组6;C:组11;D:组13;E:组14,400×)。在D组和E组,内皮细胞和神经细胞被严重破坏,但是在A、B、C组没有观察到变化。
Fig. 9 is the result of ultrastructural observation by electron microscope (A: control group; B:
以上结果表明:探头频率1MHz,微泡量0.5ml,照射时间60s,声压0.8MPa,延时60s是较好的参数条件,在该条件下BBB开放程度较大(EB渗出量表明其开放程度),而组织学及电镜观察,没有明显的结构损伤。 The above results show that the probe frequency is 1MHz, the amount of microbubbles is 0.5ml, the irradiation time is 60s, the sound pressure is 0.8MPa, and the delay time is 60s are good parameter conditions. degree), while histological and electron microscope observations showed no obvious structural damage. the
实施例3、脑内蛋白含量的测定
该实施例的超声条件是实施例2中得出的最佳参数条件,即探头频率1MHz,微泡量0.5ml,照射时间60s,声压0.8MPa,延时60s。 The ultrasonic conditions of this embodiment are the optimal parameter conditions obtained in Example 2, that is, the probe frequency is 1 MHz, the amount of microbubbles is 0.5 ml, the irradiation time is 60 s, the sound pressure is 0.8 MPa, and the time delay is 60 s. the
超声联合微泡开放血脑屏障,静脉注射蛋白后,脑内蛋白含量测定及两种蛋白传输方式的比较。检测超声联合微泡开放BBB后,蛋白量与进入脑组织量。 Ultrasound combined with microbubbles to open the blood-brain barrier, after intravenous injection of protein, the determination of protein content in the brain and the comparison of the two protein transport methods. Detect the amount of protein and the amount of protein entering the brain tissue after ultrasound combined with microbubbles to open the BBB. the
(1)由于GDNF价格较高,用另一种价格低的替代蛋白BSA模拟实验条件,确定进入脑组织中的量。 (1) Due to the high price of GDNF, another low-priced alternative protein BSA was used to simulate the experimental conditions to determine the amount entering the brain tissue. the
分为两组:超声+微泡+蛋白(A组);超声+载蛋白微泡(B组);设定不同给药剂量:1)0μg/kg,1)100μg/kg,2)200μg/kg;3)400μg/kg,4)800μg/kg,5)1200μg/kg。 Divided into two groups: ultrasound + microbubbles + protein (group A); ultrasound + protein-loaded microbubbles (group B); set different dosages: 1) 0 μg/kg, 1) 100 μg/kg, 2) 200 μg/kg kg; 3) 400 μg/kg, 4) 800 μg/kg, 5) 1200 μg/kg. the
实验结果见图10,显示聚焦超声诱导血脑屏障破坏后超声组织中BSA浓度(*p<0.05)。 The experimental results are shown in Figure 10, which shows the concentration of BSA in ultrasonic tissue after focused ultrasound-induced blood-brain barrier destruction (*p<0.05). the
(2)尾静脉注射载GDNF微泡,给药剂量为800μg/kg。 (2) GDNF-loaded microbubbles were injected into the tail vein at a dose of 800 μg/kg. the
实验结果见图11,显示聚焦超声诱导血脑屏障破坏后超声组织中的GDNF浓度(*p<0.05)。(图11中的A:GDNF(注射微泡后再注射GDNF);B载GDNF微泡) The experimental results are shown in Figure 11, which shows the concentration of GDNF in ultrasonic tissue after focused ultrasound-induced blood-brain barrier destruction (*p<0.05). (A in Figure 11: GDNF (injection of GDNF after injection of microbubbles); B loaded with GDNF microbubbles)
以上结果显示,1)脑组织中检测出的蛋白含量随静脉注射蛋白浓度的增加而增加;2)两种蛋白传递方式相比,载蛋白微泡更能促进蛋白进入脑组织。 The above results showed that 1) the protein content detected in the brain tissue increased with the increase of the protein concentration in intravenous injection; 2) compared with the two protein delivery methods, the protein-loaded microbubbles could promote the protein to enter the brain tissue better. the
实施例4、GDNF荧光微泡体外活性的检测
为检测靶向微泡制作过程中GDNF活性是否有影响,通过PC12(鼠嗜铬细胞瘤 细胞)测其体外活性,PC-12细胞株来源于一种可移植的鼠嗜铬细胞瘤,该细胞对GDNF有可逆的神经元显形反应。 In order to detect whether the activity of GDNF is affected during the production of targeted microbubbles, its in vitro activity was measured by PC12 (mouse pheochromocytoma cells). The PC-12 cell line was derived from a transplantable mouse pheochromocytoma. There is a reversible neuronal phenotype response to GDNF. the
实验分组:A,微泡组;B,GDNF靶向微泡组;C,GDNF蛋白组。 Experimental groups: A, microbubble group; B, GDNF-targeted microbubble group; C, GDNF protein group. the
方法:将细胞悬浮于含有5%HS与5%FBS的DMEM培养液中,接种于12孔板中浓度为2*103cell/ml。C中加入50ng/ml重组的GDNF,B中加入含50ng/ml GDNF的GDNF靶向微泡,A加入相同量的微泡。培养7天后观察细胞变化。 Method: Suspend the cells in DMEM medium containing 5% HS and 5% FBS, and inoculate them in a 12-well plate at a concentration of 2*10 3 cell/ml. 50ng/ml recombinant GDNF was added to C, GDNF-targeted microbubbles containing 50ng/ml GDNF were added to B, and the same amount of microbubbles was added to A. Cell changes were observed after 7 days of culture.
结果见图12,GDNF诱导的PC-12细胞在分化。 The results are shown in Figure 12, GDNF-induced PC-12 cells are differentiating. the
结果表明,微泡所载的GDNF与重组的GDNF在诱导PC-12细胞的显形反应上效果是一致的,说明微泡所载的GDNF是有生物活性的。 The results showed that the GDNF contained in the microvesicles and the recombinant GDNF had the same effect on inducing the phenotype response of PC-12 cells, which indicated that the GDNF contained in the microvesicles had biological activity. the
实施例5、MRI监控下血脑屏障开放 Example 5, Opening of the blood-brain barrier under MRI monitoring
MRI扫描器(SIEMENS),德国采用临床标准3.0T信号系统。每次照射前校正系统焦点坐标。在照射前及实验中采用T1相扫描(TE:16ms,TR:1000ms,带宽:16kHz,矩阵:184×256,翻转角:90°,采集次数:4次,扫描层厚:1mm,)。用10%水合氯醛腹腔注射麻醉动物,麻醉起效后用脱毛剂去除照射区鼠毛。仰卧固定于MRI超声治疗系统中,动物头下部固定直径7.5cm的表面线圈,以减少干扰信号。根据MRIT1信息调整系统焦点至目标区域,照射前10秒,尾静脉注射0.5ml微泡(此处微泡是载GDNF的微泡)(5-8×108/ml)(本实例中低频聚焦的参数为:探头频率1MHz,微泡量0.5ml,照射时间60s,声压0.8MPa,延时60s),超声照射后15秒尾静脉注射马根维显(Magnevist)造影剂(0.2ml/kg),T1相扫描后,尾静脉注射EB(100mg/kg),来显示血脑屏障开放的区域。
MRI scanner (SIEMENS), Germany adopts clinical standard 3.0T signal system. Correct the focal point coordinates of the system before each irradiation. T1 phase scanning (TE: 16ms, TR: 1000ms, bandwidth: 16kHz, matrix: 184×256, flip angle: 90°, acquisition times: 4 times, scanning layer thickness: 1mm) was used before irradiation and in the experiment. The animals were anesthetized by intraperitoneal injection of 10% chloral hydrate, and the rat hair in the irradiated area was removed with depilatory agent after the anesthesia took effect. Supine fixed in the MRI ultrasound therapy system, the surface coil with a diameter of 7.5cm was fixed under the head of the animal to reduce interference signals. Adjust the focus of the system to the target area according to the MRIT1 information, and 10 seconds before irradiation, inject 0.5ml of microbubbles (here the microbubbles are GDNF-loaded microbubbles) (5-8×10 8 /ml) into the tail vein (in this example, low-frequency focusing The parameters are: probe frequency 1MHz, microbubble volume 0.5ml, irradiation time 60s, sound pressure 0.8MPa, delay 60s), and inject Magnevist contrast agent (0.2ml/kg) into
结果见图13,为MRI引导的低频聚焦超声联合微泡开放血脑屏障及EB显示的血脑屏障开放区域。其中A:MRI横断位图像;B:MRI冠状位图像,图A和B箭头所示脑实质内增强显影的造影剂高信号,说明局部BBB开放,MRI造影剂进入脑实质;C:与图A相对应的脑组织切片观;D:与图B相对应的脑组织切片观,图C和D均见与MRI图像相对应的脑组织蓝染,表明局部血脑屏障打开,染料伊文斯蓝进入脑组织。 The results are shown in Figure 13, which shows the opening of the blood-brain barrier by MRI-guided low-frequency focused ultrasound combined with microbubbles and the open area of the blood-brain barrier displayed by EB. Among them, A: MRI transverse image; B: MRI coronal image, the contrast agent hyperintensities in the brain parenchyma shown by the arrows in Figures A and B indicate that the local BBB is open, and the MRI contrast agent enters the brain parenchyma; C: the same as Figure A Corresponding view of brain tissue section; D: view of brain tissue section corresponding to Figure B, both Figures C and D show blue staining of brain tissue corresponding to the MRI image, indicating that the local blood-brain barrier is opened and the dye Evans blue enters brain tissue. the
结果表明,超声联合微泡开放血脑屏障后MRI扫描下所显示的造影剂高信号区域(图13A,B)与大体观下EB蓝染区域(图13C,D)一致,说明MRI能够监控血脑屏障开放。 The results showed that after ultrasound combined with microbubbles to open the blood-brain barrier, the high-intensity area of contrast agent (Fig. 13A, B) displayed on MRI scanning was consistent with the blue-stained area of EB in gross view (Fig. 13C, D), indicating that MRI can monitor the blood-brain barrier. The brain barrier opens. the
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