Tumor ablation using low-intensity ultrasound and sound excitable drug

J Control Release. 2017 Jul 28:258:67-72. doi: 10.1016/j.jconrel.2017.05.009. Epub 2017 May 10.

Abstract

The cell membrane is a semi-fluid container that defines the boundary of cells, and provides an enclosed environment for vital biological processes. A sound excitable drug (SED) that is non-cytotoxic to cells is developed to disrupt the plasma membrane under gentle ultrasound insonation, 1MHz, 1W/cm2. The frequency and power density of insonation are within the physical therapy and medical imaging windows; thus the applied ultrasound is safe and not harmful to tissues. The insertion of SEDs into the plasma membrane is not toxic to cells; however, the intruding SEDs weaken the membrane's integrity. Under insonation, the ultrasound energy destabilized the SED disrupted membranes, resulting in membrane rupture and eventual cell death. In a xenograft breast tumor model, the SED alone or the ultrasound alone caused little adverse effects to tumor tissue, while the combined treatment triggered necrosis with a brief local insonation of 3min. The described sono-membrane rupture therapy could be a safe alternative to the currently used high-energy tissue ablation technology, which uses X-rays, gamma rays, electron beams, protons, or high-intensity focused ultrasound.

Keywords: Plasma membrane; Rupture; Sonodynamic therapy; Tumor ablation; Ultrasound.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Antineoplastic Agents / chemistry
  • Antineoplastic Agents / therapeutic use*
  • Breast Neoplasms / pathology
  • Breast Neoplasms / therapy*
  • Cell Line, Tumor
  • Combined Modality Therapy / methods
  • Female
  • Humans
  • Mice
  • Mice, Inbred BALB C
  • Mice, Nude
  • Rose Bengal / analogs & derivatives
  • Rose Bengal / therapeutic use
  • Ultrasonic Therapy / methods*
  • Xanthenes / chemistry
  • Xanthenes / therapeutic use*

Substances

  • Antineoplastic Agents
  • Xanthenes
  • Rose Bengal