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(1)

Diagnostics Therapy

Real-time imaging

of disease Efficient delivery of

therapeutics

Theranostics

‘Theranosis’

(2)

Tumor Imaging

nanoparticle

Drug-carrying nanoparticle

Improved imaging for diagnosis

Drug delivery for therapy

Patient Tumor therapy

Theranostics

(3)

Imaging modalities : Anatomic vs Functional

CT(Computed Tomography)

MRI(Magnetic Resonance Imaging) PET(Positron Emission Tomography) Optical Imaging

Ultrasound sonography SPECT

(4)

Technique Resolution Depth Imaging agent Target Clinical Use MR 10-100m No limint Galolinium, dysprosium A, P, M Yes

iron oxide particle

CT 50 m No limit Iodine A, P Yes

Ultrasound 50 m Millimetres Micorbubbles A, P Yes PET 1-2 mm No limit 18F, 11C, 15O P, M Yes SPECT 1-2 mm No limit Tc, In chelates P, M Yes FRI 2-3 mm < 1 cm Photoproteins (GFP), P, M Development

NIR fluorochromes

FMT 1 mm < 10cm NIR fluorochromes P, M Development

BLI 1 M < 400 m Photoproteins (GFP) M No

Fluorochromes

Primary area that a given imaging modality interogates: A, anatomical; M, molecular P, physiological. BLI, bioluminescence imaging; CT, X-ray computed tomography; FMT, florescence-mediated molecular

tomography; FRI, fluorescence reflectance imaging; NIR, near-infrared; NR, magnetic resonance; PET, positron emission tomography; SPECT, single-photon emission computed tomography.

Table from Nature Reviews, Drug Discovery, (2003)

Imaging Modalities

(5)

Tissue contrast of CT vs MR : Anatomic Imaging

AP EP

T2WI

CT

MR

(6)

Autofluorescence and Selection of Dye for Optical Imaging

Current Opinion in Chemical Biology, 2003, 7, 626

(7)

The near-infrared region offers unique advantages for the imaging of pathophysiologic states.

Water and most naturally occurring fluorochromes do not absorb substantial amounts of energy in this region.

Near-infrared radiation penetrates tissues more efficiently.

X N+

X

N R' R

n

X = O, NR, C(CH3)2, S, Se R and R' = aklyl or aryl n = 0, 1, 2, 3, 4, or 5

Water soluble Photo-stable pH insensitive Tolerance in labeling

N N

SO3- SO3- SO3-

-O3S

Cy5.5

Near Infrared Fluorescent Dye: Cyanine Dye

(8)

Previous Works of NIRF Imaging Using FRET

Weissleder et. al., Radiology 2001, 221, 523 Nature Biotechnology , 1999,17, 375

Pro-Leu-Gly-Val-Arg

(MMP-2 specific cleavable linker)

MMP(2, 9, 12) Extracellular matrix

VEGF Tumor

Blood vessel Angiogenesis

(9)

Selection of Dyes and Gold Nanoparticles

Fluorescence Resonance Energy Transfer (FRET)

1 2

Self Quenching:

No Fluorescence

2 1’

N N

SO3- SO3- SO3-

-O3S

Cy5.5

Noble metal nanoparticles Excitation

Emission Energy transfer Excitation

to SPR of nanoparticles

10 nm ~ ∞ ~ 10 nm Quenching state

Emitting state

Noble metal : Au, Ag, Pt, etc.

SPR : surface plasmon resonance No emission

(10)

Gold Nanoprobe for Tumor Detection

MMP specific sequence Cleavage site

Peptide modified gold nanoparticle (20 nm)

Absorbance

Wavelength (nm)

400 500 600 700 800

Cell viability (%)

AuNP Conc. (μg/mL)

1 2 3 4

100 80 60 40 20 0 120 140

Angew. Chem. Int. Ed. 2008, 47, 2846

(11)

“Noninvasive” in vivo Molecular Imaging

Drug discovery and development -Reduce cost for drug evaluation

- Faster and more accurate evaluation of inhibitor dosing in human drug trials

(12)

Biodistribution

(13)

[ 18 F]FMISO [ 18 F]FLT

• VX-2 Tumor bearing Rabbit

• Three different radiopharmaceuticals in the same animal [ 18 F]FDG

Tumor Biology with PET

(14)

Lymphatic drainage Tumor tissue

Nanoparticle Tumor blood supply

Why Nanoparticles?

Tumor Blood Vessel Normal Blood Vessel

EPR effect (Enhanced Permeability And Retention)

Tumor blood vessel

(15)

Dan Peer, Jeffrey M. Karp, Seungpyo Hong, Omid C.

Farokhzad, Rimona Margalit, and Robert Langer

Nanocarriers as an emerging platform for cancer therapy

Nanobased carriers for

cancer detection and

therapy

Nat. Nanotech.2007, 2, 751

Nanotechnology in Cancer Therapy

(16)

Nanoparticle Fabrication

In Vitro Stability

H2O PBS H2O

In Vivo Biodistribution

PBS

Passive Targeting

Active Targeting

Targeting moiety

Increase tumor cell selectivity - Stable in PBS

Nanoparticular Molecular Imaging Probes

참조

관련 문서

Abstract : Effects of powdered activated carbon impregnated by iron oxide nano particle (Impregnated PAC) on the microfiltra- tion (MF) membrane system performance in NOM removal

Objective: To compare the diagnostic performance of high-resolution ultrasound (HRUS) with contrast-enhanced CT and contrast-enhanced magnetic resonance imaging (MRI) with

Detection of Small Hypervascular Hepatocellular Carcinomas in Cirrhotic Patients: Comparison of Superparamagnetic Iron Oxide-Enhanced MR Imaging with Dual-Phase Spiral CT Jeong-Min

Thus, ferritin may prove to be a very effective and safe MR contrast agent for cell tracking imaging.19,22 This study aims to outline the effectiveness of ferritin as a contrast

In this study, we tried to analyze the influence of ICM(Iodinated Contrast Media) in MR imaging compare to GBCA(Gadolinium Based Contrast Agent), and as this

three-dimensional (3D) T1-weighted high resolution isotropic volume examination (THRIVE), spin-echo (SE) T1-weighted MR, and contrast-enhanced CT imaging for

Optimized TSE Sequences with Parallel Imaging. Shellock FG, Morisoli SM, Ziarati M. Measurement of acoustic noise during MR imaging: evaluation of six “worst case”

High-resolution magnetic reso- nance (MR) imaging for evaluation of cranial nerves revealed that the root-entry zone of the right glossopharyngeal and vagus nerves was in contact