| 研究生: |
張基元 Chang, Chi-Yuan |
|---|---|
| 論文名稱: |
開發表面隱身性修飾之二氧化矽奈米藥物應用於癌症治療 To develop stealth modified silica nanoparticles for cancer treatment application. |
| 指導教授: |
陳炳焜
Chen, Ben-Kuen |
| 學位類別: |
碩士 Master |
| 系所名稱: |
醫學院 - 藥理學研究所 Department of Pharmacology |
| 論文出版年: | 2021 |
| 畢業學年度: | 109 |
| 語文別: | 英文 |
| 論文頁數: | 79 |
| 中文關鍵詞: | 奈米藥物 、乳癌 、補體活化 、過敏反應 、多孔洞矽奈米粒子 |
| 外文關鍵詞: | nanomedicine, breast cancer, complement activation, hypersensitivity, mesoporous silica nanoparticles |
| 相關次數: | 點閱:177 下載:0 |
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癌症是本世紀最具挑戰的議題,此疾病擁有高致死率以及不佳的癒後效果,現階段臨床常見的治療方式包括了手術、放射療法、化療、免疫療法以及標靶治療。然而,現今的治療策略沒有辦法有效的選擇性作用至癌症位置,且有較差的副作用。
奈米藥物擁有高滲透滯留效應,將奈米粒子有效運用在藥物輸送系統能顯著改善副作用、增進療效。現今,奈米藥物開發著重在研發出具有隱身性質的奈米用藥以運用在疾病治療上,聚乙烯二醇是常見的奈米藥物表面修飾的生醫材料,其具有優良的生物相容性,能增加奈米載體血中循環且降低免疫細胞捕捉。然而,聚乙烯二醇近年來有多篇研究證明其具有誘導身體產生抗聚乙烯二醇抗體,在漢族群中有超過44.3%以具有內生性的抗體,可能來自接觸生活中的聚乙烯二醇製品(牙膏、沐浴乳等)或是接受過含聚乙烯二醇藥劑治療。再者,過去研究發現豬的動物模型中,當存在抗聚乙烯二醇抗體時,打入由聚乙烯二醇表面修飾的脂質體時,會出現致死性的輸注性過敏反應,療效也跟著降低。本研究主旨於建立短練的聚乙烯二醇修飾的奈米藥物,使用的奈米包括脂質體、多孔洞矽奈米、金奈米,探討長鏈與短練的聚乙烯二醇在療效與副作用上的差異性,並且提出一個藥物篩選系統以為未來的聚乙烯二醇修飾藥物鋪墊藥物快篩基礎。
Cancer is the challenging issue for modern medicine development, with the leading morality rate and poor therapeutic response. Common treatment includes surgery, radiation, chemotherapy, immunotherapy and target therapy. However, current cancer treatments are restricted for poor targeting selectivity and worse adverse reactions.
Thanks to the EPR effect (enhanced permeability and retention effect), the application of nanotechnology in drug delivery systems has given significant impacts on the pharmaceutical industry. Nowadays, the most widely used modification belongs to polyethylene glycol (PEG), which is also the gold standard for stealth functionality. PEG has the advantage to prolong nanoparticle circulation and escape from immune capture. However, based on previous research, Taiwanese were detected about 44.3% of pre-existing anti-PEG antibodies, which might have risen by exposure with PEG products or pharmaceuticals. To this point, Janos Szebeni's team demonstrated a lethal immune reaction after treatment with PEGylated liposome under pre-existing anti-PEG antibodies. Also, therapeutic outcomes declined under such conditions. The overriding objective in this project is to engineer a short-chain/brush PEG-grafted nanoparticles, including liposomes, mesoporous silica nanoparticles (MSN), gold nanoparticles (GNP) for promoting therapeutic effects and avoiding immune response. Also, to compare different length PEG-coating property, we applied engineering PEGylated nanoparticles in therapeutic outcome evaluation and safety monitoring. Drug screening platform was built for next-generation nanoparticle immune prediction.
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