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Man F, Tang J, Swedrowska M, Forbes B, T M de Rosales R. Imaging drug delivery to the lungs: Methods and applications in oncology. Adv Drug Deliv Rev 2023; 192:114641. [PMID: 36509173 PMCID: PMC10227194 DOI: 10.1016/j.addr.2022.114641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 11/25/2022] [Accepted: 11/26/2022] [Indexed: 12/14/2022]
Abstract
Direct delivery to the lung via inhalation is arguably one of the most logical approaches to treat lung cancer using drugs. However, despite significant efforts and investment in this area, this strategy has not progressed in clinical trials. Imaging drug delivery is a powerful tool to understand and develop novel drug delivery strategies. In this review we focus on imaging studies of drug delivery by the inhalation route, to provide a broad overview of the field to date and attempt to better understand the complexities of this route of administration and the significant barriers that it faces, as well as its advantages. We start with a discussion of the specific challenges for drug delivery to the lung via inhalation. We focus on the barriers that have prevented progress of this approach in oncology, as well as the most recent developments in this area. This is followed by a comprehensive overview of the different imaging modalities that are relevant to lung drug delivery, including nuclear imaging, X-ray imaging, magnetic resonance imaging, optical imaging and mass spectrometry imaging. For each of these modalities, examples from the literature where these techniques have been explored are provided. Finally the different applications of these technologies in oncology are discussed, focusing separately on small molecules and nanomedicines. We hope that this comprehensive review will be informative to the field and will guide the future preclinical and clinical development of this promising drug delivery strategy to maximise its therapeutic potential.
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Affiliation(s)
- Francis Man
- School of Cancer & Pharmaceutical Sciences, King's College London, London, SE1 9NH, United Kingdom
| | - Jie Tang
- School of Biomedical Engineering & Imaging Sciences, King's College London, London SE1 7EH, United Kingdom
| | - Magda Swedrowska
- School of Cancer & Pharmaceutical Sciences, King's College London, London, SE1 9NH, United Kingdom
| | - Ben Forbes
- School of Cancer & Pharmaceutical Sciences, King's College London, London, SE1 9NH, United Kingdom
| | - Rafael T M de Rosales
- School of Biomedical Engineering & Imaging Sciences, King's College London, London SE1 7EH, United Kingdom.
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Donnelley M, Cmielewski P, Morgan K, Delhove J, Reyne N, McCarron A, Rout-Pitt N, Drysdale V, Carpentieri C, Spiers K, Takeuchi A, Uesugi K, Yagi N, Parsons D. Improved in-vivo airway gene transfer via magnetic-guidance, with protocol development informed by synchrotron imaging. Sci Rep 2022; 12:9000. [PMID: 35637239 PMCID: PMC9151774 DOI: 10.1038/s41598-022-12895-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Accepted: 05/11/2022] [Indexed: 11/24/2022] Open
Abstract
Gene vectors to treat cystic fibrosis lung disease should be targeted to the conducting airways, as peripheral lung transduction does not offer therapeutic benefit. Viral transduction efficiency is directly related to the vector residence time. However, delivered fluids such as gene vectors naturally spread to the alveoli during inspiration, and therapeutic particles of any form are rapidly cleared via mucociliary transit. Extending gene vector residence time within the conducting airways is important, but hard to achieve. Gene vector conjugated magnetic particles that can be guided to the conducting airway surfaces could improve regional targeting. Due to the challenges of in-vivo visualisation, the behaviour of such small magnetic particles on the airway surface in the presence of an applied magnetic field is poorly understood. The aim of this study was to use synchrotron imaging to visualise the in-vivo motion of a range of magnetic particles in the trachea of anaesthetised rats to examine the dynamics and patterns of individual and bulk particle behaviour in-vivo. We also then assessed whether lentiviral-magnetic particle delivery in the presence of a magnetic field increases transduction efficiency in the rat trachea. Synchrotron X-ray imaging revealed the behaviour of magnetic particles in stationary and moving magnetic fields, both in-vitro and in-vivo. Particles could not easily be dragged along the live airway surface with the magnet, but during delivery deposition was focussed within the field of view where the magnetic field was the strongest. Transduction efficiency was also improved six-fold when the lentiviral-magnetic particles were delivered in the presence of a magnetic field. Together these results show that lentiviral-magnetic particles and magnetic fields may be a valuable approach for improving gene vector targeting and increasing transduction levels in the conducting airways in-vivo.
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Schaff F, Morgan KS, Pollock JA, Croton LCP, Hooper SB, Kitchen MJ. Material Decomposition Using Spectral Propagation-Based Phase-Contrast X-Ray Imaging. IEEE TRANSACTIONS ON MEDICAL IMAGING 2020; 39:3891-3899. [PMID: 32746132 DOI: 10.1109/tmi.2020.3006815] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Material decomposition in X-ray imaging uses the energy-dependence of attenuation to digitally decompose an object into specific constituent materials, generally at the cost of enhanced image noise. Propagation-based X-ray phase-contrast imaging is a developing technique that can be used to reduce image noise, in particular from weakly attenuating objects. In this paper, we combine spectral phase-contrast imaging with material decomposition to both better visualize weakly attenuating features and separate them from overlying objects in radiography. We derive an algorithm that performs both tasks simultaneously and verify it against numerical simulations and experimental measurements of ideal two-component samples composed of pure aluminum and poly(methyl methacrylate). Additionally, we showcase first imaging results of a rabbit kitten's lung. The attenuation signal of a thorax, in particular, is dominated by the strongly attenuating bones of the ribcage. Combined with the weak soft tissue signal, this makes it difficult to visualize the fine anatomical structures across the whole lung. In all cases, clean material decomposition was achieved, without residual phase-contrast effects, from which we generate an un-obstructed image of the lung, free of bones. Spectral propagation-based phase-contrast imaging has the potential to be a valuable tool, not only in future lung research, but also in other systems for which phase-contrast imaging in combination with material decomposition proves to be advantageous.
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Morgan KS, Parsons D, Cmielewski P, McCarron A, Gradl R, Farrow N, Siu K, Takeuchi A, Suzuki Y, Uesugi K, Uesugi M, Yagi N, Hall C, Klein M, Maksimenko A, Stevenson A, Hausermann D, Dierolf M, Pfeiffer F, Donnelley M. Methods for dynamic synchrotron X-ray respiratory imaging in live animals. JOURNAL OF SYNCHROTRON RADIATION 2020; 27:164-175. [PMID: 31868749 PMCID: PMC6927518 DOI: 10.1107/s1600577519014863] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Accepted: 11/04/2019] [Indexed: 05/20/2023]
Abstract
Small-animal physiology studies are typically complicated, but the level of complexity is greatly increased when performing live-animal X-ray imaging studies at synchrotron and compact light sources. This group has extensive experience in these types of studies at the SPring-8 and Australian synchrotrons, as well as the Munich Compact Light Source. These experimental settings produce unique challenges. Experiments are always performed in an isolated radiation enclosure not specifically designed for live-animal imaging. This requires equipment adapted to physiological monitoring and test-substance delivery, as well as shuttering to reduce the radiation dose. Experiment designs must also take into account the fixed location, size and orientation of the X-ray beam. This article describes the techniques developed to overcome the challenges involved in respiratory X-ray imaging of live animals at synchrotrons, now enabling increasingly sophisticated imaging protocols.
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Affiliation(s)
- Kaye Susannah Morgan
- School of Physics and Astronomy, Monash University, Wellington Road, Clayton, VIC 3800, Australia
- Institute for Advanced Study, Technische Universität München, Garching Germany
- Chair of Biomedical Physics and Munich School of BioEngineering, Technische Universität München, 85748 Garching, Germany
| | - David Parsons
- Robinson Research Institute, University of Adelaide, SA 5006, Australia
- Adelaide Medical School, University of Adelaide, SA 5000, Australia
- Respiratory and Sleep Medicine, Women’s and Children’s Hospital, 72 King William Road, North Adelaide, SA 5006, Australia
| | - Patricia Cmielewski
- Robinson Research Institute, University of Adelaide, SA 5006, Australia
- Adelaide Medical School, University of Adelaide, SA 5000, Australia
- Respiratory and Sleep Medicine, Women’s and Children’s Hospital, 72 King William Road, North Adelaide, SA 5006, Australia
| | - Alexandra McCarron
- Robinson Research Institute, University of Adelaide, SA 5006, Australia
- Adelaide Medical School, University of Adelaide, SA 5000, Australia
- Respiratory and Sleep Medicine, Women’s and Children’s Hospital, 72 King William Road, North Adelaide, SA 5006, Australia
| | - Regine Gradl
- Institute for Advanced Study, Technische Universität München, Garching Germany
- Chair of Biomedical Physics and Munich School of BioEngineering, Technische Universität München, 85748 Garching, Germany
| | - Nigel Farrow
- Robinson Research Institute, University of Adelaide, SA 5006, Australia
- Adelaide Medical School, University of Adelaide, SA 5000, Australia
- Respiratory and Sleep Medicine, Women’s and Children’s Hospital, 72 King William Road, North Adelaide, SA 5006, Australia
| | - Karen Siu
- School of Physics and Astronomy, Monash University, Wellington Road, Clayton, VIC 3800, Australia
| | - Akihisa Takeuchi
- SPring-8, Japan Synchrotron Radiation Institute, Kouto, Hyogo, Japan
| | - Yoshio Suzuki
- SPring-8, Japan Synchrotron Radiation Institute, Kouto, Hyogo, Japan
| | - Kentaro Uesugi
- SPring-8, Japan Synchrotron Radiation Institute, Kouto, Hyogo, Japan
| | - Masayuki Uesugi
- SPring-8, Japan Synchrotron Radiation Institute, Kouto, Hyogo, Japan
| | - Naoto Yagi
- SPring-8, Japan Synchrotron Radiation Institute, Kouto, Hyogo, Japan
| | - Chris Hall
- Imaging and Medical Beamline, The Australian Synchrotron – ANSTO, 800 Blackburn Road, Clayton, VIC 3168, Australia
| | - Mitzi Klein
- Imaging and Medical Beamline, The Australian Synchrotron – ANSTO, 800 Blackburn Road, Clayton, VIC 3168, Australia
| | - Anton Maksimenko
- Imaging and Medical Beamline, The Australian Synchrotron – ANSTO, 800 Blackburn Road, Clayton, VIC 3168, Australia
| | - Andrew Stevenson
- Imaging and Medical Beamline, The Australian Synchrotron – ANSTO, 800 Blackburn Road, Clayton, VIC 3168, Australia
| | - Daniel Hausermann
- Imaging and Medical Beamline, The Australian Synchrotron – ANSTO, 800 Blackburn Road, Clayton, VIC 3168, Australia
| | - Martin Dierolf
- Chair of Biomedical Physics and Munich School of BioEngineering, Technische Universität München, 85748 Garching, Germany
| | - Franz Pfeiffer
- Institute for Advanced Study, Technische Universität München, Garching Germany
- Chair of Biomedical Physics and Munich School of BioEngineering, Technische Universität München, 85748 Garching, Germany
| | - Martin Donnelley
- Robinson Research Institute, University of Adelaide, SA 5006, Australia
- Adelaide Medical School, University of Adelaide, SA 5000, Australia
- Respiratory and Sleep Medicine, Women’s and Children’s Hospital, 72 King William Road, North Adelaide, SA 5006, Australia
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Yang L, Gradl R, Dierolf M, Möller W, Kutschke D, Feuchtinger A, Hehn L, Donnelley M, Günther B, Achterhold K, Walch A, Stoeger T, Razansky D, Pfeiffer F, Morgan KS, Schmid O. Multimodal Precision Imaging of Pulmonary Nanoparticle Delivery in Mice: Dynamics of Application, Spatial Distribution, and Dosimetry. SMALL (WEINHEIM AN DER BERGSTRASSE, GERMANY) 2019; 15:e1904112. [PMID: 31639283 DOI: 10.1002/smll.201904112] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2019] [Revised: 09/12/2019] [Indexed: 06/10/2023]
Abstract
Targeted delivery of nanomedicine/nanoparticles (NM/NPs) to the site of disease (e.g., the tumor or lung injury) is of vital importance for improved therapeutic efficacy. Multimodal imaging platforms provide powerful tools for monitoring delivery and tissue distribution of drugs and NM/NPs. This study introduces a preclinical imaging platform combining X-ray (two modes) and fluorescence imaging (three modes) techniques for time-resolved in vivo and spatially resolved ex vivo visualization of mouse lungs during pulmonary NP delivery. Liquid mixtures of iodine (contrast agent for X-ray) and/or (nano)particles (X-ray absorbing and/or fluorescent) are delivered to different regions of the lung via intratracheal instillation, nasal aspiration, and ventilator-assisted aerosol inhalation. It is demonstrated that in vivo propagation-based phase-contrast X-ray imaging elucidates the dynamic process of pulmonary NP delivery, while ex vivo fluorescence imaging (e.g., tissue-cleared light sheet fluorescence microscopy) reveals the quantitative 3D drug/particle distribution throughout the entire lung with cellular resolution. The novel and complementary information from this imaging platform unveils the dynamics and mechanisms of pulmonary NM/NP delivery and deposition for each of the delivery routes, which provides guidance on optimizing pulmonary delivery techniques and novel-designed NM for targeting and efficacy.
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Affiliation(s)
- Lin Yang
- Comprehensive Pneumology Center (CPC-M), Member of the German Center for Lung Research (DZL), Munich, 81377, Germany
- Institute of Lung Biology and Disease, Helmholtz Zentrum München-German Research Center for Environmental Health, Neuherberg, 85764, Germany
- Faculty of Medicine, Technical University of Munich, Munich, 80333, Germany
| | - Regine Gradl
- Chair of Biomedical Physics, Department of Physics, Technical University of Munich, Garching, 85748, Germany
- Munich School of BioEngineering, Technical University of Munich, Garching, 85748, Germany
- Institute for Advanced Study, Technical University of Munich, Garching, 85748, Germany
| | - Martin Dierolf
- Chair of Biomedical Physics, Department of Physics, Technical University of Munich, Garching, 85748, Germany
- Munich School of BioEngineering, Technical University of Munich, Garching, 85748, Germany
| | - Winfried Möller
- Comprehensive Pneumology Center (CPC-M), Member of the German Center for Lung Research (DZL), Munich, 81377, Germany
- Institute of Lung Biology and Disease, Helmholtz Zentrum München-German Research Center for Environmental Health, Neuherberg, 85764, Germany
| | - David Kutschke
- Comprehensive Pneumology Center (CPC-M), Member of the German Center for Lung Research (DZL), Munich, 81377, Germany
- Institute of Lung Biology and Disease, Helmholtz Zentrum München-German Research Center for Environmental Health, Neuherberg, 85764, Germany
| | - Annette Feuchtinger
- Research Unit Analytical Pathology, Helmholtz Zentrum München, Neuherberg, 85764, Germany
| | - Lorenz Hehn
- Chair of Biomedical Physics, Department of Physics, Technical University of Munich, Garching, 85748, Germany
- Department of Diagnostic and Interventional Radiology, Klinikum rechts der Isar, Technical University of Munich, München, 81675, Germany
| | - Martin Donnelley
- Robinson Research Institute and Adelaide Medical School, University of Adelaide, Adelaide, 5000, Australia
- Respiratory and Sleep Medicine, Women's and Children's Hospital, North Adelaide, SA, 5006, Australia
| | - Benedikt Günther
- Chair of Biomedical Physics, Department of Physics, Technical University of Munich, Garching, 85748, Germany
- Munich School of BioEngineering, Technical University of Munich, Garching, 85748, Germany
| | - Klaus Achterhold
- Chair of Biomedical Physics, Department of Physics, Technical University of Munich, Garching, 85748, Germany
- Munich School of BioEngineering, Technical University of Munich, Garching, 85748, Germany
| | - Axel Walch
- Research Unit Analytical Pathology, Helmholtz Zentrum München, Neuherberg, 85764, Germany
| | - Tobias Stoeger
- Comprehensive Pneumology Center (CPC-M), Member of the German Center for Lung Research (DZL), Munich, 81377, Germany
- Institute of Lung Biology and Disease, Helmholtz Zentrum München-German Research Center for Environmental Health, Neuherberg, 85764, Germany
| | - Daniel Razansky
- Faculty of Medicine, Technical University of Munich, Munich, 80333, Germany
- Institute for Biological and Medical Imaging (IBMI), Helmholtz Zentrum München, Neuherberg, 85764, Germany
- Faculty of Medicine and Institute of Pharmacology and Toxicology, University of Zurich, Zurich, CH-8057, Switzerland
- Institute for Biomedical Engineering and Department of Information Technology and Electrical Engineering, ETH Zurich, Zurich, 8093, Switzerland
| | - Franz Pfeiffer
- Chair of Biomedical Physics, Department of Physics, Technical University of Munich, Garching, 85748, Germany
- Munich School of BioEngineering, Technical University of Munich, Garching, 85748, Germany
- Institute for Advanced Study, Technical University of Munich, Garching, 85748, Germany
- Department of Diagnostic and Interventional Radiology, Klinikum rechts der Isar, Technical University of Munich, München, 81675, Germany
| | - Kaye S Morgan
- Chair of Biomedical Physics, Department of Physics, Technical University of Munich, Garching, 85748, Germany
- Institute for Advanced Study, Technical University of Munich, Garching, 85748, Germany
- School of Physics and Astronomy, Monash University, Clayton, Victoria, 3800, Australia
| | - Otmar Schmid
- Comprehensive Pneumology Center (CPC-M), Member of the German Center for Lung Research (DZL), Munich, 81377, Germany
- Institute of Lung Biology and Disease, Helmholtz Zentrum München-German Research Center for Environmental Health, Neuherberg, 85764, Germany
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Gradl R, Dierolf M, Yang L, Hehn L, Günther B, Möller W, Kutschke D, Stoeger T, Gleich B, Achterhold K, Donnelley M, Pfeiffer F, Schmid O, Morgan KS. Visualizing treatment delivery and deposition in mouse lungs using in vivo x-ray imaging. J Control Release 2019; 307:282-291. [DOI: 10.1016/j.jconrel.2019.06.035] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Revised: 06/18/2019] [Accepted: 06/25/2019] [Indexed: 01/17/2023]
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In vivo Dynamic Phase-Contrast X-ray Imaging using a Compact Light Source. Sci Rep 2018; 8:6788. [PMID: 29717143 PMCID: PMC5931574 DOI: 10.1038/s41598-018-24763-8] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2017] [Accepted: 04/05/2018] [Indexed: 12/14/2022] Open
Abstract
We describe the first dynamic and the first in vivo X-ray imaging studies successfully performed at a laser-undulator-based compact synchrotron light source. The X-ray properties of this source enable time-sequence propagation-based X-ray phase-contrast imaging. We focus here on non-invasive imaging for respiratory treatment development and physiological understanding. In small animals, we capture the regional delivery of respiratory treatment, and two measures of respiratory health that can reveal the effectiveness of a treatment; lung motion and mucociliary clearance. The results demonstrate the ability of this set-up to perform laboratory-based dynamic imaging, specifically in small animal models, and with the possibility of longitudinal studies.
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Lizal F, Jedelsky J, Morgan K, Bauer K, Llop J, Cossio U, Kassinos S, Verbanck S, Ruiz-Cabello J, Santos A, Koch E, Schnabel C. Experimental methods for flow and aerosol measurements in human airways and their replicas. Eur J Pharm Sci 2018; 113:95-131. [DOI: 10.1016/j.ejps.2017.08.021] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Revised: 08/14/2017] [Accepted: 08/17/2017] [Indexed: 12/29/2022]
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Cmielewski P, Farrow N, Devereux S, Parsons D, Donnelley M. Gene therapy for Cystic Fibrosis: Improved delivery techniques and conditioning with lysophosphatidylcholine enhance lentiviral gene transfer in mouse lung airways. Exp Lung Res 2017; 43:426-433. [PMID: 29236544 DOI: 10.1080/01902148.2017.1395931] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Purpose/Aim: Cystic fibrosis (CF) is the most common, fatal recessive genetic disease among the Caucasian population. Gene therapy has the potential to treat CF long term, however physiological barriers can prevent VSV-G pseudotyped lentiviral (LV) vectors from efficiently accessing the relevant receptors on the basolateral membrane of airway epithelial cells. The aims of this experiment were to use our new dose delivery techniques to determine whether conditioning the mouse lung conducting airways with lysophosphatidylcholine (LPC) improves the level of airway gene expression. MATERIALS AND METHODS Anaesthetised normal C57Bl/6 mice were intubated with an endotracheal cannula to non-invasively facilitate airway access. The airways were conditioned with 0.1% LPC, 0.3% LPC, or PBS (control) instilled via the ET tube. One hour later a VSV-G pseudotyped LV vector carrying the LacZ transgene was delivered. LacZ expression was measured by X-gal staining of the excised lungs 3 months after gene delivery. RESULTS Endotracheal intubation enabled precise dose delivery to the trachea and conducting airways. The cartilaginous airways of the groups conditioned with 0.1% and 0.3% LPC contained significantly larger numbers of LacZ positive cells compared to the PBS control group. In the LPC conditioned groups the majority of cell transduction was in ciliated epithelial cells. CONCLUSION LPC conditioning prior to LV vector delivery, substantially enhanced the level of conducting airway gene expression after a single gene vector delivery. These results extend the previously established effectiveness of this protocol for producing gene expression in the nasal airways to the lung airways, the primary site of deleterious pathophysiology in CF individuals.
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Affiliation(s)
- Patricia Cmielewski
- a Department of Respiratory and Sleep Medicine , Women's and Children's Hospital Network , North Adelaide , SA , Australia.,b Robinson Research Institute, University of Adelaide , Adelaide , SA , Australia.,c Discipline of Paediatrics, Adelaide Medical School, Faculty of Health and Medical Sciences , University of Adelaide , Adelaide , SA , Australia
| | - Nigel Farrow
- a Department of Respiratory and Sleep Medicine , Women's and Children's Hospital Network , North Adelaide , SA , Australia.,b Robinson Research Institute, University of Adelaide , Adelaide , SA , Australia.,c Discipline of Paediatrics, Adelaide Medical School, Faculty of Health and Medical Sciences , University of Adelaide , Adelaide , SA , Australia
| | - Sharnna Devereux
- c Discipline of Paediatrics, Adelaide Medical School, Faculty of Health and Medical Sciences , University of Adelaide , Adelaide , SA , Australia
| | - David Parsons
- a Department of Respiratory and Sleep Medicine , Women's and Children's Hospital Network , North Adelaide , SA , Australia.,b Robinson Research Institute, University of Adelaide , Adelaide , SA , Australia.,c Discipline of Paediatrics, Adelaide Medical School, Faculty of Health and Medical Sciences , University of Adelaide , Adelaide , SA , Australia
| | - Martin Donnelley
- a Department of Respiratory and Sleep Medicine , Women's and Children's Hospital Network , North Adelaide , SA , Australia.,b Robinson Research Institute, University of Adelaide , Adelaide , SA , Australia.,c Discipline of Paediatrics, Adelaide Medical School, Faculty of Health and Medical Sciences , University of Adelaide , Adelaide , SA , Australia
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Cmielewski P, Donnelley M, Parsons DW. Long-term therapeutic and reporter gene expression in lentiviral vector treated cystic fibrosis mice. J Gene Med 2015; 16:291-9. [PMID: 25130650 DOI: 10.1002/jgm.2778] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2014] [Revised: 08/01/2014] [Accepted: 08/05/2014] [Indexed: 12/22/2022] Open
Abstract
BACKGROUND Persistent reporter gene and cystic fibrosis transmembrane conductance regulator (CFTR) nasal airway gene expression can be achieved with a single lentiviral (LV) gene vector dosing when coupled with a preparatory lysophosphatidylcholine (LPC) airway pre-treatment. In the present study, we characterised the duration of gene expression in individual cystic fibrosis (CF) knockout mice (cftr(tm1unc)) over their lifetimes. METHODS CF mouse nasal airways were treated with LV-Rx, a mixture of a therapeutic LV-CFTR gene vector and a LV-luciferase reporter gene vector, after pre-treatment with LPC. Control groups received either PBS sham pre-treatment followed by LV-Rx, or LPC prior to delivery of a LV vector containing no transgene (LV-MT). Airway reporter gene expression was monitored by bioluminescence, and functional CFTR expression was assessed via nasal transepithelial potential difference measurements at regular intervals up to 21 months. The presence of the CFTR transgene in the nasal septa, liver and spleen tissues were assessed by a quantitative polymerase chain reaction. Circulating antibodies to the vector glycoprotein envelope and to the luciferase protein were also measured. RESULTS The combined use of LPC and LV gene vectors in the nasal airway produced enhanced and sustained luciferase and CFTR gene expression lasting at least 12 months. Improved survival was also observed in CF knockout mice treated with the LV vector mixture compared to all control CF mouse groups. CONCLUSIONS The present study showed that our airway pre-treatment and gene delivery technique resulted in sustained functional CFTR expression and improved survival in CF mice.
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Affiliation(s)
- Patricia Cmielewski
- Respiratory and Sleep Medicine, Women's and Children's Hospital Network, North Adelaide, SA, Australia; School of Paediatrics and Reproductive Health, University of Adelaide, Adelaide, SA, Australia; Robinson Research Institute and Centre for Stem Cell Research, University of Adelaide, Adelaide, SA, Australia
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11
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Dubsky S, Fouras A. Imaging regional lung function: a critical tool for developing inhaled antimicrobial therapies. Adv Drug Deliv Rev 2015; 85:100-9. [PMID: 25819486 DOI: 10.1016/j.addr.2015.03.010] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2014] [Revised: 03/18/2015] [Accepted: 03/20/2015] [Indexed: 12/11/2022]
Abstract
Alterations in regional lung function due to respiratory infection have a significant effect on the deposition of inhaled treatments. This has consequences for treatment effectiveness and hence recovery of lung function. In order to advance our understanding of respiratory infection and inhaled treatment delivery, we must develop imaging techniques that can provide regional functional measurements of the lung. In this review, we explore the role of functional imaging for the assessment of respiratory infection and development of inhaled treatments. We describe established and emerging functional lung imaging methods. The effect of infection on lung function is described, and the link between regional disease, function, and inhaled treatments is discussed. The potential for lung function imaging to provide unique insights into the functional consequences of infection, and its treatment, is also discussed.
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Affiliation(s)
- Stephen Dubsky
- Department of Mechanical & Aerospace Engineering, Monash University, Victoria 3800, Australia.
| | - Andreas Fouras
- Department of Mechanical & Aerospace Engineering, Monash University, Victoria 3800, Australia.
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12
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Non-invasive airway health assessment: synchrotron imaging reveals effects of rehydrating treatments on mucociliary transit in-vivo. Sci Rep 2014; 4:3689. [PMID: 24418935 PMCID: PMC3891397 DOI: 10.1038/srep03689] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2013] [Accepted: 12/17/2013] [Indexed: 11/27/2022] Open
Abstract
To determine the efficacy of potential cystic fibrosis (CF) therapies we have developed a novel mucociliary transit (MCT) measurement that uses synchrotron phase contrast X-ray imaging (PCXI) to non-invasively measure the transit rate of individual micron-sized particles deposited into the airways of live mice. The aim of this study was to image changes in MCT produced by a rehydrating treatment based on hypertonic saline (HS), a current CF clinical treatment. Live mice received HS containing a long acting epithelial sodium channel blocker (P308); isotonic saline; or no treatment, using a nebuliser integrated within a small-animal ventilator circuit. Marker particle motion was tracked for 20 minutes using PCXI. There were statistically significant increases in MCT in the isotonic and HS-P308 groups. The ability to quantify in vivo changes in MCT may have utility in pre-clinical research studies designed to bring new genetic and pharmaceutical treatments for respiratory diseases into clinical trials.
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