KR102094328B1 - Method for delivering drug efficiently in brain using additional focused ultrasound stimulation - Google Patents

Method for delivering drug efficiently in brain using additional focused ultrasound stimulation Download PDF

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KR102094328B1
KR102094328B1 KR1020180014634A KR20180014634A KR102094328B1 KR 102094328 B1 KR102094328 B1 KR 102094328B1 KR 1020180014634 A KR1020180014634 A KR 1020180014634A KR 20180014634 A KR20180014634 A KR 20180014634A KR 102094328 B1 KR102094328 B1 KR 102094328B1
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focused ultrasound
processing
brain
drug delivery
mpa
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박주영
정병진
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재단법인 대구경북첨단의료산업진흥재단
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M37/00Other apparatus for introducing media into the body; Percutany, i.e. introducing medicines into the body by diffusion through the skin
    • A61M37/0092Other apparatus for introducing media into the body; Percutany, i.e. introducing medicines into the body by diffusion through the skin using ultrasonic, sonic or infrasonic vibrations, e.g. phonophoresis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0002Galenical forms characterised by the drug release technique; Application systems commanded by energy
    • A61K9/0009Galenical forms characterised by the drug release technique; Application systems commanded by energy involving or responsive to electricity, magnetism or acoustic waves; Galenical aspects of sonophoresis, iontophoresis, electroporation or electroosmosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0019Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0085Brain, e.g. brain implants; Spinal cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M37/00Other apparatus for introducing media into the body; Percutany, i.e. introducing medicines into the body by diffusion through the skin
    • A61M2037/0007Other apparatus for introducing media into the body; Percutany, i.e. introducing medicines into the body by diffusion through the skin having means for enhancing the permeation of substances through the epidermis, e.g. using suction or depression, electric or magnetic fields, sound waves or chemical agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0693Brain, cerebrum
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2250/00Specially adapted for animals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • A61N2007/0039Ultrasound therapy using microbubbles

Abstract

본 발명은 기존의 집속초음파 처리 단계에 앞서 마이크로버블의 처리 없이 집속초음파 처리를 수행하는 약물전달 방법을 제공한다.
본 발명의 약물전달 방법은 뇌혈관 장벽으로 인해 치료가 어려운 퇴행성 뇌질환, 뇌암 등 장벽이 높은 뇌질환 치료 분야의 약물전달 방법 또는 의료기기 기술로서 유용하게 사용될 수 있다.
The present invention provides a drug delivery method for performing focused ultrasound processing without microbubble processing prior to the conventional focused ultrasound processing step.
The drug delivery method of the present invention can be usefully used as a drug delivery method or a medical device technology in the field of treating brain diseases with high barrier, such as degenerative brain disease and brain cancer, which are difficult to treat due to cerebrovascular barrier.

Description

추가적 집속초음파 자극을 이용한 뇌에서의 효율적인 약물전달 방법{Method for delivering drug efficiently in brain using additional focused ultrasound stimulation}Method for delivering drug efficiently in brain using additional focused ultrasound stimulation}

본 발명은 뇌에서의 약물전달 방법에 관한 것으로, 더욱 상세하게는 추가적 집속초음파 자극을 이용한 뇌에서의 효율적인 약물전달 방법에 관한 것이다.The present invention relates to a drug delivery method in the brain, and more particularly, to an efficient drug delivery method in the brain using additional focused ultrasound stimulation.

뇌혈관 장벽(Blood Brain Barrier, BBB)은 뇌혈관의 내피세포 간의 밀착연접(tight junction) 및 이를 더욱 강화하는 성상세포(astrocyte)로 이루어진 구조물로서, 혈관 내부의 물질이 혈관벽을 통과하여 뇌 실질 내로 쉽게 이동하지 못하게 하는 기능을 한다.The Blood Brain Barrier (BBB) is a structure composed of tight junctions between the endothelial cells of the cerebral blood vessels and astrocytes that further strengthen them, and substances inside the blood vessels pass through the blood vessel walls into the brain parenchyma. It functions to prevent easy movement.

이렇듯, 뇌혈관 장벽은 뇌조직에 있는 모세혈관이 다른 조직의 모세혈관에 비해 낮은 혈관 투과성을 유지함으로써 불필요한 물질들의 이동을 최소한으로 유지하므로, 뇌혈관 장벽을 이루는 주된 구조는 모세혈관 내피세포(capillary endothelial cell)에 있는 밀착연접(tight junction)을 의미한다고 볼 수 있다.As such, the cerebral blood vessel barrier maintains the movement of unnecessary substances to a minimum by maintaining the low vascular permeability of the capillaries in the brain tissue compared to the capillaries of other tissues, so the main structure of the cerebral vessel barrier is capillary endothelial cells (capillary). It can be said to mean a tight junction in the endothelial cell.

뇌혈관 장벽은 이온이나 단백질, 기타 물질이 중추신경계 환경으로 불특정 유입되는 것을 차단하므로, 이러한 장벽으로서의 역할은 혈액으로부터 공급되는 해로운 성분들로부터 신경원을 보호하며 필수적인 물질들은 투과되도록 하고 신경조직에 필요한 작은 분자량의 물질은 세포막에 있는 운반물질(carrier)과 결합되어 내피를 통해 뇌실질로 들어간다.Since the cerebrovascular barrier blocks the influx of ions, proteins, and other substances into the central nervous system environment, the role of these barriers is to protect the neurons from harmful components supplied from the blood, allowing essential substances to penetrate, and the small necessary for the neural tissue. Molecular weight substances are combined with carriers in the cell membrane and enter the brain parenchyma through the endothelium.

그러나, 뇌경색, 외상 및 뇌종양과 같은 뇌 손상의 대부분은 뇌혈관 장벽의 붕괴와 연관되며 이는 신경원의 이차적인 손상을 초래한다. 따라서, 뇌혈관 장벽의 발생 기전과 조절에 대한 연구는 중추신경계 질환을 이해하고 치료하는데 매우 중요하다.However, most of the brain damage, such as cerebral infarction, trauma, and brain tumors, is associated with the collapse of the cerebrovascular barrier, which leads to secondary damage to neurons. Therefore, studies on the mechanism and regulation of the development of the cerebrovascular barrier are very important in understanding and treating diseases of the central nervous system.

또한, 많은 종류의 약물과 대사물질이 뇌혈관 장벽을 투과하지 못하므로, 뇌혈관 장벽의 적절한 조절은, 치매를 포함한 여러가지 뇌질환을 치료함에 있어서 약물을 적재적소에 투여할 수 있는 아주 중요한 부분이 된다고 할 수 있다. 뇌혈관 장벽은 염증성질환(inflammatory disease), 종양(tumor) 등 여러 질환에서 손상되며, 외상(injury) 후에도 2 내지 3 주일 정도 기능을 못하는 경우가 있다. 이러한 성질을 이용하여 혈액 내로 추적물질(tracer substance)을 준 후 이 물질이 뇌의 어느 부분으로 투과해 들어가는지를 관찰하면 병변이 있는 장소를 추측하는 등의 연구가 이루어지고 있다.In addition, since many types of drugs and metabolites do not penetrate the cerebrovascular barrier, proper regulation of the cerebrovascular barrier is a very important part in which drugs can be administered appropriately in the treatment of various brain diseases including dementia. It can be said. The cerebrovascular barrier is damaged in various diseases, such as inflammatory diseases and tumors, and may fail to function for 2 to 3 weeks even after injury. Using these properties, a tracer substance is given into the blood, and then observation of which part of the brain penetrates into the brain has led to studies such as guessing the location of the lesion.

그러나, 뇌혈관 장벽으로 인해 대부분의 약물은 뇌에 전달되지 못하는 것이 현 상황이며, 현재 시판되고 있는 뇌질환 관련 약물은 뇌조직으로의 전달과 관련하여 어느 정도의 부작용을 나타내지만 치료 효과를 고려하여 사용되고 있는 것이 현실이다. 이에 따라, 뇌혈관 장벽를 통과하여 약물을 효과적으로 뇌조직으로 전달하는 방법에 대하여 꾸준한 연구가 진행되고 있다.However, the current situation is that most drugs cannot be delivered to the brain due to the cerebrovascular barrier, and currently available drugs for brain diseases show some side effects related to delivery to brain tissue, but considering the therapeutic effect What is being used is reality. Accordingly, continuous research is being conducted on a method of effectively delivering drugs to brain tissues through the cerebrovascular barrier.

미국공개특허 US 2010/0143241 A1(2010.06.10. 공개)US Patent Publication US 2010/0143241 A1 (2010.06.10. Published)

Scientific Reports | 6:33264 | DOI: 10.1038/srep33264 (2016.09.15.)Scientific Reports | 6: 33264 | DOI: 10.1038 / srep33264 (2016.09.15.) PLOS ONE May 2014 | Volume 9 | Issue 5 | e96327 (2014.05.02.)PLOS ONE May 2014 | Volume 9 | Issue 5 | e96327 (2014.05.02.)

본 발명의 발명자들은 초음파(집속초음파)를 이용한 뇌혈관 장벽 통과 약물 전달이 비침습적, 국소적으로 개통하므로 비외과적 방법으로서 관심받고 있으나, 전달되는 약물 대비 부작용이 여전히 존재하므로 이를 최소화하기 위한 약물의 효율적 전달 방법에 대하여 연구하던 중, 기존의 집속초음파 처리 단계에 앞서 추가적인 1차 처리 단계(마이크로버블의 처리 없이 집속초음파 처리)를 수행하는 집속초음파 처리 방법을 수행하면 기존 방법에 의한 경우보다 약 2.6배 높은 약물전달 효과가 있다는 것을 발견하였다.The inventors of the present invention have been receiving attention as a non-invasive method because the delivery of the drug through the cerebrovascular barrier using ultrasound (focused ultrasound) is non-invasive and open locally, but there are still side effects compared to the delivered drug, so drugs to minimize it While researching the efficient delivery method, the focused ultrasound processing method that performs an additional primary processing step (focused ultrasound processing without microbubble processing) prior to the existing focused ultrasound processing step is weaker than that of the conventional method. It was found that the drug delivery effect was 2.6 times higher.

따라서, 본 발명은 기존의 집속초음파 처리 단계에 앞서 마이크로버블의 처리 없이 집속초음파 처리를 수행하는 약물전달 방법을 제공하는 것을 목적으로 한다.Accordingly, an object of the present invention is to provide a drug delivery method for performing focused ultrasound processing without microbubble processing prior to the conventional focused ultrasound processing step.

본 발명의 일 측면에 따라, (a) 개체에 마이크로버블의 처리 없이 집속초음파를 파워 0.1 - 10 Mpa로 10 - 500초 동안 처리하는 1차 처리 단계; (b) 마이크로버블의 처리와 함께 집속초음파를 파워 0.1 - 10 Mpa로 10 - 500초 동안 처리하는 2차 처리 단계; 및 (c) 개체에 약물을 투여하는 단계를 포함하는, 뇌혈관 장벽(BBB)을 통한 약물전달 방법이 제공된다.According to an aspect of the present invention, (a) a primary processing step of processing focused ultrasound at a power of 0.1-10 Mpa for 10-500 seconds without processing microbubbles on the individual; (b) a second processing step of processing the focused ultrasound with power of 0.1-10 Mpa for 10-500 seconds along with the processing of the microbubble; And (c) administering the drug to the individual, a method of drug delivery through the cerebrovascular barrier (BBB) is provided.

일 구현예에서, 단계(a)에서 상기 집속초음파를 파워 1 Mpa로 처리하거나, 120초 동안 처리할 수 있다.In one embodiment, in step (a), the focused ultrasound may be processed with a power of 1 Mpa, or may be processed for 120 seconds.

일 구현예에서, 단계(b)에서 상기 집속초음파를 파워 0.47 Mpa 내지 0.6 Mpa로 처리하거나, 120초 동안 처리할 수 있다.In one embodiment, in step (b), the focused ultrasound may be treated with a power of 0.47 Mpa to 0.6 Mpa, or may be processed for 120 seconds.

일 구현예에서, 단계(c)에서 상기 약물을 정맥으로 투여할 수 있다.In one embodiment, the drug may be administered intravenously in step (c).

일 구현예에서, 상기 개체는 랫트, 개 및 고양이로 이루어진 군에서 선택된 1종이거나, 인간일 수 있다.In one embodiment, the individual may be a human selected from the group consisting of rat, dog and cat, or human.

본 발명의 다른 측면에 따라, 상기 약물전달 방법을 이용한 뇌로의 약물전달 기기가 제공된다.According to another aspect of the present invention, a drug delivery device to the brain using the drug delivery method is provided.

본 발명에 의해, 기존의 집속초음파 처리 단계에 앞서 추가적인 1차 처리 단계(마이크로버블의 처리 없이 집속초음파 처리)를 수행하는 집속초음파 처리 방법을 수행함으로써, 독소루비신을 이용하여 뇌조직으로의 약물전달을 확인한 결과, 기존 방법에 의한 경우보다 약 2.6배 높은 약물전달 효과가 있는 것으로 확인되어, 더 적은 양의 약물로도 효과적인 치료가 가능하여 부작용을 최소화할 수 있다는 것이 밝혀졌다.According to the present invention, prior to the conventional focused ultrasound processing step, by performing a focused ultrasound processing method that performs an additional primary processing step (focused ultrasound processing without microbubble processing), drug delivery to the brain tissue using doxorubicin is performed. As a result, it was confirmed that the drug delivery effect was about 2.6 times higher than that of the conventional method, and it was found that it is possible to effectively treat even a small amount of drug to minimize side effects.

따라서, 본 발명의 기존의 집속초음파 처리 단계에 앞서 마이크로버블의 처리 없이 집속초음파 처리를 수행하는 약물전달 방법은 뇌혈관 장벽으로 인해 치료가 어려운 퇴행성 뇌질환, 뇌암 등 장벽이 높은 뇌질환 치료 분야의 약물전달 방법 또는 의료기기 기술로서 유용하게 사용될 수 있다.Therefore, prior to the conventional focused ultrasound treatment step of the present invention, the drug delivery method for performing focused ultrasound treatment without microbubble treatment is a field of treatment for brain diseases with high barriers, such as degenerative brain disease and brain cancer, which are difficult to treat due to cerebrovascular barrier. It can be usefully used as a drug delivery method or medical device technology.

도 1은 MRgFUS 기기를 이용한 초음파 처리에 사용된 FUS 기기(RK-100) 구성의 개략도이다.
도 2는 동물에 집속초음파 처리 과정을 나타낸 개략도이다[(A) BBBD 처리군; (B) FUS 처리군; (C) FUS 및 BBBD 처리군].
도 3은 에반스 블루(Evans blue)의 투과성(permeability)을 나타낸 사진이다[(A): 대조군; (B) 에반스 블루 투여군].
도 4는 독소루비신(Doxorubicin, DOX)을 이용한 약물 전달을 확인한 결과이다.
도 5는 동물에 집속초음파 조사한 후, 뇌의 MRI 사진이다[(A) FUS+BBBD protocol과 BBBD protocol의 결과를 비교한 데이터; (B) FUS protocol과 비처리 결과를 비교한 데이터].
1 is a schematic diagram of a configuration of a FUS device (RK-100) used for ultrasonic processing using an MRgFUS device.
Figure 2 is a schematic diagram showing the focused ultrasound treatment process in the animal ((A) BBBD treatment group; (B) FUS treatment group; (C) FUS and BBBD treatment groups].
3 is a photograph showing the permeability of Evans blue ((A): control group; (B) Evans Blue group].
4 is a result confirming drug delivery using doxorubicin (DOX).
5 is an MRI photograph of the brain after irradiation with focused ultrasound on an animal [(A) Data comparing the results of the FUS + BBBD protocol and the BBBD protocol; (B) Data comparing FUS protocol and unprocessed results].

본 발명은 (a) 개체에 마이크로버블의 처리 없이 집속초음파를 파워 0.1 - 10 Mpa로 10 - 500초 동안 처리하는 1차 처리 단계; (b) 마이크로버블의 처리와 함께 집속초음파를 파워 0.1 - 10 Mpa로 10 - 500초 동안 처리하는 2차 처리 단계; 및 (c) 개체에 약물을 투여하는 단계를 포함하는, 뇌혈관 장벽(BBB)을 통한 약물전달 방법을 제공한다.The present invention (a) the first processing step of processing the focused ultrasound for 10 to 500 seconds at a power of 0.1-10 Mpa without the treatment of microbubbles on the individual; (b) a second processing step of processing the focused ultrasound with power of 0.1-10 Mpa for 10-500 seconds along with the processing of the microbubble; And (c) administering the drug to the individual, provides a method for drug delivery through the cerebrovascular barrier (BBB).

본 발명에서는 뇌혈관 장벽 붕괴를 유도할 수 있는 기술인 MRI 유도성 집속초음파(MRI-guided Focused Ultrasound, MRgFUS)를 이용하여 다양한 처리 조건에서의 뇌혈관 장벽의 붕괴 정도를 측정하여 뇌질환 관련 약물을 뇌조직으로 효율적으로 전달하기 위한 특정 조건을 도출하였다.In the present invention, a brain disease-related drug is measured by measuring the degree of collapse of the cerebrovascular barrier under various treatment conditions using MRI-guided Focused Ultrasound (MRGFUS), a technique capable of inducing the collapse of the cerebrovascular barrier. Specific conditions were derived for efficient delivery to the tissue.

상기 단계(a)는 기존의 집속초음파 처리 단계에 앞서 마이크로버블의 처리 없이 집속초음파 처리를 수행하는 단계이다.The step (a) is a step of performing focused ultrasound processing without microbubble processing prior to the existing focused ultrasound processing step.

일 구현예에서, 단계(a)에서의 상기 집속초음파는 파워 1 Mpa로 처리하거나, 120초 동안 처리할 수 있다.In one embodiment, the focused ultrasound in step (a) may be processed with a power of 1 Mpa or 120 seconds.

상기 단계(b)는 마이크로버블의 처리 없이 집속초음파 처리를 수행한 이후에 마이크로버블의 처리와 함께 집속초음파를 처리하는 단계이다.The step (b) is a step of processing the focused ultrasound together with the processing of the microbubble after performing the focused ultrasound processing without the processing of the microbubbles.

일 구현예에서, 단계(b)에서의 상기 집속초음파는 파워 0.47 Mpa 내지 0.6 Mpa로 처리하거나, 120초 동안 처리할 수 있다.In one embodiment, the focused ultrasound in step (b) may be treated with a power of 0.47 Mpa to 0.6 Mpa, or for 120 seconds.

일 구현예에서, 단계(c)에서 상기 약물을 정맥으로 투여할 수 있다. 상기 약물은 뇌질환 분야에서 사용되는 뇌질환 관련 약물이다.In one embodiment, the drug may be administered intravenously in step (c). The drug is a brain disease-related drug used in the field of brain disease.

일 구현예에서, 상기 개체는 MRgFUS 기술이 사용가능한 개체라면 제한되지 않으며, 바람직하게는 랫트, 개 및 고양이로 이루어진 군에서 선택된 1종이거나, 인간일 수 있다.In one embodiment, the individual is not limited as long as the MRgFUS technology is available, and may be one or a human selected from the group consisting of rats, dogs, and cats.

또한, 본 발명은 상기 약물전달 방법을 이용한 뇌로의 약물전달 기기를 제공한다.In addition, the present invention provides a drug delivery device to the brain using the drug delivery method.

이하, 본 발명을 실시예를 통하여 더욱 상세히 설명한다. 그러나, 하기 실시예는 본 발명을 예시하기 위한 것으로, 본 발명의 범위가 이에 제한되는 것은 아니다.Hereinafter, the present invention will be described in more detail through examples. However, the following examples are intended to illustrate the present invention, and the scope of the present invention is not limited thereto.

<실시예><Example>

1. 초음파 처리1. Ultrasonic treatment

MRgFUS 기기를 이용한 초음파 처리는 FUS 기기(RK-100)를 사용하였으며, 도 1에 기기 구성의 개략도가 나타나 있다.For the ultrasonic treatment using the MRgFUS device, a FUS device (RK-100) was used, and a schematic diagram of the device configuration is shown in FIG. 1.

초음파 처리 과정은 하기와 같다. MRI를 통한 이미지 가이드로서 T1 및 T2-강조(weight) MR 이미지를 촬영하였다. 초음파 처리 영역은 랫트 뇌의 T2-강조 이미지를 대상으로 하였다. 마이크로버블 처리 단계가 포함되지 않는 과정에서는, 적합한 파워의 네가티브 음압(peak negative acoustic pressure)을 사용하였다(1 Mpa). 마이크로버블 처리 단계가 포함되는 과정에서는, 초음파 처리 전에, 활성화된 마이크로버블(microbubble)을 생리식염수로 1:50으로 희석하고, 자동화 시린지 펌프(Pump 11, Harvard Apparatus, Holliston, MA, USA)를 사용하여 개시로 10 초 동안 꼬리 정맥 카테터를 통해 주입하였다. 그 다음, 각 처리 단계에 적합한 파워의 네가티브 음압(peak negative acoustic pressure)을 사용하여(0.47 Mpa 또는 0.6 Mpa) 초점 영역에 미세 주입하여 뇌혈관 장벽을 붕괴시켰다. 초음파 처리 후, 약물(독소루비신, 5.67 mg/kg)을 투여(IV)하고, 뇌혈관 장벽 붕괴 확인을 위해 에반스 블수 염료를 투여(IV)하여 T1-강조 MR 이미지를 찍었고, 독소루비신 처리한 후 24시간 지난 후에 랫트를 치사시켜 뇌조직을 적출하였다.The sonication process is as follows. T1 and T2-weighted MR images were taken as image guides through MRI. The ultrasound treatment region targeted T2-highlighted images of rat brains. In the process where the microbubble processing step was not included, a peak negative acoustic pressure of suitable power was used (1 Mpa). In the process involving the microbubble treatment step, prior to sonication, the activated microbubble is diluted 1:50 with physiological saline, and an automated syringe pump (Pump 11, Harvard Apparatus, Holliston, MA, USA) is used. The infusion was injected through the tail vein catheter for 10 seconds. The cerebrovascular barrier was then disrupted by microinjection into the focal region using a peak negative acoustic pressure of power suitable for each treatment step (0.47 Mpa or 0.6 Mpa). After sonication, the drug (doxorubicin, 5.67 mg / kg) was administered (IV), and Evans Blous dye was administered (IV) to confirm the breakdown of the cerebrovascular barrier, and T1-weighted MR images were taken, and 24 hours after doxorubicin treatment. After this, rat tissue was killed to remove brain tissue.

초음파 처리는 도 2 및 하기 표 1에 나타난 프로토콜(protocol)로 수행하였으며, (A) 마이크로버블의 처리와 함께 집속초음파를 처리한 군[BBBD], (B) 마이크로버블의 처리 없이 집속초음파를 처리한 군[FUS], (C) 마이크로버블의 처리 없이 집속초음파 처리를 수행한 후에 마이크로버블의 처리와 함께 집속초음파를 처리한 군[FUS+BBBD]으로 나누어 수행하였다. 초음파 처리 파라미터(parameter)는 하기 표 1과 같다.The ultrasonic treatment was performed by the protocol shown in FIG. 2 and Table 1 below, (A) the group treated with focused ultrasound along with the processing of the microbubbles [BBBD], and (B) the focused ultrasound without processing the microbubbles. One group [FUS], (C) was performed by performing focused ultrasound processing without microbubble treatment and then dividing it into the group treated with focused ultrasound [FUS + BBBD] along with microbubble processing. The ultrasonic treatment parameters are shown in Table 1 below.

프로토콜protocol 마이크로버블 처리Microbubble processing 파워* Power* 모드(Mode)Mode PRF**PRF ** DurationDuration FUSFUS XX 1 Mpa1 Mpa 10 ms Burst10 ms Burst 1 Hz1 Hz 120 sec120 sec BBBDBBBD OO 0.47 Mpa or 0.6 Mpa0.47 Mpa or 0.6 Mpa 10 ms Burst10 ms Burst 1 Hz1 Hz 120 sec120 sec * 0.47 Mpa : Anterior (Caudate putamen), Posterior (Thalamus)
** PRF : Pulse Repetition Frequency
* 0.47 Mpa: Anterior (Caudate putamen), Posterior (Thalamus)
** PRF: Pulse Repetition Frequency

2. 염료 및 약물의 뇌조직으로의 전달 결과2. Results of dye and drug delivery to brain tissue

에반스 블루(Evans blue)의 투과성(permeability)을 측정한 결과를 도 3에 나타내었다[(A): 대조군; (B) 에반스 블루 투여군]. 도 3에 나타난 바와 같이, 본 발명의 방법을 이용한 랫트의 뇌조직 왼쪽 부위가 기존 방법에 의한 뇌조직 오른쪽 부위보다 진한 색을 나타내는 것을 알 수 있다.The results of measuring the permeability of Evans blue are shown in FIG. 3 ((A): control group; (B) Evans Blue group]. As shown in FIG. 3, it can be seen that the left portion of the brain tissue of the rat using the method of the present invention exhibits a darker color than the right portion of the brain tissue by the conventional method.

또한, 도 4에 독소루비신(Doxorubicin, DOX)을 이용한 약물전달 결과가 나타나 있다. 도 4에 나타난 바와 같이, 본 발명의 방법을 이용한 뇌조직 부위가 기존 방법에 의한 뇌조직 부위보다 약 2.6배 높은 약물 농도를 나타내는 것을 알 수 있다.In addition, Fig. 4 shows the results of drug delivery using doxorubicin (DOX). As shown in Figure 4, it can be seen that the brain tissue region using the method of the present invention exhibits a drug concentration of about 2.6 times higher than that of the brain tissue region by the conventional method.

3. MRI 측정 결과3. MRI measurement results

FUS+BBBD 프로토콜, BBBD 프로토콜, FUS 프로토콜 및 비처리 결과를 도 5에 나타내었다. 도 5에 나타난 바와 같이, FUS+BBBD 프로토콜 영역이 BBBD 프로토콜 영역보다 MR 강도(intensity)가 증가한 것을 알 수 있고, FUS 프로토콜만 처리한 영역은 비처리한 영역과 유사하게 MR 강도의 변화가 없는 것을 알 수 있다.The FUS + BBBD protocol, BBBD protocol, FUS protocol and non-treatment results are shown in FIG. 5. As shown in FIG. 5, it can be seen that the MR intensity of the FUS + BBBD protocol region is increased than that of the BBBD protocol region, and that the region treated with only the FUS protocol has no change in MR strength similar to the untreated region. Able to know.

Claims (9)

(a) 인간이 아닌 개체에 마이크로버블의 처리 없이 집속초음파를 파워 1 Mpa로 10 - 500초 동안 처리하는 1차 처리 단계;
(b) 마이크로버블의 처리와 함께 집속초음파를 파워 0.47 Mpa 내지 0.6 Mpa로 10 - 500초 동안 처리하는 2차 처리 단계; 및
(c) 인간이 아닌 개체에 약물을 투여하는 단계
를 포함하는, 뇌혈관 장벽(BBB)을 통한 약물전달 방법.
(a) a primary processing step of processing focused ultrasound at power 1 Mpa for 10-500 seconds without processing microbubbles on non-human subjects;
(b) a second processing step of processing focused ultrasound with power of 0.47 Mpa to 0.6 Mpa for 10-500 seconds together with the processing of microbubbles; And
(c) administering the drug to a non-human subject
A method of drug delivery through a cerebrovascular barrier (BBB).
삭제delete 제1항에 있어서, 단계(a)에서 상기 집속초음파를 120초 동안 처리하는 것을 특징으로 하는 약물전달 방법.
The method of claim 1, wherein in step (a), the focused ultrasound is processed for 120 seconds.
삭제delete 제1항에 있어서, 단계(b)에서 상기 집속초음파를 120초 동안 처리하는 것을 특징으로 하는 약물전달 방법.
The method of claim 1, wherein in step (b), the focused ultrasound is processed for 120 seconds.
제1항에 있어서, 단계(c)에서 상기 약물을 정맥으로 투여하는 것을 특징으로 하는 약물전달 방법.
The method of claim 1, wherein in step (c), the drug is administered intravenously.
제1항에 있어서, 상기 개체가 랫트, 개 및 고양이로 이루어진 군에서 선택된 1종인 것을 특징으로 하는 약물전달 방법.
The method according to claim 1, wherein the individual is one selected from the group consisting of rat, dog and cat.
삭제delete 삭제delete
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