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A Multilayer Nanofibrous Mat for the Topical Chemotherapy of the Positive Margin in Bladder Cancer

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单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Urol,Wuhan,Peoples R China [2]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Surg,Wuhan,Peoples R China [3]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Thorac Surg,Wuhan,Peoples R China [4]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Gynaecol & Obstet,Wuhan,Peoples R China [5]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Urol,1095 Jiefang Ave,Wuhan 430030,Peoples R China
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关键词: electrostatic spinning drug delivery system topical chemotherapy bladder cancer positive surgical margin

摘要:
Treatment of positive margins after solid tumor resection remains a significant challenge for clinicians. Owing to unique structural features, electrospun nanofibrous mats are promised to be an implantable antitumor system through the delivery of active agents in a controlled manner. In this study, we utilized sequential electrospinning to fabricate a multilayer mat in which gemcitabine (GEM) and cisplatin (CDDP) were electrospun individually in distinct layers. By designing the structure, the multilayer mat could deliver antitumor agents sustainedly and prolong the release of GEM, which is loaded in the inner layer. In vitro assays show that the multilayer mats effectively inhibit bladder cancer (BC) cells and elevate apoptosis. In animal models of BC, the implantable drug-loaded fibrous mat can effectively treat positive margins and prevent local recurrence. Moreover, the local delivery of GEM and CDDP significantly lowers liver toxicity compared with systemic chemotherapy. In summary, a multilayer nanofibrous mat is developed for the localized and controlled delivery of GEM, dramatically improving the treatment of residual tumors and preventing BC recurrence. Impact statementThe designed multilayer nanofibrous mats can achieve two chemotherapeutic drugs (gemcitabine and cisplatin) co-loading and time-programmed sustained release, significantly improving our previous study. The antitumor effect of the drug-loaded mat in vivo and in vitro was sufficiently demonstrated. We expect to bring a new strategy of topical chemotherapy for treating positive surgical margins in bladder cancer.

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出版当年[2021]版:
大类 | 2 区 医学
小类 | 3 区 细胞与组织工程 3 区 细胞生物学 3 区 工程:生物医学 3 区 材料科学:生物材料
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 细胞生物学 3 区 工程:生物医学 4 区 细胞与组织工程 4 区 材料科学:生物材料
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出版当年[2020]版:
Q2 ENGINEERING, BIOMEDICAL Q3 CELL BIOLOGY Q3 CELL & TISSUE ENGINEERING Q3 MATERIALS SCIENCE, BIOMATERIALS
最新[2023]版:
Q2 ENGINEERING, BIOMEDICAL Q3 CELL & TISSUE ENGINEERING Q3 CELL BIOLOGY Q3 MATERIALS SCIENCE, BIOMATERIALS

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Urol,Wuhan,Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Urol,Wuhan,Peoples R China [5]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Urol,1095 Jiefang Ave,Wuhan 430030,Peoples R China
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