PMID- 29658349 OWN - NLM STAT- MEDLINE DCOM- 20190603 LR - 20190603 IS - 2169-141X (Electronic) IS - 2169-1401 (Linking) VI - 46 IP - sup2 DP - 2018 TI - Biodegradable hybrid-structured nanofibrous membrane supported chemoprotective gene therapy enhances chemotherapy tolerance and efficacy in malignant glioma rats. PG - 515-526 LID - 10.1080/21691401.2018.1460374 [doi] AB - Chemotherapy is ineffective for treating malignant glioma (MG) because of the low therapeutic levels of pharmaceuticals in tumour tissues and the well-known tumour resistance. The resistance to alkylators is modulated by the DNA repair protein O(6)-alkylguanine-DNA alkyltransferase (AGT). O(6)-benzylguanine (O(6)-BG) can irreversibly inactivate AGT by competing with O(6)-methylguanine and has been confirmed to increase the therapeutic activity of alkylators. We developed hybrid-structured poly[(d,l)-lactide-co-glycolide] nanofibrous membranes (HSNMs) that enable the sequential and sustained release of O(6)-BG and two alkylators (carmustine and temozolomide [TMZ]). HSNMs were surgically instilled into the cerebral cavity of pathogen-free rats and F98 glioma-bearing rats. The release behaviours of loaded drugs were quantified by using high-performance liquid chromatography. The treatment results were compared with the rats treated with intraperitoneal injection of O(6)-BG combined with surgical implantation of carmustine wafer and oral TMZ. The HSNMs revealed a sequential drug release behaviour with the elution of high drug concentrations of O(6)-BG in the early phase, followed by high levels of two alkylators. All drug concentrations remained high for over 14 weeks. Tumour growth was slower and the mean survival time was significantly prolonged in the HSNM-treated group. Biodegradable HSNMs can enhance therapeutic efficacy and prevent toxic systemic effects. FAU - Liu, Shih-Jung AU - Liu SJ AUID- ORCID: 0000-0003-2083-4865 AD - a Department of Mechanical Engineering , Chang Gung University , Tao-Yuan , Taiwan, ROC. AD - b Department of Orthopedic Surgery , Chang Gung Memorial Hospital , Tao-Yuan , Taiwan, ROC. FAU - Yang, Tao-Chieh AU - Yang TC AUID- ORCID: 0000-0003-4523-2422 AD - c Department of Neurosurgery , Asia University Hospital , Taichung , Taiwan, ROC. FAU - Yang, Shun-Tai AU - Yang ST AD - d Division of Neurosurgery, Department of Surgery , Shuang Ho Hospital, Taipei Medical University , Taipei , Taiwan, ROC. AD - e Department of Surgery, School of Medicine, College of Medicine , Taipei Medical University , Taipei , Taiwan, ROC. FAU - Chen, Ying-Chun AU - Chen YC AD - a Department of Mechanical Engineering , Chang Gung University , Tao-Yuan , Taiwan, ROC. FAU - Tseng, Yuan-Yun AU - Tseng YY AUID- ORCID: 0000-0003-4968-3298 AD - d Division of Neurosurgery, Department of Surgery , Shuang Ho Hospital, Taipei Medical University , Taipei , Taiwan, ROC. AD - e Department of Surgery, School of Medicine, College of Medicine , Taipei Medical University , Taipei , Taiwan, ROC. LA - eng PT - Journal Article DEP - 20180416 PL - England TA - Artif Cells Nanomed Biotechnol JT - Artificial cells, nanomedicine, and biotechnology JID - 101594777 RN - 0 (Antineoplastic Agents) RN - 0 (Drug Carriers) SB - IM MH - Animals MH - Antineoplastic Agents/adverse effects/chemistry/*pharmacology MH - Brain Neoplasms/drug therapy/genetics/*pathology/*therapy MH - Drug Carriers/chemistry/metabolism MH - Drug Liberation MH - *Genetic Therapy MH - Glioma/drug therapy/genetics/*pathology/*therapy MH - Magnetic Resonance Imaging MH - Male MH - Nanofibers/*chemistry MH - Rats MH - Survival Analysis MH - Tumor Burden/drug effects OTO - NOTNLM OT - -benzylguanine (-BG) OT - Nanofibrous membrane OT - alkylguanine-DNA alkyltransferase (AGT) OT - chemo-resistance OT - malignant glioma OT - poly[(d,l)-lactide-co-glycolide] (PLGA) EDAT- 2018/04/17 06:00 MHDA- 2019/06/04 06:00 CRDT- 2018/04/17 06:00 PHST- 2018/04/17 06:00 [pubmed] PHST- 2019/06/04 06:00 [medline] PHST- 2018/04/17 06:00 [entrez] AID - 10.1080/21691401.2018.1460374 [doi] PST - ppublish SO - Artif Cells Nanomed Biotechnol. 2018;46(sup2):515-526. doi: 10.1080/21691401.2018.1460374. Epub 2018 Apr 16.