Hydralazine augmented ultrasound hyperthermia for the treatment of hepatocellular carcinoma.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
30 07 2021
Historique:
received: 17 02 2021
accepted: 01 07 2021
entrez: 31 7 2021
pubmed: 1 8 2021
medline: 9 11 2021
Statut: epublish

Résumé

This study investigates the use of hydralazine to enhance ultrasound hyperthermia for the treatment of hepatocellular carcinoma (HCC) by minimizing flow-mediated heat loss from the tumor. Murine HCC tumors were treated with a continuous mode ultrasound with or without an intravenous administration of hydralazine (5 mg/kg). Tumor blood flow and blood vessels were evaluated by contrast-enhanced ultrasound (CEUS) imaging and histology, respectively. Hydralazine markedly enhanced ultrasound hyperthermia through the disruption of tumor blood flow in HCC. Ultrasound treatment with hydralazine significantly reduced peak enhancement (PE), perfusion index (PI), and area under the curve (AUC) of the CEUS time-intensity curves by 91.9 ± 0.9%, 95.7 ± 0.7%, and 96.6 ± 0.5%, compared to 71.4 ± 1.9%, 84.7 ± 1.1%, and 85.6 ± 0.7% respectively without hydralazine. Tumor temperature measurements showed that the cumulative thermal dose delivered by ultrasound treatment with hydralazine (170.8 ± 11.8 min) was significantly higher than that without hydralazine (137.7 ± 10.7 min). Histological assessment of the ultrasound-treated tumors showed that hydralazine injection formed larger hemorrhagic pools and increased tumor vessel dilation consistent with CEUS observations illustrating the augmentation of hyperthermic effects by hydralazine. In conclusion, we demonstrated that ultrasound hyperthermia can be enhanced significantly by hydralazine in murine HCC tumors by modulating tumor blood flow. Future studies demonstrating the safety of the combined use of ultrasound and hydralazine would enable the clinical translation of the proposed technique.

Identifiants

pubmed: 34330960
doi: 10.1038/s41598-021-94323-0
pii: 10.1038/s41598-021-94323-0
pmc: PMC8324788
doi:

Substances chimiques

Contrast Media 0
Hydralazine 26NAK24LS8

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

15553

Subventions

Organisme : NCI NIH HHS
ID : R01 CA204446
Pays : United States
Organisme : NIH HHS
ID : S10 OD016310
Pays : United States
Organisme : NIH HHS
ID : S10657301
Pays : United States
Organisme : NIBIB NIH HHS
ID : R01 EB022612
Pays : United States

Informations de copyright

© 2021. The Author(s).

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Auteurs

Mrigendra B Karmacharya (MB)

Ultrasound Research Laboratory, Department of Radiology, Perelman School of Medicine, University of Pennsylvania, 3620 Hamilton Walk, Philadelphia, PA, 19104, USA.

Laith R Sultan (LR)

Ultrasound Research Laboratory, Department of Radiology, Perelman School of Medicine, University of Pennsylvania, 3620 Hamilton Walk, Philadelphia, PA, 19104, USA.

Stephen J Hunt (SJ)

Penn Image-Guided Interventions Lab, Department of Radiology, Perelman School of Medicine, University of Pennsylvania, 421 Curie Blvd, 646 BRB II/III, Philadelphia, PA, 19104, USA.

Chandra M Sehgal (CM)

Ultrasound Research Laboratory, Department of Radiology, Perelman School of Medicine, University of Pennsylvania, 3620 Hamilton Walk, Philadelphia, PA, 19104, USA. Chandra.Sehgal@pennmedicine.upenn.edu.

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