20 results on '"Ruiz-Hernandez E"'
Search Results
2. Mesoporous magnetic microspheres for drug targeting
- Author
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Ruiz-Hernández, E., López-Noriega, A., Arcos, D., and Vallet-Regí, M.
- Published
- 2008
- Full Text
- View/download PDF
3. Drug and cell delivery for cardiac regeneration
- Author
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Hastings, C.L., Roche, E.T., Ruiz-Hernandez, E., Schenke-Layland, Katja, Walsh, C.J., Duffy, G.P., and Publica
- Abstract
The spectrum of ischaemic cardiomyopathy, encompassing acute myocardial infarction to congestive heart failure is a significant clinical issue in the modern era. This group of diseases is an enormous source of morbidity and mortality and underlies significant healthcare costs worldwide. Cardiac regenerative therapy, whereby pro-regenerative cells, drugs or growth factors are administered to damaged and ischaemic myocardium has demonstrated significant potential, especially preclinically. While some of these strategies have demonstrated a measure of success in clinical trials, tangible clinical translation has been slow. To date, the majority of clinical studies and a significant number of preclinical studies have utilised relatively simple delivery methods for regenerative therapeutics, such as simple systemic administration or local injection in saline carrier vehicles. Here, we review cardiac regenerative strategies with a particular focus on advanced delivery concept s as a potential means to enhance treatment efficacy and tolerability and ultimately, clinical translation. These include (i) delivery of therapeutic agents in biomaterial carriers, (ii) nanoparticulate encapsulation, (iii) multimodal therapeutic strategies and (iv) localised, minimally invasive delivery via percutaneous transcatheter systems.
- Published
- 2015
4. Spatiotemporal delivery of small molecule therapeutics using a thermosensitive liposome loaded hydrogel
- Author
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O'Neill, H., primary, Herron, C., additional, Hastings, C., additional, Lopez-Noriega, A., additional, Kelly, H.M., additional, O'Brien, F.J., additional, Ruiz-Hernandez, E., additional, and Duffy, G.P., additional
- Published
- 2015
- Full Text
- View/download PDF
5. Ordered Mesoporous Microspheres for Bone Grafting and Drug Delivery
- Author
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Arcos, D., Lopez-Noriega, A., Ruiz-Hernandez, E., Terasaki, Osamu, Vallet-Reg, M., Arcos, D., Lopez-Noriega, A., Ruiz-Hernandez, E., Terasaki, Osamu, and Vallet-Reg, M.
- Abstract
Bioactive microspheres with ordered mesoporous structure have been synthesized by means of the evaporation-induced self-assembly (EISA) method and following an aerosol-assisted route. The bioactive microspheres belong to the SiO2-CaO-P2O5 systems, and the mesoporous structure closely depends on the structure-directing agent as well as its interaction with the Ca2+ cations during the mesophase formation. Among the different tested surfactants, the triblock copolymer F127 leads to hexagonal ordered structures for low CaO contents, P123 leads to wormlike mesoporous structures for any CaO content, whereas the ionic surfactant cetyltrimethyl ammonium bromide (C16TAB) does not produce accessible mesopores at the external surface, for any CaO content. All the mesoporous SiO2-CaO-P2O5 microspheres develop an apatite like layer when reacting with simulated body fluid. Preliminary tests indicate the capability to load and release triclosan with kinetic profiles that depend on the pore structure, thus showing interesting features to be used in periodontal regenerative surgery and infection profilaxis.
- Published
- 2009
- Full Text
- View/download PDF
6. Closed-Loop Control of Renal Perfusion Pressure in Physiological Experiments
- Author
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Campos-Delgado, D. U., primary, Bonilla, I., additional, Rodriguez-Martinez, M., additional, Sanchez-Briones, M. E., additional, and Ruiz-Hernandez, E., additional
- Published
- 2013
- Full Text
- View/download PDF
7. Aerosol-Assisted Synthesis of Magnetic Mesoporous Silica Spheres for Drug Targeting
- Author
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Ruiz-Hernandez, E., Lopez-Noriega, A., Arcos, D., Izquierdo-Barba, I., Terasaki, Osamu, Vallet-Regi, M., Ruiz-Hernandez, E., Lopez-Noriega, A., Arcos, D., Izquierdo-Barba, I., Terasaki, Osamu, and Vallet-Regi, M.
- Published
- 2007
- Full Text
- View/download PDF
8. Chlorotoxin-functionalized mesoporous silica nanoparticles for pH-responsive paclitaxel delivery to Glioblastoma multiforme.
- Author
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Mundžić M, Ultimo A, Mladenović M, Pavlović A, Gobbo OL, Ruiz-Hernandez E, Santos-Martinez MJ, and Knežević NŽ
- Abstract
Glioblastoma multiforme (GBM) is a highly aggressive brain cancer associated with poor survival rates. We developed novel mesoporous silica nanoparticles (MSNs)-based nanocarriers for pH-responsive delivery of a therapeutic drug Paclitaxel (PTX) to GBM tumor cells. The pores of MSNs are loaded with PTX, which is retained by β-cyclodextrin (CD) moieties covalently linked to the pore entrances through a hydrazone linkage, which is cleavable in weakly acidic environment. Furthermore, we utilized a host-guest interaction between the adamantane and capping CD moieties to further functionalize the surface with a potential glioma-targeting oligopeptide chlorotoxin (CHX). In vitro studies in the U87 GBM cell line show decreased uptake, but increased toxicity of CHX-modified nanoparticles compared to CHX-free nanoparticles. The obtained results are promising toward development of advanced drug nanocarriers, which may target the overexpressed receptors in cancer tissues and utilize their weakly acidic environment for triggering the drug release, potentially leading to more efficient cancer treatments., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors. Published by Elsevier Ltd.)
- Published
- 2024
- Full Text
- View/download PDF
9. Nanocomposite formulation for a sustained release of free drug and drug-loaded responsive nanoparticles: an approach for a local therapy of glioblastoma multiforme.
- Author
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Erthal LCS, Shi Y, Sweeney KJ, Gobbo OL, and Ruiz-Hernandez E
- Subjects
- Adult, Humans, Delayed-Action Preparations therapeutic use, Neoplasm Recurrence, Local drug therapy, Neoplasm Recurrence, Local pathology, Temozolomide therapeutic use, Paclitaxel, Hydrogels therapeutic use, Cell Line, Tumor, Glioblastoma pathology, Brain Neoplasms drug therapy, Brain Neoplasms pathology, Nanoparticles, Nanocomposites
- Abstract
Malignant gliomas are a type of primary brain tumour that originates in glial cells. Among them, glioblastoma multiforme (GBM) is the most common and the most aggressive brain tumour in adults, classified as grade IV by the World Health Organization. The standard care for GBM, known as the Stupp protocol includes surgical resection followed by oral chemotherapy with temozolomide (TMZ). This treatment option provides a median survival prognosis of only 16-18 months to patients mainly due to tumour recurrence. Therefore, enhanced treatment options are urgently needed for this disease. Here we show the development, characterization, and in vitro and in vivo evaluation of a new composite material for local therapy of GBM post-surgery. We developed responsive nanoparticles that were loaded with paclitaxel (PTX), and that showed penetration in 3D spheroids and cell internalization. These nanoparticles were found to be cytotoxic in 2D (U-87 cells) and 3D (U-87 spheroids) models of GBM. The incorporation of these nanoparticles into a hydrogel facilitates their sustained release in time. Moreover, the formulation of this hydrogel containing PTX-loaded responsive nanoparticles and free TMZ was able to delay tumour recurrence in vivo after resection surgery. Therefore, our formulation represents a promising approach to develop combined local therapies against GBM using injectable hydrogels containing nanoparticles., (© 2023. The Author(s).)
- Published
- 2023
- Full Text
- View/download PDF
10. Intranasal Polymeric and Lipid-Based Nanocarriers for CNS Drug Delivery.
- Author
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Maher R, Moreno-Borrallo A, Jindal D, Mai BT, Ruiz-Hernandez E, and Harkin A
- Abstract
Nanomedicine is currently focused on the design and development of nanocarriers that enhance drug delivery to the brain to address unmet clinical needs for treating neuropsychiatric disorders and neurological diseases. Polymer and lipid-based drug carriers are advantageous for delivery to the central nervous system (CNS) due to their safety profiles, drug-loading capacity, and controlled-release properties. Polymer and lipid-based nanoparticles (NPs) are reported to penetrate the blood-brain barrier (BBB) and have been extensively assessed in in vitro and animal models of glioblastoma, epilepsy, and neurodegenerative disease. Since approval by the Food and Drug Administration (FDA) of intranasal esketamine for treatment of major depressive disorder, intranasal administration has emerged as an attractive route to bypass the BBB for drug delivery to the CNS. NPs can be specifically designed for intranasal administration by tailoring their size and coating with mucoadhesive agents or other moieties that promote transport across the nasal mucosa. In this review, unique characteristics of polymeric and lipid-based nanocarriers desirable for drug delivery to the brain are explored in addition to their potential for drug repurposing for the treatment of CNS disorders. Progress in intranasal drug delivery using polymeric and lipid-based nanostructures for the development of treatments of various neurological diseases are also described.
- Published
- 2023
- Full Text
- View/download PDF
11. Advanced mesoporous silica nanocarriers in cancer theranostics and gene editing applications.
- Author
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Živojević K, Mladenović M, Djisalov M, Mundzic M, Ruiz-Hernandez E, Gadjanski I, and Knežević NŽ
- Subjects
- Drug Carriers therapeutic use, Drug Delivery Systems, Gene Editing, Humans, Porosity, Precision Medicine, Silicon Dioxide therapeutic use, Nanoparticles, Neoplasms drug therapy
- Abstract
Targeted nanomaterials for cancer theranostics have been the subject of an expanding volume of research studies in recent years. Mesoporous silica nanoparticles (MSNs) are particularly attractive for such applications due to possibilities to synthesize nanoparticles (NPs) of different morphologies, pore diameters and pore arrangements, large surface areas and various options for surface functionalization. Functionalization of MSNs with different organic and inorganic molecules, polymers, surface-attachment of other NPs, loading and entrapping cargo molecules with on-desire release capabilities, lead to seemingly endless prospects for designing advanced nanoconstructs exerting multiple functions, such as simultaneous cancer-targeting, imaging and therapy. Describing composition and multifunctional capabilities of these advanced nanoassemblies for targeted therapy (passive, ligand-functionalized MSNs, stimuli-responsive therapy), including one or more modalities for imaging of tumors, is the subject of this review article, along with an overview of developments within a novel and attractive research trend, comprising the use of MSNs for CRISPR/Cas9 systems delivery and gene editing in cancer. Such advanced nanconstructs exhibit high potential for applications in image-guided therapies and the development of personalized cancer treatment., (Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
12. Biocompatible copolymer formulations to treat glioblastoma multiforme.
- Author
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Erthal LCS, Gobbo OL, and Ruiz-Hernandez E
- Subjects
- Carmustine, Humans, Neoplasm Recurrence, Local, Polymers, Quality of Life, Brain Neoplasms drug therapy, Glioblastoma drug therapy
- Abstract
The treatment for glioblastoma multiforme (GBM) has not changed for more than 20 years while the prognosis for the patients is still poor and most of them survive less than 1 year after diagnosis. The standard of care for GBM is comprised of surgical resection followed by radiotherapy and oral chemotherapy with temozolomide. The placement of carmustine wafers in the brain after tumour removal is added in cases of recurrent glioma. Significant research is underway to improve the GBM therapy outcome and patient quality of life. Biomaterials are in the front line of the research focus for new treatment options. Specially, biocompatible polymers have been proposed in hydrogel-based formulations aiming at injectable and localized therapies. These formulations can comprise many different pharmacological agents such as chemotherapeutic drugs, nanoparticles, cells, nucleic acids, and diagnostic agents. In this manuscript, we review the most recent formulations developed and tested both in vitro and in vivo using different types of hydrogels. Firstly, we describe three common types of thermo-responsive polymers addressing the advantages and drawbacks of their formulations. Then, we focus on formulations specifically developed for GBM treatment., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2020. Published by Elsevier Ltd.)
- Published
- 2021
- Full Text
- View/download PDF
13. Amino-Functionalized Mesoporous Silica Nanoparticle-Encapsulated Octahedral Organoruthenium Complex as an Efficient Platform for Combatting Cancer.
- Author
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Martínez-Carmona M, Ho QP, Morand J, García A, Ortega E, Erthal LCS, Ruiz-Hernandez E, Santana MD, Ruiz J, Vallet-Regí M, and Gun'ko YK
- Subjects
- Antineoplastic Agents chemistry, Apoptosis drug effects, Cell Line, Tumor, Coordination Complexes chemistry, Drug Screening Assays, Antitumor, Humans, Ruthenium chemistry, Antineoplastic Agents pharmacology, Coordination Complexes pharmacology, Drug Carriers chemistry, Nanoparticles chemistry, Silicon Dioxide chemistry
- Abstract
In the process of synthesis of a new drug, as important as the drug itself is the formulation used, because the same compound can present a very different efficacy depending on how it is administered. In this work, we demonstrate how the antitumor capacity of a new octahedral organoruthenium complex, [Ru(ppy-CHO)(phen)
2 ][PF6 ] is affected by its encapsulation in different types of mesoporous silica nanoparticles. The interactions between the Ru complex and the silica matrix and how these interactions are affected at two different pHs (7.4 and 5.4, mimicking physiological and endolysosomal acidic conditions, respectively) have been studied. The encapsulation has also been shown to affect the induction of apoptosis and necrosis and progression of the cell cycle compared to the free drug. The encapsulation of the Ru complex in nanoparticles functionalized with amino groups produced very high anticancer activity in cancer cells in vitro , especially against U87 glioblastoma cells, favoring cellular internalization and significantly increasing the anticancer capacity of the initial non-encapsulated Ru complex.- Published
- 2020
- Full Text
- View/download PDF
14. Cancer nanomedicine meets immunotherapy: opportunities and challenges.
- Author
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Sun Q, Bai X, Sofias AM, van der Meel R, Ruiz-Hernandez E, Storm G, Hennink WE, De Geest B, Kiessling F, Yu HJ, Lammers T, and Shi Y
- Subjects
- Humans, Neoplasms immunology, Neoplasms pathology, Antibodies, Monoclonal, Humanized therapeutic use, Antineoplastic Agents therapeutic use, Immunotherapy, Nanomedicine, Neoplasms therapy
- Abstract
Cancer nanomedicines have shown promise in combination immunotherapy, thus far mostly preclinically but also already in clinical trials. Combining nanomedicines with immunotherapy aims to reinforce the cancer-immunity cycle, via potentiating key steps in the immune reaction cascade, namely antigen release, antigen processing, antigen presentation, and immune cell-mediated killing. Combination nano-immunotherapy can be realized via three targeting strategies, i.e., by targeting cancer cells, targeting the tumor immune microenvironment, and targeting the peripheral immune system. The clinical potential of nano-immunotherapy has recently been demonstrated in a phase III trial in which nano-albumin paclitaxel (Abraxane®) was combined with atezolizumab (Tecentriq®) for the treatment of patients suffering from advanced triple-negative breast cancer. In the present paper, besides strategies and initial (pre)clinical success stories, we also discuss several key challenges in nano-immunotherapy. Taken together, nanomedicines combined with immunotherapy are gaining significant attention, and it is anticipated that they will play an increasingly important role in clinical cancer therapy.
- Published
- 2020
- Full Text
- View/download PDF
15. Enhancing medial layer recellularization of tissue-engineered blood vessels using radial microchannels.
- Author
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Eufrásio-da-Silva T, Ruiz-Hernandez E, O'Dwyer J, Picazo-Frutos D, Duffy GP, and Murphy BP
- Subjects
- Animals, Biomechanical Phenomena, Bioreactors, Carotid Arteries ultrastructure, Perfusion, Rats, Tensile Strength, Tissue Scaffolds chemistry, Vacuum, Blood Vessel Prosthesis, Microtechnology, Tissue Engineering methods
- Abstract
Aim: Cell repopulation of tissue-engineered vascular grafts (TEVGs) from decellularized arterial scaffolds is limited by dense concentric tunica media layers which impede cells migrating radially between the layers. We aimed to develop and validate a new microneedle device to modify decellularized carotid arteries with radial microchannels to enhance medial layer repopulation. Material & methods: Modified decellularized porcine arteries were seeded with rat mesenchymal stem cells using either standard longitudinal injection, or a dual vacuum-perfusion bioreactor. Mechanical tests were used to assess the arterial integrity following modification. Results & conclusion: The method herein achieved radial recellularization of arteries in vitro without significant loss of mechanical integrity, Thus, we report a novel method for successful radial repopulation of decellularized carotid artery-based tissue-engineered vascular grafts.
- Published
- 2019
- Full Text
- View/download PDF
16. RGD-decorated cholesterol stabilized polyplexes for targeted siRNA delivery to glioblastoma cells.
- Author
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Lou B, Connor K, Sweeney K, Miller IS, O'Farrell A, Ruiz-Hernandez E, Murray DM, Duffy GP, Wolfe A, Mastrobattista E, Byrne AT, and Hennink WE
- Subjects
- Cell Line, Tumor, Cell Survival drug effects, Cholesterol chemistry, Humans, Luciferases genetics, Nanoparticles chemistry, Peptides, Cyclic chemistry, Polymers administration & dosage, Polymers chemistry, RNA, Small Interfering chemistry, Brain Neoplasms drug therapy, Cholesterol administration & dosage, Glioblastoma drug therapy, Nanoparticles administration & dosage, Peptides, Cyclic administration & dosage, RNA, Small Interfering administration & dosage
- Abstract
The development of an effective and safe treatment for glioblastoma (GBM) represents a significant challenge in oncology today. Downregulation of key mediators of cell signal transduction by RNA interference is considered a promising treatment strategy but requires efficient, intracellular delivery of siRNA into GBM tumor cells. Here, we describe novel polymeric siRNA nanocarriers functionalized with cRGD peptide that mediates targeted and efficient reporter gene silencing in U87R invasive human GBM cells. The polymer was synthesized via RAFT copolymerization of N-(2-hydroxypropyl)-methacrylamide (HPMA) and N-acryloxysuccinimide (NAS), followed by post-polymerization modification with cholesterol for stabilization, cationic amines for siRNA complexation, and azides for copper-free click chemistry. The novel resultant cationic polymer harboring a terminal cholesterol group, self-assembled with siRNA to yield nanosized polyplexes (~ 40 nm) with good colloidal stability at physiological ionic strength. Post-modification of the preformed polyplexes with PEG-cRGD end-functionalized with bicyclo[6.1.0]nonyne (BCN) group resulted in enhanced cell uptake and increased luciferase gene silencing in U87R cells, compared to polyplexes lacking cRGD-targeting groups.
- Published
- 2019
- Full Text
- View/download PDF
17. Insulin-like growth factor-1 (IGF-1) poly (lactic-co-glycolic acid) (PLGA) microparticles - development, characterisation, and in vitro assessment of bioactivity for cardiac applications.
- Author
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Hameed A, Gallagher LB, Dolan E, O'Sullivan J, Ruiz-Hernandez E, Duffy GP, and Kelly H
- Subjects
- Animals, Cell Line, Cell Proliferation drug effects, Cells, Cultured, Hyaluronic Acid chemistry, Hydrogels chemistry, Insulin-Like Growth Factor I pharmacology, Myocardium cytology, Particle Size, Rats, Drug Carriers chemistry, Insulin-Like Growth Factor I administration & dosage, Polylactic Acid-Polyglycolic Acid Copolymer chemistry
- Abstract
Aim: The aim of this study was to evaluate the formulation of a synthetic IGF-1 (pIGF-1) in PLGA microparticles (MP). Methods: Poly (lactic-co-glycolic acid) (PLGA) MPs loaded with pIGF-1 were prepared, characterised and evaluated using double emulsion solvent evaporation method. Results: Spherical MPs showed an average particle size of 2 µm, encapsulation efficiency (EE) of 67% and 50% degradation over 15 days. With a view to enhancing retention in the myocardium, the MP formulation was encapsulated in a cross-linked hyaluronic acid hydrogel. pIGF-1 released from MPs and from MPs suspended in hyaluronic acid hydrogel remained bioactive, determined by a significant increase in cellular proliferation of c-kit
+ cells. Conclusion: This formulation has potential for loco-regional delivery to damaged myocardium to promote the survival of cardiomyocytes.- Published
- 2019
- Full Text
- View/download PDF
18. A collagen cardiac patch incorporating alginate microparticles permits the controlled release of hepatocyte growth factor and insulin-like growth factor-1 to enhance cardiac stem cell migration and proliferation.
- Author
-
O'Neill HS, O'Sullivan J, Porteous N, Ruiz-Hernandez E, Kelly HM, O'Brien FJ, and Duffy GP
- Subjects
- Animals, Cell Proliferation drug effects, DNA metabolism, Delayed-Action Preparations, Humans, Rats, Stem Cells cytology, Stem Cells drug effects, Alginates pharmacology, Cell Movement drug effects, Collagen pharmacology, Hepatocyte Growth Factor pharmacology, Insulin-Like Growth Factor I pharmacology, Microspheres, Tissue Scaffolds chemistry
- Abstract
Cardiac stem cells (CSCs) represent a logical cell type to exploit as a regenerative treatment option for tissue damage accrued as a result of a myocardial infarction. However, the isolation and expansion of CSCs prior to cell transplantation is time consuming, costly and invasive, and the reliability of cell expansion may also prove to be a major obstacle in the clinical application of CSC-based transplantation therapy after a myocardial infarction. In order to overcome this, we propose the incorporation of growth factor-eluting alginate microparticles into collagen-based scaffolds as an implantable biomaterial to promote the recruitment and expansion of CSCs in the myocardium. In order to obtain scaffolds able to enhance the motogenic and proliferative potential of CSCs, the aim of this work was to achieve a sustained delivery of both hepatocyte growth factor and insulin-like growth factor-1. Both proteins were initially encapsulated in alginate microparticles by spray drying and subsequently incorporated into a collagen scaffold. Microparticles were seen to homogeneously distribute through the interconnected scaffold pore structure. The resulting scaffolds were capable of extending the release of both proteins up to 15 days, a three-fold increase over non-encapsulated proteins embedded in the scaffolds. In vitro assays with isolated CSCs demonstrated that the sustained release of both bioactive proteins resulted in an increased motogenic and proliferative effect. As presently practiced, the isolation and expansion of CSCs for autologous cell transplantation is slow, expensive and difficult to attain. Thus, there is a need for strategies to specifically activate in situ the intrinsic cardiac regenerative potential represented by the CSCs using combinations of growth factors obviating the need for cell transplantation. By favouring the natural regenerative capability of CSCs, it is hypothesized that the cardiac patch presented here will result in positive therapeutic outcomes in MI and heart failure patients in the future. Copyright © 2016 John Wiley & Sons, Ltd., (Copyright © 2016 John Wiley & Sons, Ltd.)
- Published
- 2018
- Full Text
- View/download PDF
19. Biomaterial-Enhanced Cell and Drug Delivery: Lessons Learned in the Cardiac Field and Future Perspectives.
- Author
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O'Neill HS, Gallagher LB, O'Sullivan J, Whyte W, Curley C, Dolan E, Hameed A, O'Dwyer J, Payne C, O'Reilly D, Ruiz-Hernandez E, Roche ET, O'Brien FJ, Cryan SA, Kelly H, Murphy B, and Duffy GP
- Subjects
- Biocompatible Materials, Drug Delivery Systems, Tissue Engineering, Tissue Scaffolds, Heart
- Abstract
Heart failure is a significant clinical issue. It is the cause of enormous healthcare costs worldwide and results in significant morbidity and mortality. Cardiac regenerative therapy has progressed considerably from clinical and preclinical studies delivering simple suspensions of cells, macromolecule, and small molecules to more advanced delivery methods utilizing biomaterial scaffolds as depots for localized targeted delivery to the damaged and ischemic myocardium. Here, regenerative strategies for cardiac tissue engineering with a focus on advanced delivery strategies and the use of multimodal therapeutic strategies are reviewed., (© 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.)
- Published
- 2016
- Full Text
- View/download PDF
20. Drug and cell delivery for cardiac regeneration.
- Author
-
Hastings CL, Roche ET, Ruiz-Hernandez E, Schenke-Layland K, Walsh CJ, and Duffy GP
- Subjects
- Humans, Stem Cell Transplantation methods, Biological Factors administration & dosage, Drug Delivery Systems methods, Heart drug effects, Heart physiology, Regeneration drug effects, Regeneration physiology
- Abstract
The spectrum of ischaemic cardiomyopathy, encompassing acute myocardial infarction to congestive heart failure is a significant clinical issue in the modern era. This group of diseases is an enormous source of morbidity and mortality and underlies significant healthcare costs worldwide. Cardiac regenerative therapy, whereby pro-regenerative cells, drugs or growth factors are administered to damaged and ischaemic myocardium has demonstrated significant potential, especially preclinically. While some of these strategies have demonstrated a measure of success in clinical trials, tangible clinical translation has been slow. To date, the majority of clinical studies and a significant number of preclinical studies have utilised relatively simple delivery methods for regenerative therapeutics, such as simple systemic administration or local injection in saline carrier vehicles. Here, we review cardiac regenerative strategies with a particular focus on advanced delivery concepts as a potential means to enhance treatment efficacy and tolerability and ultimately, clinical translation. These include (i) delivery of therapeutic agents in biomaterial carriers, (ii) nanoparticulate encapsulation, (iii) multimodal therapeutic strategies and (iv) localised, minimally invasive delivery via percutaneous transcatheter systems., (Copyright © 2014. Published by Elsevier B.V.)
- Published
- 2015
- Full Text
- View/download PDF
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