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Pharmacokinetics of BPA in gliomas with ultrasound induced blood-brain barrier disruption as measured by microdialysis.

Authors: Yang FY, Lin YL, Chou FI, Lin YC, Hsueh Liu YW, Chang LW, Hsieh YL

The blood-brain barrier (BBB) can be transiently disrupted by focused ultrasound (FUS) in the presence of microbubbles for targeted drug delivery. Previous studies have illustrated the pharmacokinetics of drug delivery across the BBB after sonication using indirect visualization techniques. In this study, we investigated the in vivo extracellular kinetics of boronophenylalanine-fructose (BPA-f) in glioma-bearing rats with FUS-induced BBB disruption by microdialysis. After simultaneous intravenous administration of BPA and FUS exposure, the boron concentration in the treated brains was quantified by inductively coupled plasma mass spectroscopy. With FUS, the mean peak concentration of BPA-f in the glioma dialysate was 3.6 times greater than without FUS, and the area under the concentration-time curve was 2.1 times greater. This study demonstrates that intracerebral microdialysis can be used to assess local BBB transport profiles of drugs in a sonicated site. Applying microdialysis to the study of metabolism and pharmacokinetics is useful for obtaining selective information within a specific brain site after FUS-induced BBB disruption.

Introduction

Purpose Drug delivery with BBB opening
Study Objective To evaluate the in vivo extracellular concentration–time profile and pharmacokinetics of boronophenylalanine-fructose in glioma-bearing rat brains following focused ultrasound-induced BBB disruption and to compare sonicated versus non‑sonicated tumors.
Animal model / Human subject Rats (glioma-bearing); strain: Fischer 344; age not specified; sex: male
Disease model f98 glioma
MRI or image guidance method Not specified in the provided text
Targeted brain region(s) F98 Glioma
Target coordinates 5 mm posterior to bregma, 3 mm lateral, 5 mm depth
Cargo name and characteristics Boronophenylalanine‑fructose (BPA‑f)
Route of administration intravenous

Outcomes and Safety

Summary of Outcomes Focused ultrasound-induced BBB disruption markedly increased delivery of BPA‑fructose to glioma extracellular fluid—producing ~3.6-fold higher peak boron, ~2.1-fold greater AUC and prolonged tumor retention—without altering plasma pharmacokinetics.
Duration of biological effect 5 h
Safety-related matter The authors report that the microdialysis procedure during FUS-induced BBB disruption did not cause any severe side effects.

Brain Region

Ultrasound Parameters

Ultrasound instrument 1 MHz single-element focused transducer (A392S, Panametrics, Waltham, MA, USA)
FUS Frequency 1 MHz
FUS Intensity Not reported in provided text
FUS Pressure Not specified in the provided text
FUS Mode pulsed
Pulse duration 50 ms
Duration of a single FUS session 60 s
Focal Characteristics focal diameter: 3 mm, focal length: 26 mm
Treatment frequency single session

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