Hemangioma (red or purple colored birthmarks) is a
benign childhood tumor generated by excessive growth of blood vessels. Although
external hemangioma’s typically only affect aesthetics, the growth of internal
hemangiomas, especially near liver, brain, or other critical organs, can cause
severe pain and morbidity. Treatment
options include corticosteroids and beta-blockers, however applying such
treatments to infants and children throughout the whole body in a systemic
fashion can create problems with controlling the dose and side-effects.
Recently, researchers at Henan Provincial People’s Hospital and the Second
Military Medical University (China) used PLGA-PEG-PLGA (PolyVivo AK016) from
PolySciTech (www.polyscitech.com)
to generate microparticles as part of a local propranolol delivery system.
These particles were found to be effective at delivering propranolol (a beta
blocker) locally without requiring a large systemic dose. This research holds
promise for treating a variety of conditions where excessive angiogenesis is a
problem. Read more: Guo, Xiaonan, Xiaoshuang Zhu, Dakan Liu, Yubin Gong, Jing
Sun, and Changxian Dong. "Continuous delivery of propranolol from liposomes-in-microspheres
significantly inhibits infantile hemangioma growth." International Journal
of Nanomedicine 12 (2017): 6923. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609781/
“Purpose: To reduce the adverse effects and high
frequency of administration of propranolol to treat infantile hemangioma, we
first utilized propranolol-loaded liposomes-in-microsphere (PLIM) as a novel
topical release system to realize sustained release of propranolol. Methods: PLIM
was developed from encapsulating propranolol-loaded liposomes (PLs) in
microspheres made of poly(lactic-co-glycolic acid)-b-poly(ethylene
glycol)-b-poly(lactic-co-glycolic acid) copolymers (PLGA-PEG-PLGA). The release
profile of propranolol from PLIM was evaluated, and its biological activity was
investigated in vitro using proliferation assays on hemangioma stem cells
(HemSCs). Tumor inhibition was studied in nude mice bearing human subcutaneous
infantile hemangioma. Results: The microspheres were of desired particle size
(~77.8 μm) and drug encapsulation efficiency (~23.9%) and achieved sustained
drug release for 40 days. PLIM exerted efficient inhibition of the
proliferation of HemSCs and significantly reduced the expression of two
angiogenesis factors (vascular endothelial growth factor-A [VEGF-A] and basic
fibroblast growth factor [bFGF]) in HemSCs. Notably, the therapeutic effect of
PLIM in hemangioma was superior to that of propranolol and PL in vivo, as
reflected by significantly reduced hemangioma volume, weight, and microvessel
density. The mean hemangioma weight of the PLIM-treated group was significantly
lower than that of other groups (saline =0.28 g, propranolol =0.21 g, PL =0.13
g, PLIM =0.03 g; PLIM vs saline: P<0 .001="" a="" and="" approach="" conclusion:="" controlled="" deliver="" density="" efficiently="" findings="" group="" groups="" hemangioma.="" hemangioma="" infantile="" inhibition="" is="" keywords:="" leading="" liposomes="" locally="" lower="" mean="" microsphere="" microvessel="" mm2="" o:p="" of="" other="" our="" p="" pl:="" pl="25" plim-treated="" plim="" promising="" propranolol:="" propranolol="" release="" saline:="" saline="40" show="" significant="" significantly="" site="" than="" that="" the="" to="" very="" vessels="" vs="" was="">0>
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