Bursting Cancer’s Bubble

Scientists make oxygen-filled microbubbles designed to increase tumor sensitivity to radiation.

By | April 1, 2015

TINY BUBBLES: Oxygen-filled bubbles—3 μm in diameter—are delivered to a tumor via blood vessels. Sonication at the site of the tumor causes the bubbles to explode, releasing oxygen. Enriching tumors with oxygen is thought to enhance radiation treatment.© GEORGE RETSECK

The rapid growth and high metabolic activity of a tumor can cause its cells to become hypoxic due to an insufficient blood supply. Somewhat counterintuitively, however, these sickly, oxygen-starved cells are actually harder to kill with radiation treatment than healthy tissue. Researchers are thus investigating ways to boost oxygen levels in tumors so the cells can be nuked more effectively.

One idea has been to inject tiny oxygen-filled bubbles into a patient’s bloodstream. The bubbles would then enter the tumor—where blood vessel walls tend to be leaky—and burst to locally release the oxygen, explains John Eisenbrey of Thomas Jefferson University in Philadelphia.

Such bubble-based treatment is not as strange as it might sound. Indeed, the ultrasound community has been using gas-filled microbubbles as a contrast agent to improve imaging for some time. And local rupturing of these bubbles by high-intensity ultrasound is being investigated as a drug-delivery method.

With ultrasound, “you can see where these [microbubbles] go and then you can disrupt them at the site you want,” explains Steve Feinstein of Rush University Medical Center in Chicago.

Eisenbrey and others are thus co-opting the technique for oxygen delivery to tumors. In a recent experiment on two mice with breast tumors, Eisenbrey showed that oxygen-containing microbubbles were visible in the tumors and, upon rupture, were capable of increasing detectable oxygen by up to 30 mmHg. That’s a significant amount, explains Eisenbrey, because “if you can just deliver between 10 and 15 mmHg of oxygen to cells, you can make them twice as sensitive to radiation.” Eisenbrey’s next step, he says, will be to see whether the oxygen boost does indeed improve the effectiveness of radiation therapy. (Int J Pharm, 478:361-67, 2015)

O2 DELIVERY DIAMETER SHELL MATERIAL OXYGEN RELEASE IN SOLUTION OXYGEN INCREASE IN TUMORS UPON SONICATION
Nanobubbles* Approximately
500 nm
Dextran Rapid release prior to sonic rupture. Twofold increase after. Not tested

Microbubbles
 

*(Int J Pharm, 381:160-65, 2009)

Approximately 3 µm A mixture of two surfactants: sorbitan monoester and water-soluble vitamin E Negligible release prior to sonic rupture. Approximately threefold increase after. Localized release can thus be tightly controlled. Approximately 20–30 mmHg above hypoxic baseline

 

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Comments

Avatar of: Ellen Hunt

Ellen Hunt

Posts: 18

April 8, 2015

This is cheaper than hyperbaric oxygen? That costs ~$20 worth of O2 per hour of treatement. Sure, hospitals charge outrageous fees, up to $3500 for a 1.5 hour session. But that's not what insurers pay. Insurers pay maybe $300 per hour.

It should be quite practical to use an O2 regulator or hood on a patient in a 1.6 bar pressurized room that has normal air and deliver radiation. Prime for 30 minutes, radiation for 5-10 minutes under pressure, then the patient leaves.

Avatar of: Keith Loritz

Keith Loritz

Posts: 27

April 22, 2015

I have read that just increasing blood flow to a hypoxic tumor can help enhance the immune reaction against the tumor. I would hope a clinical trial would inlcude a segment in which the bubbles are ruptured at the tumor site by some method (ultrasound), but no radiation is dosed.

Avatar of: primativebeliever

primativebeliever

Posts: 30

April 22, 2015

why don't we also increase the oxygen in our environment then if it helps stop cancer cells? plant more trees pollute less. Seems what we have done to our planet has increase the rate of cancer then. Ercise and rest in the right amounts. spend our monet and time on our surrounds and changing lifestyles.

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