Development and technical validation of an ultrasound nebulizer to deliver intraperitoneal pressurized aerosols in a rat colon cancer peritoneal metastases model

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Jonathan R. Buggisch - , University of Münster (Author)
  • Daniel Göhler - , Mechanical Process Engineering Group, Topas GmbH (Author)
  • Julien Sobilo - , French National Centre for Scientific Research (CNRS) (Author)
  • Stéphanie Lerondel - , French National Centre for Scientific Research (CNRS) (Author)
  • Günther A. Rezniczek - , Ruhr University Bochum (Author)
  • Michael Stintz - , Mechanical Process Engineering Group (Author)
  • Andreas Rudolph - , Topas GmbH (Author)
  • Nicolas Tabchouri - , Centre Hospitalier Régional Universitaire de Tours (Author)
  • Sébastien Roger - , Université de Tours (Author)
  • Mehdi Ouaissi - , Centre Hospitalier Régional Universitaire de Tours (Author)
  • Urs Giger-Pabst - , Düsseldorf University of Applied Sciences (Author)

Abstract

Background/aim: To develop and validate a nebulizer device for anti-cancer research on pressurized intraperitoneal aerosol supply in a preclinical peritoneal metastases (PM) rat model. Material and methods: For aerosol generation, an ultrasonic nebulizer (USN) was modified. Aerosol analyses were performed ex-vivo by laser diffraction spectrometry (LDS). Intraperitoneal (IP) 99mtechnetium sodium pertechnetate ( 99mTc) aerosol distribution and deposition were quantified by in-vivo single photon emission computed tomography (SPECT/CT) and compared to liquid IP instillation of equivalent volume/doses of 99mTc with and without capnoperitoneum. PM was induced by IP injection of HCT116-Luc2 human colon cancer cells in immunosuppressed RNU rats. Tumor growth was monitored by bioluminescence imaging (BLI), 18F-FDG positron emission tomography (PET) and tissues examination at necropsy. Results: The USN was able to establish a stable and reproducible capnoperitoneum at a pressure of 8 to 10 mmHg. LDS showed that the USN provides a polydisperse and monomodal aerosol with a volume-weighted diameter of 2.6 μm. At a CO 2 flow rate of 2 L/min with an IP residence time of 3.9 s, the highest drug deposition efficiency was found to be 15 wt.-%. In comparison to liquid instillation, nebulization showed the most homogeneous IP spatial drug deposition. Compared to BLI, 18F-FDG-PET was more sensitive to detect smaller PM nodules measuring only 1–2 mm in diameter. BLI, 18F-FDG PET and necropsy analyses showed relevant PM in all animals. Conclusions: The USN together with the PM rat model are suitable for robust and species-specific preclinical pharmacological studies regarding intraperitoneal delivery of pressurized aerosolized drugs and cancer research.

Details

Original languageEnglish
Article number570
JournalBMC Cancer
Volume22
Issue number1
Publication statusPublished - Dec 2022
Peer-reviewedYes

External IDs

Scopus 85130378077
PubMed 35597921
Mendeley e5f77d45-5ebf-3aca-ad5f-b0ebbb6bdae0

Keywords

Sustainable Development Goals

Keywords

  • Aerosols, Animals, Colonic Neoplasms/diagnostic imaging, Fluorodeoxyglucose F18, Humans, Nebulizers and Vaporizers, Peritoneal Neoplasms/diagnostic imaging, Rats, Ultrasonic nebulizer, Human colorectal cancer cells, Peritoneal metastasis, Orthotopic rat model, Intraperitoneal pressurized aerosol