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Local drug and gene delivery through microbubbles and ultrasound

TLDR
This review will give an overview of the viral and nonviral vehicles used for drug and gene delivery, and the different nonViral delivery techniques, thereby focusing on delivery through ultrasound contrast agents.
Abstract
Although gene therapy has great potential as a treatment for diseases, clinical trials are slowed down by the development of a safe and efficient gene delivery system. In this review, we will give an overview of the viral and nonviral vehicles used for drug and gene delivery, and the different nonviral delivery techniques, thereby focusing on delivery through ultrasound contrast agents. The development of ultrasound contrast agents containing encapsulated microbubbles has increased the possibilities not only for diagnostic imaging, but for therapy as well. Microbubbles have been shown to be able to carry drugs and genes, and destruction of the bubbles by ultrasound will result in local release of their contents. Furthermore, ligands can be attached so that they can be targeted to a specific target tissue. The recent advances of microbubbles as vehicles for delivery of drugs and genes will be highlighted.

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Citations
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Oil-filled polymer microcapsules for ultrasound-mediated delivery of lipophilic drugs.

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New chitosan nanobubbles for ultrasound-mediated gene delivery: preparation and in vitro characterization

TL;DR: Chitosan nanobubbles have the potential to be promising tools for ultrasound-mediated DNA delivery and cell viability experiments demonstrated that neither ultrasound nor the nanobUBbles affected cell viability under these experimental conditions.
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Oxygen supersaturated fluid using fine micro/nanobubbles

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Oxygen-Carrying Micro/Nanobubbles: Composition, Synthesis Techniques and Potential Prospects in Photo-Triggered Theranostics

TL;DR: Methods of functionalization of MNBs, their ability to deliver oxygen and drugs, incorporation of photosensitizers and potential application of photo-triggered theranostics, have also been discussed.
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Blood oxygenation using microbubble suspensions

TL;DR: It is demonstrated that nano or microbubbles can achieve oxygen supersaturation of fluids, and may be sufficiently small and safe for infusion into blood vessels, and NSS is suitable for production of oxygen-rich fluid.
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Gene therapy -- promises, problems and prospects

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TL;DR: The ability to safely and efficiently transfer foreign DNA into cells is a fundamental goal in biotechnology and rapid advances have recently been made in understanding of mechanisms for DNA stability and transport within cells.
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TL;DR: The echo pattern of the aortic root is elicited by locating the typical echo of the mitral valve and then angulating the transducer medially and sometimes cephalically.
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Microbubbles Targeted to Intercellular Adhesion Molecule-1 Bind to Activated Coronary Artery Endothelial Cells

TL;DR: A gas-filled microbubble with anti-ICAM-1 antibody on its shell specifically binds to activated ECs overexpressing ICam-1.
Journal ArticleDOI

Gene therapy: trials and tribulations

TL;DR: A key problem in gene therapy is the lack of a vector system that fulfils all the requirements for safety and efficacy, and viral vectors are the most promising vectors at this time.
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