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研究生:謝雨彤
研究生(外文):Yu-Tung Hsieh
論文名稱:探討厚朴酚載體搭配光動力治療對人類口腔癌細胞之抑制效果
論文名稱(外文):Evaluation the Inhibitory Effects of Magnolol Carriers in Combination with Photodynamic Therapy on the Human Oral Cancer Cells
指導教授:高震宇高震宇引用關係
指導教授(外文):Chen-Yu Kao
口試委員:鄭智嘉李曉屏
口試委員(外文):Chih-Chia ChengShiao-Pieng Lee
口試日期:2018-04-24
學位類別:碩士
校院名稱:國立臺灣科技大學
系所名稱:醫學工程研究所
學門:工程學門
學類:生醫工程學類
論文種類:學術論文
論文出版年:2018
畢業學年度:106
語文別:中文
論文頁數:93
中文關鍵詞:厚朴酚光動力治療人類口腔癌細胞
外文關鍵詞:MagnololPhotodynamic TherapyHuman Oral Cancer Cell
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近幾年來科技進步,對於口腔癌的診斷與治療大幅成功許多,但是對於後期階段的口腔癌患者來說,存活率僅有20%。預防勝於治療,口腔癌前病變遠遠比口腔癌來的盛行,因此找出一個簡單有效又不具有侵入性的診斷及治療方法極其重要,例如適用於治療淺層癌症之光動力治療。
厚朴酚(Magnolol)來自於中草藥木蘭科植物厚朴樹皮之萃取物,已知其具有抗發炎、抗腫瘤、抗應力以及止瀉的效果。尤其Magnolol在細胞體外實驗以及動物體內實驗都證實了擁有很強的抗氧化能力。但Magnolol因其具疏水、懸浮不佳等特性,因此在臨床醫學的應用上,受到諸多的限制。5-Aminolevulinic Acid(ALA)為一經過美國食品和藥物管理局認可上市後,廣泛應用於光動力治療上的藥物,本身不具生物毒性,針對癌細胞具有標靶的作用。為了改善Magnolol疏水及懸浮不佳等問題,本研究利用高分子PCADK包覆Magnolol製備成微米顆粒(PCADK-Magnolol MPs)與奈米顆粒(PCADK-Magnolol NPs),透過MTT assay評估顆粒對人類口腔類上皮癌細胞(OEC-M1)之抑制效果,並探討添加5-Aminolevulinic Acid對顆粒載體抑制癌細胞合併療法之效果。
研究結果顯示相對於微米顆粒,奈顆粒(PCADK-Blank NPs)在高濃度下對癌細胞具有一定的毒殺作用,搭載藥物之顆粒載體PCADK-Magnolol NPs對於抑制OEC-M1之能力較PCADK-Magnolol MPs佳。另一方面Magnolol顆粒載體添加5-Aminolevulinic Acid藥物之合併療法對於OEC-M1抑制能力具有較佳的毒殺作用。 
It is easier to treat oral cancer by improvement of technology in recent year. But the survival rate of oral cancer patients in the late-stage is only 20%. Preventing the happening of cytopathy is more important than the treatment. So, we should find a simple way to treat and diagnose without invasion such as photodynamic therapy for superficial carcinoma.
Magnolol, a kind of traditional herbal medicines extracted from the Magnolia, is known for anti-inflammatory, antineoplastic, anti-stress and antidiarrheic. Magnolol has the evidence of strong antioxidant capacity in vitro and in vivo experiment. However, its hydrophobicity and poor suspension property under physiological condition make it have many limitations in clinical medicine. 5-Aminolevulinic Acid (ALA) is one kind of drug used in photodynamic therapy (PDT) popularly and has been approved by US Food and Drug Administration. It has no biotoxicity and can be used as target-drug in cancer treatment. In this study, PCADK polymer was used to encapsulate magnolol into microparticles and nanoparticles to improve the poor hydrophobicity and suspension property of Magnolol. MTT was used to analyze the relative cell viability of oral epidermoid carcinoma cell (OEC-M1) and to estimate the antitumor effect of magnolol on OEC-M1. Furthermore, this study investigates the effect of combination therapy by adding 5-ALA to OEC-M1 cells which were treated with magnolol loaded particles.
The results showed that PCADK-Blank NPs had higher cytotoxicity than PCADK MPs at high concentration condition. The inhibitory effect of PCADK-Magnolol NPs to OEC-M1 was also superior to PCADK-Magnolol MPs at same magnolol concentration. More importantly, the combination therapy of 5-ALA and magnolol loaded particle showed the synergetic inhibitory effects on OEC-M1.
摘要 I
Abstract II
致謝 IV
目錄 V
圖目錄 VIII
表目錄 XI
縮寫表 XII
第一章 緒論 1
第二章 文獻回顧 3
2.1 癌症(Cancer) 3
2.2 口腔癌(Oral Cancer) 3
2.3 轉移(Metastasis) 4
2.4 厚朴酚(Magnolol) 6
2.5 光動力治療(Photodynamic Therapy, PDT). 7
2.5.1 光動力治療(Photodynamic Therapy, PDT)的優點 10
2.5.2 光動力治療(Photodynamic Therapy, PDT)的限制 10
2.5.3 5-Aminolevulinic Acid(ALA) 10
2.6 藥物傳輸系統(Drug Delivery System, DDS) 12
2.6.1 藥物傳輸原理 13
2.6.2 高分子藥物載體 14
2.6.3聚縮酮(polyketal) 17
2.7合併療法(Combination Therapy) 18
第三章 實驗材料與方法 20
3.1 研究設計 20
3.1.1 實驗理論 20
3.1.2 實驗設計 20
3.1.3 實驗架構與流程 21
3.2 實驗試劑、藥品與儀器設備 22
3.2.1 顆粒製備材料 22
3.2.2 細胞培養材料 23
3.2.3 實驗分析儀器 23
3.3 顆粒製備 24
3.3.1 Magnolol微米顆粒製備 24
3.3.2 Magnolol奈米顆粒製備 25
3.4 微米/奈米顆粒載體物性分析 26
3.4.1 製作Magnolol純藥檢量線 26
3.4.2 包埋率測定 26
3.4.3 以HPLC製作Magnolol純藥檢量線 27
3.4.4 包埋率測定 27
3.4.5 顆粒表面型態觀察 28
3.4.6 表面電位測量 28
3.4.7 體外釋放效率評估 28
3.5. 體外細胞實驗 30
3.5.1.1 OEC-M1 30
3.5.2 細胞繼代 30
3.5.3 細胞計數 31
3.5.4 種細胞 31
3.5.5 凍細胞 31
3.5.6 細胞活化 31
3.5.7 MTT細胞存活率分析 31
3.5.8 Phosphate buffered saline(PBS)配製 32
3.6 高分子PCADK合成 33
第四章 結果 36
4.1 Magnolol顆粒特性評估分析 36
4.1.1 顆粒表面型態分析 36
4.1.1.1 PCADK MPs 36
4.1.1.2 PCADK NPs 38
4.1.2 藥物包埋率分析 40
4.1.3 表面電位(Zeta potential)測定 42
4.1.4 顆粒粒徑分析 43
4.1.5 體外釋放評估 46
4.2. 細胞實驗 49
4.2.1 細胞型態 49
4.2.2 細胞毒性測試 52
第五章 討論 68
5.1 PCADK-Magnolol MPs/NPs之特性探討 68
5.2顆粒與藥物細胞毒性評估 71
5.3 Magnolol藥物載體與5-ALA合併療法之細胞毒性探討 72
第六章 結論 74
參考文獻 75
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