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Richard T Bryan

Publications and source records attributed to Richard T Bryan.

2 recordsLinked to original sources

Evaluation of a rapid-release mitomycin C-loaded porous microcapsule formulation (MitoCap) in a human urothelium-tumour model.

Intravesical mitomycin C (MMC) is limited by short bladder exposure and incomplete delivery to residual tumour tissue. We developed MitoCap, a porous MMC-loaded microcapsule formulation, and evaluated its formulation properties and antitumour performance in a human three-dimensional urothelium-tumour model (3D-UHU-TU). Microcapsules were produced by electrohydrodynamic atomisation using 2% or 5% poly(lactic-co-glycolic acid) (PLGA). Compared with 5% PLGA, the 2% formulation generated smaller microcapsules (2.90 ± 0.30 versus 4.03 ± 0.81 µm), greater apparent surface porosity and faster MMC release, with approximately 60% released within 15 min. The 2% formulation achieved an MMC loading capacity of 4.99 ± 0.16% (w/w), corresponding to 95.78 ± 3.09% recovery relative to the theoretical loading, and was selected for biological evaluation. The 3D-UHU-TU model integrates RT112 or T24 bladder cancer spheroids into a differentiated, urine-tolerant human urothelium, enabling tumour and urothelial responses to be assessed within the same construct. FITC-loaded microcapsules increased fluorescent model cargo signal within tumour regions compared with equivalent free FITC. Following 1 h apical exposure and 72 h recovery, MitoCap increased tumour-associated cleaved caspase-3 and tumour cell death relative to dose-matched free MMC. Tumour cell death increased from 62.3 ± 7.9% to 94.2 ± 1.3% in RT112 models and from 36.6 ± 4.7% to 52.8 ± 4.8% in T24 models, without increasing urothelial cell death relative to dose-matched free MMC. These findings support MitoCap as a rapid-release intravesical MMC formulation and demonstrate the value of compartment-resolved human urothelium-tumour models for evaluating local drug delivery.

Bladder cancer

The association between smoking cessation before and after diagnosis and non-muscle-invasive bladder cancer recurrence: a prospective cohort study.

BACKGROUND: Smoking is a major risk factor for bladder cancer, but the relationship between smoking cessation after initial treatment and bladder cancer recurrence has been investigated less frequently and not prospectively yet. METHODS: 722 non-muscle-invasive bladder cancer (NMIBC) patients (pTa, pT1, and CIS) from the prospective Bladder Cancer Prognosis Programme (BCPP) cohort, selected in the UK between 2005 and 2011, provided complete data on smoking behavior before and up to 5 years after diagnosis. The impact of smoking behavior on NMIBC recurrence was explored by multivariable Cox regression models investigating time-to-first NMIBC recurrence. RESULTS: Over a median follow-up period of 4.21 years, 403 pathologically confirmed NMIBC recurrences occurred in 210 patients. Only 25 current smokers at diagnosis quit smoking (14%) during follow-up and smoking cessation after diagnosis did not decrease risk of recurrence compared to continuing smokers (p = 0.352). CONCLUSIONS: Although quitting smoking after diagnosis might reduce the risk of recurrence based on retrospective evidence, this is not confirmed in this prospective study because the number of NMIBC patients quitting smoking before their first recurrence was too low. Nevertheless, this indicates an important role for urologists and other health care professionals in promoting smoking cessation in NMIBC.

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