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利用载有 AMO-1 的抗体修饰脂质体将寡核苷酸递送至缺血性心肌以进行心律失常治疗。

The use of antibody modified liposomes loaded with AMO-1 to deliver oligonucleotides to ischemic myocardium for arrhythmia therapy.

机构信息

Department of Pharmaceutics, Daqing Campus of Harbin Medical University, Daqing 163319, China.

Department of Pharmaceutics, Harbin Medical University, Harbin 150086, China.

出版信息

Biomaterials. 2014 Apr;35(11):3697-707. doi: 10.1016/j.biomaterials.2013.12.099. Epub 2014 Jan 24.

DOI:10.1016/j.biomaterials.2013.12.099
PMID:24468403
Abstract

MicroRNA-1 (miR-1) has been found in cardiac and skeletal tissues. It is overexpressed in ischemic cardiac tissues. Down-regulation of miR-1 could relieve arrhythmogenesis by the anti-miR-1 antisense oligonucleotides (AMO-1). To increase the therapeutic efficiency and inhibit off-target effects of AMO-1, here we explored anti-cardiac troponin I (cTnI) antibody modified liposomes loading with AMO-1 (cT-A-LIP) to deliver the oligonucleotides to ischemic myocardium tissues. Liposomal cytotoxicity was assessed by MTT assay. The targeting abilities to foci were evaluated by in vivo imaging. The uptake and bio-distribution in vitro were observed by live cell station and flow cytometry, respectively. The anti-arrhythmic effects of cT-A-LIP in vivo were evaluated by electrocardiograms (ECG), immunohistochemistry, real-time PCR and patch-clamp recording. Immunohistochemistry showed that cTnI expression had a peak at the third day after myocardial infarction (MI). After cT-LIP administration via tail vein, accumulation of fluorescent trackers in the ischemic foci was significantly increased more than that of LIP. In addition, after cT-A-LIP administration, the ischemic arrhythmias were recovered and ST segment in ECG was elevated nearly back to normal. Compared with MI group, miR-1 expression was significantly down-regulated while Kir2.1 and CX43 protein expression were increased. Patch-clamp recordings showed that cT-A-LIP as well as AMO-1 incubation increased K(+) current density in guinea pigs ventricular cardiomyocytes acting on repolarized membrane potential. In conclusion, the cT-A-LIP not only delivered AMO-1 to ischemic myocardium in MI rats, but validated AMO-1 on relieving ischemic arrhythmia by silencing of miR-1 in ischemic myocardium and restoring the depolarized resting membrane potential (RMP) in MI rats.

摘要

miR-1 在心脏和骨骼组织中被发现。它在缺血性心脏组织中过度表达。通过抗 miR-1 反义寡核苷酸(AMO-1)下调 miR-1 可以缓解心律失常的发生。为了提高治疗效率并抑制 AMO-1 的脱靶效应,我们在此探索了载有 AMO-1 的抗心肌肌钙蛋白 I(cTnI)抗体修饰的脂质体(cT-A-LIP),以将寡核苷酸递送到缺血性心肌组织。通过 MTT 测定评估脂质体的细胞毒性。通过体内成像评估对病灶的靶向能力。通过活细胞工作站和流式细胞术分别观察体外摄取和生物分布。通过心电图(ECG)、免疫组织化学、实时 PCR 和膜片钳记录评估 cT-A-LIP 在体内的抗心律失常作用。免疫组织化学显示,心肌梗死(MI)后第三天 cTnI 表达达到峰值。尾静脉给予 cT-LIP 后,缺血病灶中荧光示踪剂的积累明显增加,超过了 LIP。此外,给予 cT-A-LIP 后,缺血性心律失常得到恢复,心电图中的 ST 段升高,几乎恢复正常。与 MI 组相比,miR-1 表达明显下调,而 Kir2.1 和 CX43 蛋白表达增加。膜片钳记录显示,cT-A-LIP 以及 AMO-1 孵育均增加了豚鼠心室肌细胞在去极化膜电位作用下的 K+电流密度。总之,cT-A-LIP 不仅将 AMO-1 递送到 MI 大鼠的缺血心肌中,而且通过在缺血心肌中沉默 miR-1 验证了 AMO-1 缓解缺血性心律失常并恢复 MI 大鼠去极化静息膜电位(RMP)。

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