Mohamed Nura A, Davies Robert P, Lickiss Paul D, Ahmetaj-Shala Blerina, Reed Daniel M, Gashaw Hime H, Saleem Hira, Freeman Gemma R, George Peter M, Wort Stephen J, Morales-Cano Daniel, Barreira Bianca, Tetley Teresa D, Chester Adrian H, Yacoub Magdi H, Kirkby Nicholas S, Moreno Laura, Mitchell Jane A
1 Department of Cardiothoracic Pharmacology, National Heart and Lung Institute, Imperial College, London, UK.
2 Heart Science Centre at Harefield Hospital, Harefield, UK.
Pulm Circ. 2017 Jul-Sep;7(3):643-653. doi: 10.1177/2045893217710224. Epub 2017 Jun 27.
Pulmonary arterial hypertension (PAH) is a progressive and debilitating condition. Despite promoting vasodilation, current drugs have a therapeutic window within which they are limited by systemic side effects. Nanomedicine uses nanoparticles to improve drug delivery and/or reduce side effects. We hypothesize that this approach could be used to deliver PAH drugs avoiding the systemic circulation. Here we report the use of iron metal organic framework (MOF) MIL-89 and PEGylated MIL-89 (MIL-89 PEG) as suitable carriers for PAH drugs. We assessed their effects on viability and inflammatory responses in a wide range of lung cells including endothelial cells grown from blood of donors with/without PAH. Both MOFs conformed to the predicted structures with MIL-89 PEG being more stable at room temperature. At concentrations up to 10 or 30 µg/mL, toxicity was only seen in pulmonary artery smooth muscle cells where both MOFs reduced cell viability and CXCL8 release. In endothelial cells from both control donors and PAH patients, both preparations inhibited the release of CXCL8 and endothelin-1 and in macrophages inhibited inducible nitric oxide synthase activity. Finally, MIL-89 was well-tolerated and accumulated in the rat lungs when given in vivo. Thus, the prototypes MIL-89 and MIL-89 PEG with core capacity suitable to accommodate PAH drugs are relatively non-toxic and may have the added advantage of being anti-inflammatory and reducing the release of endothelin-1. These data are consistent with the idea that these materials may not only be useful as drug carriers in PAH but also offer some therapeutic benefit in their own right.
肺动脉高压(PAH)是一种进行性且使人衰弱的病症。尽管目前的药物可促进血管舒张,但其治疗窗口受全身副作用的限制。纳米医学利用纳米颗粒来改善药物递送和/或减少副作用。我们推测这种方法可用于递送PAH药物,避免进入体循环。在此,我们报告使用铁金属有机框架(MOF)MIL-89和聚乙二醇化的MIL-89(MIL-89 PEG)作为PAH药物的合适载体。我们评估了它们对多种肺细胞活力和炎症反应的影响,这些肺细胞包括从患有/未患有PAH的供体血液中培养的内皮细胞。两种MOF均符合预测结构,其中MIL-89 PEG在室温下更稳定。在浓度高达10或30μg/mL时,仅在肺动脉平滑肌细胞中观察到毒性,两种MOF均降低了细胞活力并减少了CXCL8的释放。在对照供体和PAH患者的内皮细胞中,两种制剂均抑制了CXCL8和内皮素-1的释放,在巨噬细胞中抑制了诱导型一氧化氮合酶的活性。最后,MIL-89在体内给药时在大鼠肺中耐受性良好且会蓄积。因此,具有适合容纳PAH药物核心能力的原型MIL-89和MIL-89 PEG相对无毒,可能还具有抗炎和减少内皮素-1释放的额外优势。这些数据与以下观点一致,即这些材料不仅可能作为PAH中的药物载体有用,而且本身也具有一定的治疗益处。