Institute for Biomedical Sciences, Georgia State University, Atlanta, GA, USA.
Department of Gastroenterology, 2nd Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Zhejiang, P. R. China.
J Crohns Colitis. 2018 Jan 24;12(2):217-229. doi: 10.1093/ecco-jcc/jjx115.
Oral drug delivery is the most attractive pathway for ulcerative colitis [UC] therapy, since it has many advantages. However, this strategy has encountered many challenges, including the instability of drugs in the gastrointestinal tract [GT], low targeting of disease tissues, and severe adverse effects. Nanoparticles capable of colitis tissue-targeted delivery and site-specific drug release may offer a unique and therapeutically effective system that addresses these formidable challenges.
We used a versatile single-step surface-functionalising technique to prepare PLGA/PLA-PEG-FA nanoparticles loaded with the ginger active compound, 6-shogaol [NPs-PEG-FA/6-shogaol]. The therapeutic efficacy of NPs-PEG-FA/6-shogaol was evaluated in the well-established mouse model of dextran sulphate sodium [DSS]-induced colitis.
NPs-PEG-FA exhibited very good biocompatibility both in vitro and in vivo. Subsequent cellular uptake experiments demonstrated that NPs-PEG-FA could undergo efficient receptor-mediated uptake by colon-26 cells and activated Raw 264.7 macrophage cells. In vivo, oral administration of NPs-PEG-FA/6-shogaol encapsulated in a hydrogel system [chitosan/alginate] significantly alleviated colitis symptoms and accelerated colitis wound repair in DSS-treated mice by regulating the expression levels of pro-inflammatory [TNF-α, IL-6, IL-1β, and iNOS] and anti-inflammatory [Nrf-2 and HO-1] factors.
Our study demonstrates a convenient, orally administered 6-shogaol drug delivery system that effectively targets colitis tissue, alleviates colitis symptoms, and accelerates colitis wound repair. This system may represent a promising therapeutic approach for treating inflammatory bowel disease [IBD].
口服给药是溃疡性结肠炎 [UC] 治疗最有吸引力的途径,因为它有许多优点。然而,该策略遇到了许多挑战,包括药物在胃肠道 [GT] 中的不稳定性、疾病组织的靶向低和严重的不良反应。能够实现结肠炎组织靶向递送和部位特异性药物释放的纳米粒子可能提供一种独特且治疗有效的系统,以应对这些严峻的挑战。
我们使用一种多功能的单步表面功能化技术制备负载姜活性化合物 6-姜酚的 PLGA/PLA-PEG-FA 纳米粒子 [NPs-PEG-FA/6-姜酚]。在已建立的葡聚糖硫酸钠 [DSS] 诱导的结肠炎小鼠模型中评估了 NPs-PEG-FA/6-姜酚的治疗效果。
NPs-PEG-FA 在体外和体内均表现出很好的生物相容性。随后的细胞摄取实验表明,NPs-PEG-FA 可以通过结肠 -26 细胞和激活的 Raw 264.7 巨噬细胞细胞进行有效的受体介导摄取。在体内,口服给予封装在水凝胶系统 [壳聚糖/海藻酸钠] 中的 NPs-PEG-FA/6-姜酚通过调节促炎 [TNF-α、IL-6、IL-1β 和 iNOS] 和抗炎 [Nrf-2 和 HO-1] 因子的表达水平,显著缓解 DSS 处理小鼠的结肠炎症状并加速结肠炎伤口修复。
我们的研究证明了一种方便的口服 6-姜酚药物递送系统,它可以有效地靶向结肠炎组织,缓解结肠炎症状并加速结肠炎伤口修复。该系统可能代表治疗炎症性肠病 [IBD] 的一种有前途的治疗方法。