Division of Gastroenterology, Hepatology and Endoscopy, Department of Medicine, Brigham and Women's Hospital, Boston, MA, 02115, USA.
Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA, 02139, USA.
Adv Healthc Mater. 2020 Aug;9(16):e2000536. doi: 10.1002/adhm.202000536. Epub 2020 Jun 29.
Targeting areas of inflammation offers potential therapeutic and diagnostic benefits by maximizing drug and imaging marker on-target effects while minimizing systemic exposure that can be associated with adverse side effects. This strategy is particularly beneficial in the management of inflammatory bowel disease (IBD). Here an inflammation-targeting (IT) approach based on heparin-coated human serum albumin nanoparticles (HEP-HSA NPs) that utilize the increased intestinal permeability and changes in electrostatic interaction at the site of intestinal inflammation is described. Using small-molecule and biologic drugs as a model for drug combination, the HEP-HSA NPs demonstrate the capacity to load both drugs simultaneously; the dual-drug loaded HEP-HSA NPs exhibit a higher anti-inflammatory effect than both of the single-drug loaded NPs in vitro and selectively bind to inflamed intestine after enema administration in vivo in a murine model of colitis. Importantly, analyses of the physicochemical characteristics and targeting capacities of these NPs indicate that HEP coating modulates NP binding to the inflamed intestine, providing a foundation for future IT-NP formulation development.
靶向炎症部位可通过最大限度地提高药物和成像标记物的靶向效应,同时最小化与不良反应相关的全身暴露,从而带来潜在的治疗和诊断益处。这种策略在炎症性肠病(IBD)的治疗中特别有益。本文描述了一种基于肝素涂层人血清白蛋白纳米颗粒(HEP-HSA NPs)的靶向炎症(IT)方法,该方法利用肠道炎症部位的肠道通透性增加和静电相互作用的变化。使用小分子药物和生物药物作为药物联合的模型,HEP-HSA NPs 表现出同时加载两种药物的能力;在体外,载有两种药物的 HEP-HSA NPs 比两种单药载药 NPs 表现出更高的抗炎效果,并且在体内结肠炎小鼠模型中经灌肠给药后,它们选择性地结合到发炎的肠道。重要的是,对这些 NPs 的物理化学特性和靶向能力的分析表明,HEP 涂层调节 NP 与发炎肠道的结合,为未来的 IT-NP 制剂开发提供了基础。