Department of Orthopedics, The People's Hospital of Wuxing District (Wuxing Hospital District of Huzhou First people's Hospital healthcare group), Huzhou, Zhejiang, China.
Department of Nursing, The First People's Hospital of Huzhou, Huzhou, Zhejiang, China.
J Appl Biomater Funct Mater. 2020 Jan-Dec;18:2280800020962629. doi: 10.1177/2280800020962629.
BACKGROUND: Targeted delivery to the Rheumatoid arthritis (RA) which is characterized by destruction and degeneration of bones due to chronic inflammation is of great need. RA being a chronic autoimmune disorder might result in severe disability and morbidity. A targeted delivery system is designed to deliver methotrexate (MTX) for RA. METHODS: Here, we synthesized folic acid (FA) conjugated hydrophobically modified glycol chitosan (GC) self-assembled nanoparticles (FA-GC-SA) for the targeted delivery of MTX to RA. The FA conjugation and hydrophobic modification of GC by stearic acid (SA) was confirmed by Fourier-transform infrared spectroscopy (FTIR). The FA-GC-SA was exploited for developing targeted nanoparticles encapsulating MTX by the ionic gelation method. The particles were characterized and evaluated for their targeting potential in cell culture studies. Further their efficacy in arthritis induced rats using collagen was also evaluated. RESULTS: FTIR confirms the successful modification of GC-SA and FA-GC-SA. The FA-GC-SA-MTX of size 153 ± 9 nm were prepared with high encapsulation efficiency of MTX. The FA-GC-SA-MTX size was further confirmed by transmission electron microscopy (TEM). cell studies revealed the superior efficacy of FA-GC-SA-MTX in cell cytotoxicity. Also, significantly higher cellular uptake of FA functionalized FA-GC-SA-MTX was observed in comparison to non-functionalized GC-SA-MTX attributed to folate receptors (FRs) mediated endocytosis. results confirms the potential of FA-GC-SA-MTX which reduces reduces the pro-inflammatory cytokines, paw thickness, and arthritis score in collagen induced rats. CONCLUSION: The results shows that FRs targeted FA-GC-SA-MTX has superior efficacy in the treatment of RA.
背景:类风湿关节炎(RA)以慢性炎症导致的骨骼破坏和退化为特征,因此需要靶向治疗。RA 是一种慢性自身免疫性疾病,可能导致严重的残疾和发病率。靶向递药系统旨在递送至 RA 的甲氨蝶呤(MTX)。
方法:在这里,我们合成了叶酸(FA)偶联的疏水性修饰的乙二醇壳聚糖(GC)自组装纳米粒(FA-GC-SA),用于 MTX 靶向递送至 RA。通过傅里叶变换红外光谱(FTIR)证实了 GC 与 FA 和硬脂酸(SA)的偶联和疏水修饰。通过离子凝胶法制备了 FA-GC-SA 包封 MTX 的靶向纳米粒。对颗粒进行了表征,并在细胞培养研究中评估了其靶向潜力。进一步,还使用胶原蛋白在关节炎诱导的大鼠中评估了其疗效。
结果:FTIR 证实了 GC-SA 和 FA-GC-SA 的成功修饰。粒径为 153 ± 9nm 的 FA-GC-SA-MTX 具有较高的 MTX 包封效率。FA-GC-SA-MTX 的粒径进一步通过透射电子显微镜(TEM)确认。细胞研究表明,FA 功能化的 FA-GC-SA-MTX 在细胞毒性方面具有更好的疗效。此外,与非功能化的 GC-SA-MTX 相比,FA 功能化的 FA-GC-SA-MTX 的细胞摄取量明显更高,这归因于叶酸受体(FRs)介导的内吞作用。这些结果证实了 FA-GC-SA-MTX 的潜力,它可以降低胶原蛋白诱导的大鼠中的促炎细胞因子、爪厚度和关节炎评分。
结论:结果表明,FRs 靶向的 FA-GC-SA-MTX 在 RA 的治疗中具有更好的疗效。
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