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鼻腔递送达比干扰素-β载药纳米颗粒在多发性硬化症的临床前模型中诱导神经炎症的控制:一种有前途的简单、有效、非侵入性和低成本的治疗方法。

Intranasal delivery of interferon-β-loaded nanoparticles induces control of neuroinflammation in a preclinical model of multiple sclerosis: A promising simple, effective, non-invasive, and low-cost therapy.

机构信息

Program of Immunology, Institute of Biomedical Sciences, Faculty of Medicine, Universidad de Chile, Santiago, Chile.

Molecular and Clinical Pharmacology Program, Institute of Biomedical Sciences and Department of Neuroscience, Faculty of Medicine, Universidad de Chile, Santiago, Chile.

出版信息

J Control Release. 2021 Mar 10;331:443-459. doi: 10.1016/j.jconrel.2020.11.019. Epub 2020 Nov 18.

Abstract

Multiple sclerosis (MS) is an autoimmune disease affecting the central nervous system (CNS). Interferon (IFN)-β constitutes one of the first-line therapies to treat MS, but has limited efficacy due to the injectable systemic administration, short half-life, and limited CNS access. To address these limitations, we developed IFN-β-loaded chitosan/sulfobutylether-β-cyclodextrin nanoparticles (IFN-β-NPs) for delivery of IFN-β into the CNS via the intranasal (i.n.) route. The nanoparticles (NPs) (≈200 nm, polydispersity ≈0.1, and zeta potential ≈20 mV) were prepared by mixing two aqueous solutions and associated human or murine IFN-β with high efficiency (90%). Functional in vitro assays showed that IFN-β-NPs were safe and that IFN-β was steadily released while retaining biological activity. Biodistribution analysis showed an early and high fluorescence in the brain after nasal administration of fluorescent probe-loaded NPs. Remarkably, mice developing experimental autoimmune encephalomyelitis (EAE), an experimental model of MS, exhibited a significant improvement of clinical symptoms in response to intranasal IFN-β-NPs (inIFN-β-NPs), whereas a similar dose of intranasal or systemic free IFN-β had no effect. Importantly, inIFN-β-NPs treatment was equally effective despite a reduction of 78% in the total amount of weekly administered IFN-β. Spinal cords obtained from inIFN-β-NPs-treated EAE mice showed fewer inflammatory foci and demyelination, lower expression of antigen-presenting and costimulatory proteins on CD11b cells, and lower astrocyte and microglia activation than control mice. Therefore, IFN-β treatment at tested doses was effective in promoting clinical recovery and control of neuroinflammation in EAE only when associated with NPs. Overall, inIFN-β-NPs represent a potential, effective, non-invasive, and low-cost therapy for MS.

摘要

多发性硬化症(MS)是一种影响中枢神经系统(CNS)的自身免疫性疾病。干扰素(IFN)-β是治疗多发性硬化症的一线疗法之一,但由于其为注射性全身给药、半衰期短以及对 CNS 的有限穿透性,疗效有限。为了解决这些局限性,我们开发了负载 IFN-β的壳聚糖/磺丁醚-β-环糊精纳米粒(IFN-β-NPs),通过鼻腔(i.n.)途径将 IFN-β递送至 CNS。这些纳米粒(NPs)(≈200nm,多分散性≈0.1,zeta 电位≈20mV)通过混合两种水溶液以及高效(90%)与人类或鼠 IFN-β结合而制备。功能体外实验表明,IFN-β-NPs 是安全的,IFN-β在保持生物活性的同时稳定释放。生物分布分析表明,在鼻腔给予荧光探针负载的 NPs 后,大脑中会早期出现高荧光。值得注意的是,患有实验性自身免疫性脑脊髓炎(EAE)的小鼠(MS 的实验模型)在接受鼻腔内 IFN-β-NPs(inIFN-β-NPs)治疗后,临床症状显著改善,而类似剂量的鼻腔内或全身给予游离 IFN-β则没有效果。重要的是,尽管每周给予 IFN-β的总量减少了 78%,inIFN-β-NPs 治疗仍然同样有效。从接受 inIFN-β-NPs 治疗的 EAE 小鼠的脊髓中获得的结果表明,与对照组小鼠相比,炎症灶和脱髓鞘减少,CD11b 细胞上的抗原呈递和共刺激蛋白表达降低,星形胶质细胞和小胶质细胞激活降低。因此,只有在与 NPs 结合时,测试剂量的 IFN-β 治疗才有效,可促进 EAE 的临床恢复并控制神经炎症。总体而言,inIFN-β-NPs 是治疗 MS 的一种有潜力、有效、非侵入性且低成本的治疗方法。

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