基于血小板膜的过氧化氢响应性纳米颗粒用于血栓治疗。
Hydrogen peroxide-responsive platelet membrane-coated nanoparticles for thrombus therapy.
机构信息
Wisconsin Institute for Discovery, University of Wisconsin-Madison, Madison, WI 53715, USA.
出版信息
Biomater Sci. 2021 Apr 7;9(7):2696-2708. doi: 10.1039/d0bm02125c. Epub 2021 Feb 22.
Occlusion of blood vessels caused by thrombi is the major pathogenesis of various catastrophic cardiovascular diseases. Thrombi can be prevented or treated by antithrombotic drugs. However, free antithrombotic drugs often have relatively low therapeutic efficacy due to a number of limitations such as short half-life, unexpected bleeding complications, low thrombus targeting capability, and negligible hydrogen peroxide (HO)-scavenging ability. Inspired by the abundance of HO and the active thrombus-targeting property of platelets, a HO-responsive platelet membrane-cloaked argatroban-loaded polymeric nanoparticle (PNP) was developed for thrombus therapy. Poly(vanillyl alcohol-co-oxalate) (PVAX), a HO-degradable polymer, was synthesized to form an argatroban-loaded nanocore, which was further coated with platelet membrane. The PNP can effectively target the blood clots due to the thrombus-homing property of the cloaked platelet membrane, and subsequently exert combined HO-scavenging effect via the HO-degradable nanocarrier polymer and antithrombotic effect via argatroban, the released payload. The PNP effectively scavenged HO and protected cells from HO-induced cellular injury in RAW 264.7 cells and HUVECs. The PNP rapidly targeted the thrombosed vessels and remarkably suppressed thrombus formation, and the levels of HO and inflammatory cytokines in the ferric chloride-induced carotid arterial thrombosis mouse model. Safety assessment indicated good biocompatibility of the PNP. Taken together, the biomimetic PNP offers multiple functionalities including thrombus-targeting, antioxidation, and HO-stimulated antithrombotic action, thereby making it a promising therapeutic nanomedicine for thrombosis diseases.
血栓引起的血管阻塞是各种灾难性心血管疾病的主要发病机制。抗血栓药物可预防或治疗血栓。然而,由于半衰期短、意外出血并发症、低血栓靶向能力和可忽略的过氧化氢 (HO) 清除能力等诸多限制,游离抗血栓药物的治疗效果往往相对较低。受 HO 丰富度和血小板的主动血栓靶向特性的启发,开发了一种对 HO 响应的血小板膜包裹的阿加曲班载药聚合物纳米粒子 (PNP) 用于血栓治疗。HO 可降解聚合物聚(香草基醇-草酸酯) (PVAX) 被合成形成阿加曲班载纳米核,然后用血小板膜进一步包裹。由于包裹的血小板膜具有血栓靶向特性,PNP 可以有效地靶向血栓,随后通过 HO 可降解纳米载体聚合物和释放的有效载荷阿加曲班发挥联合的 HO 清除作用和抗血栓作用。PNP 可有效清除 HO,并保护 RAW 264.7 细胞和 HUVECs 免受 HO 诱导的细胞损伤。PNP 能迅速靶向血栓形成的血管,并显著抑制血栓形成,以及氯化铁诱导的颈总动脉血栓形成小鼠模型中的 HO 和炎症细胞因子水平。安全性评估表明 PNP 具有良好的生物相容性。综上所述,仿生 PNP 提供了多种功能,包括血栓靶向、抗氧化和 HO 刺激的抗血栓作用,使其成为一种有前途的血栓病治疗纳米医学。