School of Medicine, Southeast University, Research Institute of General Surgery, Jinling Hospital, Nanjing, China.
Research Institute of General Surgery, Jinling Hospital, Nanjing, China.
Clin Transl Med. 2021 Feb;11(2):e339. doi: 10.1002/ctm2.339.
Inflammatory bowel disease (IBD) has emerged a global disease and the ascending incidence and prevalence is accompanied by elevated morbidity, mortality, and substantial healthcare system costs. However, the current typical one-size-fits-all therapeutic approach is suboptimal for a substantial proportion of patients due to the variability in the course of IBD and a considerable number of patients do not have positive response to the clinically approved drugs, so there is still a great, unmet demand for novel alternative therapeutic approaches. Spleen tyrosine kinase (Syk), a cytoplasmic nonreceptor protein tyrosine kinase, plays crucial roles in signal transduction and there are emerging data implicating that Syk participates in pathogenesis of several gut disorders, such as IBD. In this study, we observed the Syk expression in IBD patients and explored the effects of therapeutic Syk inhibition using small-molecule Syk inhibitor piceatannol in bone marrow-derived macrophages (BMDMs). In addition, due to the poor bioavailability and pharmacokinetics of small-molecule tyrosine kinase inhibitors and superiority of targeting nanoparticles-based drug delivery system, we herein prepared piceatannol-encapsulated poly(lactic-co-glycolic acid) nanoparticles that conjugated with chemokine C-C motif ligand 4 (P-NPs-C) and studied its therapeutic effects in vitro in BMDMs and in vivo in experimental colitis model. Our results indicated that in addition to alleviating colitis, oral administration of P-NPs-C promoted the restoration of intestinal barrier function and improved intestinal microflora dysbiosis, which represents a promising treatment for IBD.
炎症性肠病(IBD)已成为一种全球性疾病,其发病率和患病率呈上升趋势,同时伴随着发病率、死亡率的上升和大量医疗保健系统成本的增加。然而,由于 IBD 病程的可变性以及相当一部分患者对临床批准药物没有积极反应,目前这种典型的一刀切的治疗方法并不适合大多数患者,因此仍然存在着巨大的、未满足的对新型替代治疗方法的需求。脾酪氨酸激酶(Syk)是一种细胞质非受体蛋白酪氨酸激酶,在信号转导中发挥着至关重要的作用,有越来越多的数据表明 Syk 参与了几种肠道疾病的发病机制,如 IBD。在本研究中,我们观察了 IBD 患者中的 Syk 表达,并探讨了使用小分子 Syk 抑制剂白藜芦醇在骨髓来源的巨噬细胞(BMDMs)中抑制 Syk 的治疗效果。此外,由于小分子酪氨酸激酶抑制剂的生物利用度和药代动力学较差,以及靶向纳米颗粒药物递送系统的优越性,我们在此制备了白藜芦醇包封的聚(乳酸-共-乙醇酸)纳米颗粒,并与趋化因子 C-C 基序配体 4 偶联(P-NPs-C),研究了其在体外 BMDMs 中的治疗效果和体内实验性结肠炎模型中的治疗效果。我们的研究结果表明,除了缓解结肠炎外,P-NPs-C 的口服给药还促进了肠道屏障功能的恢复,并改善了肠道微生物失调,这为 IBD 提供了一种有前景的治疗方法。