含β-环糊精的聚合物治疗皮肤狼疮和流感可改善预后。

β-Cyclodextrin-containing polymer treatment of cutaneous lupus and influenza improves outcomes.

机构信息

Department of Surgery, Duke University, Durham, NC 27710, USA.

Department of Surgery, Department of Pharmacology and Cancer Biology, Duke Medical Scientist Training Program, Duke University, Durham, NC 27710, USA.

出版信息

Mol Ther. 2022 Feb 2;30(2):845-854. doi: 10.1016/j.ymthe.2021.10.003. Epub 2021 Oct 8.

Abstract

Nucleic acid (NA)-containing damage- and pathogen-associated molecular patterns (DAMPs and PAMPs, respectively) are implicated in numerous pathological conditions from infectious diseases to autoimmune disorders. Nucleic acid-binding polymers, including polyamidoamine (PAMAM) dendrimers, have demonstrated anti-inflammatory properties when administered to neutralize DAMPs/PAMPs. The PAMAM G3 variant has been shown to have beneficial effects in a cutaneous lupus erythematosus (CLE) murine model and improve survival of mice challenged with influenza. Unfortunately, the narrow therapeutic window of cationic PAMAM dendrimers makes their clinical development challenging. An alternative nucleic acid-binding polymer that has been evaluated in humans is a linear β-cyclodextrin-containing polymer (CDP). CDP's characteristics prompted us to evaluate its anti-inflammatory potential in CLE autoimmune and influenza infectious disease mouse models. We report that CDP effectively inhibits NA-containing DAMP-mediated activation of Toll-like receptors (TLRs) in cell culture, improves healing in lupus mice, and does not immunocompromise treated animals upon influenza infection but improves survival even when administered 3 days after infection. Finally, as anticipated, we observe limited toxicity in animals treated with CDP compared with PAMAM G3. Thus, CDP is a new anti-inflammatory agent that may be readily translated to the clinic to combat diseases associated with pathological NA-containing DAMPs/PAMPs.

摘要

核酸(NA)包含的损伤和病原体相关分子模式(DAMPs 和 PAMPs,分别)与从传染病到自身免疫疾病的许多病理状况有关。核酸结合聚合物,包括聚酰胺胺(PAMAM)树突,在给药以中和 DAMPs/PAMPs 时表现出抗炎特性。已经表明 PAMAM G3 变体在皮肤红斑狼疮 (CLE) 小鼠模型中具有有益效果,并提高了流感挑战小鼠的存活率。不幸的是,阳离子 PAMAM 树突的治疗窗狭窄使得它们的临床开发具有挑战性。已经在人类中评估的另一种核酸结合聚合物是含有线性 β-环糊精的聚合物 (CDP)。CDP 的特性促使我们在 CLE 自身免疫和流感感染性疾病小鼠模型中评估其抗炎潜力。我们报告说,CDP 可有效抑制细胞培养中含 NA 的 DAMP 介导的 Toll 样受体 (TLR) 激活,改善狼疮小鼠的愈合,并且在流感感染时不会使接受治疗的动物免疫受损,但即使在感染后 3 天给药也可提高存活率。最后,正如预期的那样,与 PAMAM G3 相比,我们在接受 CDP 治疗的动物中观察到有限的毒性。因此,CDP 是一种新的抗炎剂,可轻易转化为临床,以对抗与病理性含 NA 的 DAMPs/PAMPs 相关的疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2250/8821959/e224eff749bd/fx1.jpg

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