Long Qiang, Liu Zehua, Shao Qianwen, Shi Hongpeng, Huang Shixing, Jiang Chenyu, Qian Bei, Zhong Yiming, He Xiaojun, Xiang Xiaogang, Yang Yang, Li Bing, Yan Xiaoxiang, Zhao Qiang, Wei Xiaoli, Santos Hélder A, Ye Xiaofeng
Department of Cardiovascular Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Department of Biomedical Engineering, W.J. Kolff Institute for Biomedical Engineering and Materials Science, University Medical Center Groningen/University of Groningen, Ant. Deusinglaan 1, Groningen, 9713 AV, The Netherlands.
Adv Sci (Weinh). 2022 Jul;9(21):e2200856. doi: 10.1002/advs.202200856. Epub 2022 May 23.
Fibrotic diseases remain a substantial health burden with few therapeutic approaches. A hallmark of fibrosis is the aberrant activation and accumulation of myofibroblasts, which is caused by excessive profibrotic cytokines. Conventional anticytokine therapies fail to undergo clinical trials, as simply blocking a single or several antifibrotic cytokines cannot abrogate the profibrotic microenvironment. Here, biomimetic nanoparticles based on autologous skin fibroblasts are customized as decoys to neutralize multiple fibroblast-targeted cytokines. By fusing the skin fibroblast membrane onto poly(lactic-co-glycolic) acid cores, these nanoparticles, termed fibroblast membrane-camouflaged nanoparticles (FNPs), are shown to effectively scavenge various profibrotic cytokines, including transforming growth factor-β, interleukin (IL)-11, IL-13, and IL-17, thereby modulating the profibrotic microenvironment. FNPs are sequentially prepared into multiple formulations for different administration routines. As a proof-of-concept, in three independent animal models with various organ fibrosis (lung fibrosis, liver fibrosis, and heart fibrosis), FNPs effectively reduce the accumulation of myofibroblasts, and the formation of fibrotic tissue, concomitantly restoring organ function and indicating that FNPs are a potential broad-spectrum therapy for fibrosis management.
纤维化疾病仍然是一个巨大的健康负担,且治疗方法有限。纤维化的一个标志是肌成纤维细胞的异常激活和积累,这是由过多的促纤维化细胞因子引起的。传统的抗细胞因子疗法未能进入临床试验阶段,因为仅仅阻断一种或几种抗纤维化细胞因子并不能消除促纤维化的微环境。在此,基于自体皮肤成纤维细胞的仿生纳米颗粒被定制为诱饵,以中和多种靶向成纤维细胞的细胞因子。通过将皮肤成纤维细胞膜融合到聚乳酸-乙醇酸共聚物核上,这些被称为成纤维细胞膜伪装纳米颗粒(FNP)的纳米颗粒被证明能有效清除各种促纤维化细胞因子,包括转化生长因子-β、白细胞介素(IL)-11、IL-13和IL-17,从而调节促纤维化微环境。FNP被依次制备成多种制剂用于不同的给药程序。作为概念验证,在三种具有不同器官纤维化(肺纤维化、肝纤维化和心脏纤维化)的独立动物模型中,FNP有效减少了肌成纤维细胞的积累和纤维化组织的形成,同时恢复了器官功能,表明FNP是一种潜在的用于纤维化管理的广谱疗法。