Department of Cardiovascular Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, People's Republic of China.
Int J Nanomedicine. 2023 Feb 1;18:579-594. doi: 10.2147/IJN.S384675. eCollection 2023.
PURPOSE: Oxidative stress is one of the main pathogenic factors of atherosclerosis. However, no antioxidants have brought positive effects on the treatment of atherosclerosis. To selectively treat atherosclerosis, various means such as antioxidation, anti-apoptosis, and M2 polarization are used. The ultimate goal is that multiple regulatory pathways can help to treat atherosclerosis. PATIENTS AND METHODS: In this study, Simvastatin (SIM) as a model drug, EGCG as an antioxidant agent, and distearyl phosphatidylcholine (DSPC) as major carriers were used to make liposome nanoparticles (SE-LNPs). The cytotoxicity, phagocytosis, antioxidant, and anti-apoptotic properties of nanoparticles were tested in vitro. ApoE-/- atherosclerotic mice were treated with nanoparticles. The changes of aortic Oil red staining, blood lipid, HE, and Masson sections of the aortic root were observed. RESULTS: SE-LNPs exhibited a sustained release profile, potentially enabling the accumulation of the majority amount of drugs at the atherosclerotic plaque. The phagocytosis effect was stronger in RAW. The anti-oxidative and anti-apoptotic effects of the formulation were verified in vitro. SE-LNPs promoted the polarization of M2 macrophages. The therapeutic effect of SE-LNPs was assessed in the ApoE-/- mice model of atherosclerosis. SE-LNPs reduced reactive oxygen species and lipids in vivo. The results of Oil red staining, blood lipid, HE, and Masson sections of the aortic root showed the recovery of the focus. CONCLUSION: Studies have shown that SE-LNPs could resist oxidation, and apoptosis, promote M2 polarization, and reduce blood lipids and lesions, which is a reliable and selective treatment for atherosclerosis.
目的:氧化应激是动脉粥样硬化的主要致病因素之一。然而,没有任何抗氧化剂对动脉粥样硬化的治疗有积极作用。为了有针对性地治疗动脉粥样硬化,采用了抗氧化、抗凋亡、M2 极化等各种手段。最终目标是多种调控途径有助于治疗动脉粥样硬化。
患者和方法:在这项研究中,以辛伐他汀(SIM)为模型药物,以表没食子儿茶素没食子酸酯(EGCG)为抗氧化剂,以二硬脂酰基磷脂酰胆碱(DSPC)为主要载体,制成脂质体纳米粒(SE-LNPs)。体外测试了纳米粒的细胞毒性、吞噬作用、抗氧化和抗凋亡特性。用纳米粒处理载脂蛋白 E 基因敲除(ApoE-/-)动脉粥样硬化小鼠。观察主动脉油红染色、血脂、HE 和主动脉根部 Masson 切片的变化。
结果:SE-LNPs 呈现出持续释放的特征,有可能使大部分药物在动脉粥样硬化斑块中积累。RAW 的吞噬作用更强。该制剂的抗氧化和抗凋亡作用在体外得到了验证。SE-LNPs 促进了 M2 巨噬细胞的极化。在 ApoE-/-动脉粥样硬化小鼠模型中评估了 SE-LNPs 的治疗效果。SE-LNPs 减少了体内的活性氧和脂质。主动脉根部油红染色、血脂、HE 和 Masson 切片的结果显示焦点得到了恢复。
结论:研究表明,SE-LNPs 可以抵抗氧化、凋亡,促进 M2 极化,降低血脂和病变,是一种可靠的、有针对性的动脉粥样硬化治疗方法。
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