Cai Jiajun, Tao Hui, Liu Huan, Hu Yi, Han Songling, Pu Wendan, Li Lanlan, Li Gang, Li Chenwen, Zhang Jianxiang
Department of Pharmaceutics, College of Pharmacy, Third Military Medical University (Army Medical University), Chongqing, 400038, PR China.
Department of Pharmacology, College of Pharmacy, Third Military Medical University (Army Medical University), Chongqing, 400038, PR China.
Bioact Mater. 2023 May 6;28:12-26. doi: 10.1016/j.bioactmat.2023.04.023. eCollection 2023 Oct.
Asthma is a serious global public health concern. Airway neutrophilic inflammation is closely related to severe asthma, for which effective and safe therapies remain to be developed. Here we report nanotherapies capable of simultaneously regulating multiple target cells relevant to the pathogenesis of neutrophilic asthma. A nanotherapy LaCD NP based on a cyclic oligosaccharide-derived bioactive material was engineered. LaCD NP effectively accumulated in the injured lungs of asthmatic mice and mainly distributed in neutrophils, macrophages, and airway epithelial cells after intravenous or inhalation delivery, thereby ameliorating asthmatic symptoms and attenuating pulmonary neutrophilic inflammation as well as reducing airway hyperresponsiveness, remodeling, and mucus production. Surface engineering via neutrophil cell membrane further enhanced targeting and therapeutic effects of LaCD NP. Mechanistically, LaCD NP can inhibit the recruitment and activation of neutrophils, especially reducing the neutrophil extracellular traps formation and NLRP3 inflammasome activation in neutrophils. Also, LaCD NP can suppress macrophage-mediated pro-inflammatory responses and prevent airway epithelial cell death and smooth muscle cell proliferation, by mitigating neutrophilic inflammation and its direct effects on relevant cells. Importantly, LaCD NP showed good safety performance. Consequently, LaCD-derived multi-bioactive nanotherapies are promising for effective treatment of neutrophilic asthma and other neutrophil-associated diseases.
哮喘是一个严重的全球公共卫生问题。气道嗜中性粒细胞炎症与重度哮喘密切相关,针对此仍有待开发有效且安全的治疗方法。在此,我们报告了能够同时调节与嗜中性粒细胞性哮喘发病机制相关的多种靶细胞的纳米疗法。基于环状寡糖衍生的生物活性材料设计了一种纳米疗法LaCD NP。LaCD NP在哮喘小鼠受损肺中有效蓄积,静脉注射或吸入给药后主要分布于嗜中性粒细胞、巨噬细胞和气道上皮细胞,从而改善哮喘症状,减轻肺部嗜中性粒细胞炎症,以及降低气道高反应性、重塑和黏液分泌。通过嗜中性粒细胞细胞膜进行表面工程进一步增强了LaCD NP的靶向性和治疗效果。从机制上讲,LaCD NP可抑制嗜中性粒细胞的募集和激活,尤其是减少嗜中性粒细胞胞外陷阱的形成以及嗜中性粒细胞中NLRP3炎性小体的激活。此外,LaCD NP可通过减轻嗜中性粒细胞炎症及其对相关细胞的直接作用,抑制巨噬细胞介导的促炎反应,并防止气道上皮细胞死亡和平滑肌细胞增殖。重要的是,LaCD NP表现出良好的安全性能。因此,基于LaCD的多生物活性纳米疗法有望有效治疗嗜中性粒细胞性哮喘和其他嗜中性粒细胞相关疾病。
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