Department of Chemical Engineering, National Taiwan University, Taipei, 10617, Taiwan.
School of Biomedical Engineering, Taipei Medical University, Taipei, 11031, Taiwan.
Adv Healthc Mater. 2023 Sep;12(24):e2300682. doi: 10.1002/adhm.202300682. Epub 2023 Jun 14.
Thrombolytic and antithrombotic therapies are limited by short circulation time and the risk of off-target hemorrhage. Integrating a thrombus-homing strategy with photothermal therapy are proposed to address these limitations. Using glycol chitosan, polypyrrole, iron oxide and heparin, biomimicking GCPIH nanoparticles are developed for targeted thrombus delivery and thrombolysis. The nanoassembly achieves precise delivery of polypyrrole, exhibiting biocompatibility, selective accumulation at multiple thrombus sites, and enhanced thrombolysis through photothermal activation. To simulate targeted thrombolysis, a microfluidic model predicting thrombolysis dynamics in realistic pathological scenarios is designed. Human blood assessments validate the precise homing of GCPIH nanoparticles to activated thrombus microenvironments. Efficient near-infrared phototherapeutic effects are demonstrated at thrombus lesions under physiological flow conditions ex vivo. The combined investigations provide compelling evidence supporting the potential of GCPIH nanoparticles for effective thrombus therapy. The microfluidic model also offers a platform for advanced thrombolytic nanomedicine development.
溶栓和抗血栓治疗受到循环时间短和靶向出血风险的限制。将血栓归巢策略与光热疗法相结合被提出以解决这些限制。使用乙二醇壳聚糖、聚吡咯、氧化铁和肝素,仿生 GCPIH 纳米颗粒被开发用于靶向血栓输送和溶栓。纳米组装实现了聚吡咯的精确传递,表现出生物相容性、在多个血栓部位的选择性积累,并通过光热激活增强溶栓。为了模拟靶向溶栓,设计了一个微流控模型来预测真实病理情况下的溶栓动力学。人体血液评估验证了 GCPIH 纳米颗粒精确归巢到激活的血栓微环境。在生理流动条件下离体的血栓病变处显示出有效的近红外光热治疗效果。这些综合研究为 GCPIH 纳米颗粒在有效血栓治疗中的应用提供了有力证据。微流控模型还为先进的溶栓纳米医学的发展提供了一个平台。