Department of Orthopedics, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, PR China.
Department of Talent Highland, Center for Gut Microbiome Research, Med-X Institute, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, PR China; School of Chemistry, Xi'an Jiaotong University, Xi'an 710049, PR China.
Colloids Surf B Biointerfaces. 2023 Sep;229:113446. doi: 10.1016/j.colsurfb.2023.113446. Epub 2023 Jul 7.
An excessive inflammatory response induced by cytokine storms is the primary reason for the deterioration of patients with acute lung injury (ALI). Though natural polyphenols such as curcumin (CUR) have anti-inflammation activity for ALI treatment, they often have limited efficacy due to their poor solubility in water and oxidising tendency. This study investigates a highly cross-linked polyphosphazene nano-drug (PHCH) developed by copolymerisation of CUR and acid-sensitive units (4-hydroxy-benzoic acid (4-hydroxy-benzylidene)-hydrazide, D-HBD) with hexachlorotripolyphosphonitrile (HCCP) for improved treatment of ALI. PHCH can prolong the blood circulation time and targeted delivery into lung inflammation sites by enhancing CUR's water dispersion and anti-oxidant properties. PHCH also demonstrates the inflammation-responsive release of CUR in an inflammation environment due to the acid-responsive degradation of hydrazine bonds and triphosphonitrile rings in PHCH. Therefore, PHCH has a substantial anti-inflammation activity for ALI treatment by synergistically improving CUR's water-solubility, bioavailability and biocompatibility. As expected, PHCH attenuates the cytokine storm syndrome and alleviates inflammation in the infected cells and tissues by down-regulating several critical inflammatory cytokines (TNF-α, IL-1β, and IL-8). PHCH also decreases the expression of p-p65 and C-Caspase-1, inhibiting NLRP3 inflammasomes and suppressing NF-κB signalling pathways. The administrated mice experiments confirmed that PHCH accumulation was enhanced in lung tissue and showed the efficient scavenging ability of reactive oxygen species (ROS), effectively blocking the cytokine storm and alleviating inflammatory damage in ALI. This smart polyphosphazene nano-drug with targeting delivery property and inflammation-responsive release of curcumin has excellent potential for the clinical treatment of various inflammatory diseases, including ALI.
细胞因子风暴引起的过度炎症反应是急性肺损伤(ALI)患者病情恶化的主要原因。虽然天然多酚如姜黄素(CUR)具有抗炎作用,可用于 ALI 的治疗,但由于其在水中的溶解度低和易氧化,其疗效往往有限。本研究开发了一种高度交联的聚膦腈纳米药物(PHCH),通过 CUR 和酸敏感单元(4-羟基苯甲酸(4-羟基苯亚甲基)-酰肼,D-HBD)与六氯三聚磷腈(HCCP)共聚得到,以提高 ALI 的治疗效果。PHCH 可以通过增强 CUR 的水分散性和抗氧化性能来延长血液循环时间并靶向递送到肺部炎症部位。此外,由于 PHCH 中的腙键和三磷腈环的酸响应性降解,PHCH 还可以在炎症环境中实现 CUR 的炎症响应性释放。因此,PHCH 通过协同提高 CUR 的水溶性、生物利用度和生物相容性,对 ALI 具有显著的抗炎作用。正如预期的那样,PHCH 通过下调几种关键的炎症细胞因子(TNF-α、IL-1β 和 IL-8)来减轻感染细胞和组织中的细胞因子风暴综合征和炎症。PHCH 还降低了 p-p65 和 C-Caspase-1 的表达,抑制了 NLRP3 炎性小体并抑制了 NF-κB 信号通路。给予小鼠的实验证实,PHCH 在肺部组织中的积累增强,并表现出对活性氧(ROS)的有效清除能力,有效地阻断了细胞因子风暴并减轻了 ALI 中的炎症损伤。这种具有靶向递送特性和姜黄素炎症响应性释放的智能聚膦腈纳米药物具有治疗各种炎症性疾病(包括 ALI)的巨大潜力。
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