Department of Nanoengineering, Chemical Engineering Program, and Moores Cancer Center, University of California San Diego, La Jolla, California 92093, United States.
ACS Nano. 2023 Aug 22;17(16):15893-15904. doi: 10.1021/acsnano.3c03959. Epub 2023 Aug 11.
Inflammatory bowel disease (IBD) is a chronic gastrointestinal tract disorder characterized by uncontrolled inflammatory responses to the disrupted intestinal epithelial barrier and gut microbiome dysbiosis. Currently available small-molecule immunosuppressive agents and anticytokine biologics show limited potency, mainly due to the complexity of the inflammatory network involved in IBD. Here, we develop an oral formulation of macrophage membrane-coated nanoparticles capsulated in enteric polymer-coated gelatin capsules (denoted "cp-MΦ-NPs") for IBD treatment. The capsules protect the nanoparticles from gastric degradation and allow for targeted delivery to the colon. At the inflamed colon, cp-MΦ-NPs act as macrophage decoys that bind and neutralize pro-inflammatory cytokines. The in vivo treatment efficacy of cp-MΦ-NPs is tested in a mouse model of dextran sulfate sodium-induced colitis. In both prophylactic and delayed treatment regimens, the oral delivery of cp-MΦ-NPs significantly alleviates IBD severity, reflected by reduced intestinal inflammation and intestinal barrier restoration. Overall, cp-MΦ-NPs provide a biomimetic nanomedicine strategy for the treatment of IBD.
炎症性肠病(IBD)是一种慢性胃肠道疾病,其特征是对肠道上皮屏障破坏和肠道微生物失调的失控炎症反应。目前可用的小分子免疫抑制剂和抗细胞因子生物制剂显示出有限的效力,主要是由于涉及 IBD 的炎症网络的复杂性。在这里,我们开发了一种巨噬细胞膜包裹的纳米粒子的口服制剂,封装在肠溶聚合物包衣的明胶胶囊中(表示为“cp-MΦ-NPs”),用于治疗 IBD。该胶囊可防止纳米粒子在胃中降解,并允许靶向递送到结肠。在发炎的结肠中,cp-MΦ-NPs 作为巨噬细胞诱饵,结合并中和促炎细胞因子。cp-MΦ-NPs 的体内治疗效果在葡聚糖硫酸钠诱导的结肠炎小鼠模型中进行了测试。在预防和延迟治疗方案中,cp-MΦ-NPs 的口服递送可显著减轻 IBD 的严重程度,表现为肠道炎症减轻和肠道屏障恢复。总的来说,cp-MΦ-NPs 为 IBD 的治疗提供了一种仿生纳米医学策略。