Department of General Pediatrics, Muenster University Children's Hospital, D-48149 Muenster, Germany.
International Network of Ectopic Calcification (INTEC), 9000 Ghent, Belgium.
Int J Mol Sci. 2023 Nov 17;24(22):16471. doi: 10.3390/ijms242216471.
Calcified aortic valve disease in its final stage leads to aortic valve stenosis, limiting cardiac function. To date, surgical intervention is the only option for treating calcific aortic valve stenosis. This study combined controlled drug delivery by nanoparticles (NPs) and active targeting by antibody conjugation. The chelating agent diethylenetriaminepentaacetic acid (DTPA) was covalently bound to human serum albumin (HSA)-based NP, and the NP surface was modified using conjugating antibodies (anti-elastin or isotype IgG control). Calcification was induced ex vivo in porcine aortic valves by preincubation in an osteogenic medium containing 2.5 mM sodium phosphate for five days. Valve calcifications mainly consisted of basic calcium phosphate crystals. Calcifications were effectively resolved by adding 1-5 mg DTPA/mL medium. Incubation with pure DTPA, however, was associated with a loss of cellular viability. Reversal of calcifications was also achieved with DTPA-coupled anti-elastin-targeted NPs containing 1 mg DTPA equivalent. The addition of these NPs to the conditioned media resulted in significant regression of the valve calcifications compared to that in the IgG-NP control without affecting cellular viability. These results represent a step further toward the development of targeted nanoparticular formulations to dissolve aortic valve calcifications.
在疾病的终末期,钙质主动脉瓣病会导致主动脉瓣狭窄,从而限制心脏功能。迄今为止,手术干预是治疗钙质主动脉瓣狭窄的唯一选择。本研究将纳米颗粒(NPs)的控制药物输送与抗体偶联的主动靶向相结合。螯合剂二亚乙基三胺五乙酸(DTPA)通过共价键结合到基于人血清白蛋白(HSA)的 NP 上,并且通过连接抗体(抗弹性蛋白或同型 IgG 对照)对 NP 表面进行修饰。通过在含有 2.5 mM 磷酸钠的成骨培养基中预孵育 5 天,在猪主动脉瓣中体外诱导钙化。瓣膜钙化主要由碱性磷酸钙晶体组成。通过添加 1-5 mg DTPA/mL 培养基可有效解决钙化问题。然而,用纯 DTPA 孵育与细胞活力丧失有关。用含有 1 mg DTPA 当量的 DTPA 偶联抗弹性蛋白靶向 NPs 也可以逆转钙化。与 IgG-NP 对照相比,将这些 NPs 添加到条件培养基中可导致瓣膜钙化明显消退,而不会影响细胞活力。这些结果代表着朝着开发靶向纳米制剂以溶解主动脉瓣钙化的方向迈出了一步。