State Key Laboratory of Natural Medicines, Department of Pharmaceutics, School of Pharmacy, China Pharmaceutical University, Nanjing, 210009, P. R. China.
NMPA Key Laboratory for Research and Evaluation of Cosmetics, China Pharmaceutical University, Nanjing, 210009, P. R. China.
Adv Mater. 2024 May;36(21):e2312897. doi: 10.1002/adma.202312897. Epub 2024 Feb 22.
Ischemic stroke is a dreadful vascular disorder that poses enormous threats to the public health. Due to its complicated pathophysiological features, current treatment options after ischemic stroke attack remains unsatisfactory. Insufficient drug delivery to ischemic lesions impeded by the blood-brain barrier (BBB) largely limits the therapeutic efficacy of most anti-stroke agents. Herein, inspired by the rapid BBB penetrability of 4T1 tumor cells upon their brain metastasis and natural roles of platelet in targeting injured vasculatures, a bio-derived nanojacket is developed by fusing 4T1 tumor cell membrane with platelet membrane, which further clothes on the surface of paeonol and polymetformin-loaded liposome to obtain biomimetic nanoplatforms (PP@PCL) for ischemic stroke treatment. The designed PP@PCL could remarkably alleviate ischemia-reperfusion injury by efficiently targeting ischemic lesion, preventing neuroinflammation, scavenging excess reactive oxygen species (ROS), reprogramming microglia phenotypes, and promoting angiogenesis due to the synergistic therapeutic mechanisms that anchor the pathophysiological characteristics of ischemic stroke. As a result, PP@PCL exerts desirable therapeutic efficacy in injured PC12 neuronal cells and rat model of ischemic stroke, which significantly attenuates neuronal apoptosis, reduces infarct volume, and recovers neurological functions, bringing new insights into exploiting promising treatment strategies for cerebral ischemic stroke management.
缺血性脑卒中是一种可怕的血管疾病,对公众健康构成了巨大威胁。由于其复杂的病理生理特征,目前缺血性脑卒中发作后的治疗选择仍不尽如人意。由于血脑屏障(BBB)的阻碍,缺血性病变部位的药物输送不足,极大地限制了大多数抗中风药物的治疗效果。受 4T1 肿瘤细胞在脑转移时迅速穿透血脑屏障和血小板靶向损伤血管的天然作用的启发,本研究通过将 4T1 肿瘤细胞膜与血小板细胞膜融合,开发了一种生物衍生的纳米外壳,进一步将其包裹在丹皮酚和载多柔比星脂质体的表面,得到仿生纳米平台(PP@PCL),用于治疗缺血性脑卒中。设计的 PP@PCL 通过有效靶向缺血性病变、预防神经炎症、清除过量的活性氧(ROS)、重塑小胶质细胞表型以及促进血管生成,显著缓解缺血再灌注损伤,这是由于锚定缺血性脑卒中病理生理特征的协同治疗机制。结果表明,PP@PCL 在损伤的 PC12 神经元细胞和大鼠缺血性脑卒中模型中表现出良好的治疗效果,显著减少神经元凋亡、降低梗死体积和恢复神经功能,为开发治疗脑缺血性脑卒中的有前途的治疗策略提供了新的思路。
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