通过 ROS 清除脂质纳米颗粒-mRNA 制剂加速糖尿病伤口愈合。

Accelerating diabetic wound healing by ROS-scavenging lipid nanoparticle-mRNA formulation.

机构信息

Icahn Genomics Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029.

Marc and Jennifer Lipschultz Precision Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029.

出版信息

Proc Natl Acad Sci U S A. 2024 May 28;121(22):e2322935121. doi: 10.1073/pnas.2322935121. Epub 2024 May 21.

Abstract

Current treatment options for diabetic wounds face challenges due to low efficacy, as well as potential side effects and the necessity for repetitive treatments. To address these issues, we report a formulation utilizing trisulfide-derived lipid nanoparticle (TS LNP)-mRNA therapy to accelerate diabetic wound healing by repairing and reprogramming the microenvironment of the wounds. A library of reactive oxygen species (ROS)-responsive TS LNPs was designed and developed to encapsulate interleukin-4 (IL4) mRNA. TS2-IL4 LNP-mRNA effectively scavenges excess ROS at the wound site and induces the expression of IL4 in macrophages, promoting the polarization from the proinflammatory M1 to the anti-inflammatory M2 phenotype at the wound site. In a diabetic wound model of db/db mice, treatment with this formulation significantly accelerates wound healing by enhancing the formation of an intact epidermis, angiogenesis, and myofibroblasts. Overall, this TS LNP-mRNA platform not only provides a safe, effective, and convenient therapeutic strategy for diabetic wound healing but also holds great potential for clinical translation in both acute and chronic wound care.

摘要

目前,糖尿病伤口的治疗选择面临着疗效低、潜在副作用以及需要重复治疗等挑战。为了解决这些问题,我们报告了一种利用三硫键衍生脂质纳米颗粒(TS LNP)-mRNA 疗法通过修复和重编程伤口的微环境来加速糖尿病伤口愈合的配方。设计并开发了一个反应性氧物种(ROS)响应的 TS LNP 文库,以封装白细胞介素 4(IL4)mRNA。TS2-IL4 LNP-mRNA 可有效清除伤口部位的过多 ROS,并在巨噬细胞中诱导 IL4 的表达,促进伤口部位从促炎 M1 向抗炎 M2 表型的极化。在 db/db 小鼠的糖尿病伤口模型中,该配方的治疗显著加速了伤口愈合,促进了完整表皮、血管生成和肌成纤维细胞的形成。总的来说,这种 TS LNP-mRNA 平台不仅为糖尿病伤口愈合提供了一种安全、有效和方便的治疗策略,而且在急性和慢性伤口护理方面具有很大的临床转化潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dd9/11145207/c26e6d218611/pnas.2322935121fig01.jpg

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