Xiao Bo, Liang Yuqi, Liu Ga, Wang Lingshuang, Zhang Zhan, Qiu Libin, Xu Haiting, Carr Sean, Shi Xiaoxiao, Reis Rui L, Kundu Subhas C, Zhu Zhenghua
Department of Gastroenterology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China.
College of Sericulture, Textile, and Biomass Sciences, Southwest University, Chongqing 400715, China.
Acta Pharm Sin B. 2024 Jun;14(6):2732-2747. doi: 10.1016/j.apsb.2024.02.008. Epub 2024 Feb 12.
The progression of ulcerative colitis (UC) is associated with immunologic derangement, intestinal hemorrhage, and microbiota imbalance. While traditional medications mainly focus on mitigating inflammation, it remains challenging to address multiple symptoms. Here, a versatile gas-propelled nanomotor was constructed by mild fusion of post-ultrasonic CaO nanospheres with CuO nanoblocks. The resulting CaO-CuO possessed a desirable diameter (291.3 nm) and a uniform size distribution. It could be efficiently internalized by colonic epithelial cells and macrophages, scavenge intracellular reactive oxygen/nitrogen species, and alleviate immune reactions by pro-polarizing macrophages to the anti-inflammatory M2 phenotype. This nanomotor was found to penetrate through the mucus barrier and accumulate in the colitis mucosa due to the driving force of the generated oxygen bubbles. Rectal administration of CaO-CuO could stanch the bleeding, repair the disrupted colonic epithelial layer, and reduce the inflammatory responses through its interaction with the genes relevant to blood coagulation, anti-oxidation, wound healing, and anti-inflammation. Impressively, it restored intestinal microbiota balance by elevating the proportions of beneficial bacteria (, and ) and decreasing the abundances of harmful bacteria (, and ). Our gas-driven CaO-CuO offers a promising therapeutic platform for robust treatment of UC the rectal route.
溃疡性结肠炎(UC)的进展与免疫紊乱、肠道出血和微生物群失衡有关。虽然传统药物主要侧重于减轻炎症,但应对多种症状仍然具有挑战性。在此,通过将超声后CaO纳米球与CuO纳米块温和融合构建了一种多功能气体驱动纳米马达。所得的CaO-CuO具有理想的直径(291.3 nm)和均匀的尺寸分布。它可以被结肠上皮细胞和巨噬细胞有效内化,清除细胞内活性氧/氮物种,并通过将巨噬细胞促极化至抗炎M2表型来减轻免疫反应。由于产生的氧气气泡的驱动力,发现这种纳米马达可穿透黏液屏障并积聚在结肠炎黏膜中。直肠给药CaO-CuO可以止血,修复受损的结肠上皮层,并通过与凝血、抗氧化、伤口愈合和抗炎相关基因的相互作用来减轻炎症反应。令人印象深刻的是,它通过提高有益细菌(、和)的比例并降低有害细菌(、和)的丰度来恢复肠道微生物群平衡。我们的气体驱动CaO-CuO为通过直肠途径强力治疗UC提供了一个有前景的治疗平台。
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