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小鼠经脂质体递送地塞米松后创伤性脑损伤结果的性别依赖性改善。

Sex-dependent improvement in traumatic brain injury outcomes after liposomal delivery of dexamethasone in mice.

作者信息

Baudo Gherardo, Flinn Hannah, Holcomb Morgan, Tiwari Anjana, Soriano Sirena, Taraballi Francesca, Godin Biana, Zinger Assaf, Villapol Sonia

机构信息

Department of Nanomedicine Houston Methodist Research Institute Houston Texas USA.

Department of Neurosurgery and Center for Neuroregeneration Houston Methodist Research Institute Houston Texas USA.

出版信息

Bioeng Transl Med. 2024 Feb 4;9(4):e10647. doi: 10.1002/btm2.10647. eCollection 2024 Jul.

Abstract

Traumatic brain injury (TBI) can have long-lasting physical, emotional, and cognitive consequences due to the neurodegeneration caused by its robust inflammatory response. Despite advances in rehabilitation care, effective neuroprotective treatments for TBI patients are lacking. Furthermore, current drug delivery methods for TBI treatment are inefficient in targeting inflamed brain areas. To address this issue, we have developed a liposomal nanocarrier (Lipo) encapsulating dexamethasone (Dex), an agonist for the glucocorticoid receptor utilized to alleviate inflammation and swelling in various conditions. In vitro studies show that Lipo-Dex were well tolerated in human and murine neural cells. Lipo-Dex showed significant suppression of inflammatory cytokines, IL-6 and TNF-α, release after induction of neural inflammation with lipopolysaccharide. Further, the Lipo-Dex were administered to young adult male and female C57BL/6 mice immediately after controlled cortical impact injury (a TBI model). Our findings demonstrate that Lipo-Dex can selectively target the injured brain, thereby reducing lesion volume, cell death, astrogliosis, the release of pro-inflammatory cytokines, and microglial activation compared to Lipo-treated mice in a sex-dependent manner, showing a major impact only in male mice. This highlights the importance of considering sex as a crucial variable in developing and evaluating new nano-therapies for brain injury. These results suggest that Lipo-Dex administration may effectively treat acute TBI.

摘要

创伤性脑损伤(TBI)由于其强烈的炎症反应导致神经退行性变,可产生长期的身体、情感和认知后果。尽管康复护理取得了进展,但仍缺乏针对TBI患者的有效神经保护治疗方法。此外,目前用于TBI治疗的药物递送方法在靶向炎症脑区方面效率低下。为了解决这个问题,我们开发了一种包裹地塞米松(Dex)的脂质体纳米载体(Lipo),地塞米松是一种糖皮质激素受体激动剂,用于减轻各种情况下的炎症和肿胀。体外研究表明,Lipo-Dex在人和小鼠神经细胞中耐受性良好。在用脂多糖诱导神经炎症后,Lipo-Dex显示出对炎症细胞因子IL-6和TNF-α释放的显著抑制作用。此外,在控制性皮质撞击损伤(一种TBI模型)后,立即将Lipo-Dex给予年轻成年雄性和雌性C57BL/6小鼠。我们的研究结果表明,与Lipo处理的小鼠相比,Lipo-Dex可以选择性地靶向受伤的大脑,从而以性别依赖的方式减少损伤体积、细胞死亡、星形胶质细胞增生、促炎细胞因子的释放和小胶质细胞激活,仅在雄性小鼠中显示出主要影响。这突出了在开发和评估脑损伤新纳米疗法时将性别作为关键变量考虑的重要性。这些结果表明,给予Lipo-Dex可能有效治疗急性TBI。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3358/11256133/d430e992a495/BTM2-9-e10647-g005.jpg

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