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Pathophysiology-Directed Engineering of a Combination Nanoanalgesic for Neuropathic Pain.

作者信息

Wang Wenkai, Wang Yan, Huang Xinle, Wu Peng, Li Lanlan, Zhang Yang, Chen Yihui, Chen Zhiyu, Li Changqing, Zhou Yue, Zhang Jianxiang

机构信息

Department of Orthopedics, Xinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing, 400037, P. R. China.

Department of Orthopedics, General Hospital of PLA Xizang Military Area Command, Lhasa, 850007, P. R. China.

出版信息

Adv Sci (Weinh). 2025 Feb;12(8):e2405483. doi: 10.1002/advs.202405483. Epub 2024 Dec 24.


DOI:10.1002/advs.202405483
PMID:39716944
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11848598/
Abstract

Neuropathic pain, one of the most refractory pain diseases, remains a formidable medical challenge. There is still an unmet demand for effective and safe therapies to address this condition. Herein, a rat model of nerve injury-induced neuropathic pain is first established to explore its pathophysiological characteristics. Recognizing the role of neuroinflammation, an inflammation-resolving amphiphilic conjugate PPT is designed and synthesized by simultaneously conjugating polyethylene glycol, phenylboronic acid pinacol ester, and Tempol onto a cyclic scaffold. PPT can self-assemble into nanomicelles (termed PPTN). Following intravenous injection, PPTN preferentially accumulates in the injured nerve, ameliorates the neuroinflammatory milieu, and promotes nerve regeneration, thereby shortening neuropathic pain duration in rats. Moreover, the Ca channel α2δ1 subunit is identified as a therapeutic target by RNA-sequencing analysis of the injured nerve. Based on this target, a mimicking peptide (AD peptide) is screened as an analgesic. By packaging AD peptide into PPTN, a combination nano-analgesic APTN is developed. Besides potentiated anti-hyperalgesic effects due to site-specific delivery and on-demand release of AD peptide at target sites, APTN simultaneously inhibits neuroinflammation and promotes nerve regeneration by reprogramming macrophages via regulating MAPK/NF-kB signaling pathways and NLRP3 inflammasome activation, thus affording synergistic efficacies in treating nerve injury-induced neuropathic pain.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/d192325121f9/ADVS-12-2405483-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/fd6a74ab9171/ADVS-12-2405483-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/590cb1860138/ADVS-12-2405483-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/afaf3f53daad/ADVS-12-2405483-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/39bbc000ddaf/ADVS-12-2405483-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/e8b359761fdf/ADVS-12-2405483-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/68533e913366/ADVS-12-2405483-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/0f30e42ad3c2/ADVS-12-2405483-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/8f3a5b498269/ADVS-12-2405483-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/05468d93491a/ADVS-12-2405483-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/d192325121f9/ADVS-12-2405483-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/fd6a74ab9171/ADVS-12-2405483-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/590cb1860138/ADVS-12-2405483-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/afaf3f53daad/ADVS-12-2405483-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/39bbc000ddaf/ADVS-12-2405483-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/e8b359761fdf/ADVS-12-2405483-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/68533e913366/ADVS-12-2405483-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/0f30e42ad3c2/ADVS-12-2405483-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/8f3a5b498269/ADVS-12-2405483-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/05468d93491a/ADVS-12-2405483-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2e0/11848598/d192325121f9/ADVS-12-2405483-g011.jpg

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Pathophysiology-Directed Engineering of a Combination Nanoanalgesic for Neuropathic Pain.

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引用本文的文献

[1]
Emerging role of macrophages in neuropathic pain.

J Orthop Translat. 2025-3-18

本文引用的文献

[1]
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ACS Nano. 2024-2-27

[2]
Transient Compression Injury Triggers Neuroinflammation in a New Rat Model of Acute Peripheral Neuropathic Pain.

Pain Physician. 2024-1

[3]
[Not Available].

Acta Pharm Sin B. 2024-1

[4]
Deficient chaperone-mediated autophagy facilitates LPS-induced microglial activation via regulation of the p300/NF-κB/NLRP3 pathway.

Sci Adv. 2023-10-6

[5]
Topical formulations of Aprepitant are safe and effective in relieving pain and inflammation, and drive neural regeneration.

Ocul Surf. 2023-10

[6]
Intrinsically bioactive and biomimetic nanoparticle-derived therapies alleviate asthma by regulating multiple pathological cells.

Bioact Mater. 2023-5-6

[7]
Pathologically triggered aggregation of nanoparticles for inflammation-targeting amplification and therapeutic potentiation.

Acta Pharm Sin B. 2023-1

[8]
Gabapentinoids for Pain: A Review of Published Comparative Effectiveness Trials and Data Submitted to the FDA for Approval.

Drugs. 2023-1

[9]
p38 MAPK-dependent phosphorylation of TFEB promotes monocyte-to-macrophage differentiation.

EMBO Rep. 2023-2-6

[10]
Interactions between NSAIDs, opioids and the gut microbiota - Future perspectives in the management of inflammation and pain.

Pharmacol Ther. 2023-1

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