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对聚乙烯吡咯烷酮 - 邻苯二酚衍生的壳聚糖纳米共轭物的研究为顺铂诱导的急性肾损伤的肾脏靶向治疗及护理管理提供了可能。

Investigation of polyvinylpyrrolidone-catechol-derived chitosan nanoconjugates allowed for kidney-targeted treatment of cisplatin-induced acute kidney injury and nursing care management.

作者信息

Chen Guixian

机构信息

Blood Purification Center, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, PR China.

出版信息

J Biomater Appl. 2025 Apr;39(9):1084-1096. doi: 10.1177/08853282241304396. Epub 2025 Jan 7.

DOI:10.1177/08853282241304396
PMID:39772864
Abstract

Acute kidney injury (AKI) resulting from cisplatin (Cs) chemotherapy presents a significant challenge in clinical management. The study aimed to fabricate a novel compound Polyvinylpyrrolidone-catechol-derived chitosan nanoconjugates (PCChi-NC) for targeting Cs-induced AKI. Characterization studies utilizing UV-visible spectrophotometry, FT-IR, XRD, and TEM revealed a spherical morphology with diameters ranging from 20 to 60 nm. In vitro assessments utilizing HEK 293 cell lines demonstrated the biocompatibility of PCChi-NC without eliciting toxic effects. Furthermore, PCChi-NC exhibited a notable reduction in Cs-induced cell death in kidney cells, as evidenced by biomarker analysis. Anti-inflammatory analysis of mouse kidney homogenates revealed a decrease in TNF-α and IL-1β levels, indicative of the therapeutic efficacy of PCChi-NC in mitigating Cs-induced kidney inflammation. Moreover, In vivo, experimental analysis was evidenced by stable body weight and histopathological changes in mice. Our findings highlight the potential of PCChi-NC as a promising candidate for targeted therapy in Cs-induced AKI, owing to its unique renal targeting capacity.

摘要

顺铂(Cs)化疗导致的急性肾损伤(AKI)在临床管理中是一项重大挑战。该研究旨在制备一种新型化合物聚乙烯吡咯烷酮 - 儿茶酚衍生的壳聚糖纳米共轭物(PCChi - NC)用于靶向Cs诱导的AKI。利用紫外可见分光光度法、傅里叶变换红外光谱、X射线衍射和透射电子显微镜进行的表征研究显示其呈球形形态,直径范围为20至60纳米。利用HEK 293细胞系进行的体外评估证明了PCChi - NC的生物相容性,且未引发毒性作用。此外,生物标志物分析表明,PCChi - NC在肾细胞中显著降低了Cs诱导的细胞死亡。对小鼠肾脏匀浆的抗炎分析显示肿瘤坏死因子 - α(TNF - α)和白细胞介素 - 1β(IL - 1β)水平降低,表明PCChi - NC在减轻Cs诱导的肾脏炎症方面具有治疗效果。此外,在体内,小鼠体重稳定和组织病理学变化证明了实验分析结果。我们的研究结果突出了PCChi - NC因其独特的肾脏靶向能力,作为Cs诱导的AKI靶向治疗有前景的候选物的潜力。

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