Mei Xuan, Zhu Dashuai, Li Junlang, Huang Ke, Hu Shiqi, Xing Malcolm, Cheng Ke
Department of Molecular Biomedical Sciences, North Carolina State University, Raleigh, NC, 27606, USA.
Joint Department of Biomedical Engineering, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.
Bioact Mater. 2025 Mar 24;49:576-585. doi: 10.1016/j.bioactmat.2025.03.004. eCollection 2025 Jul.
Efficient distribution of therapeutics to the targeted site, particularly internal organs, is essential for their therapeutic success. Here, we developed a therapeutic delivery system targeting internal organs, which features a mechanism akin to a snake's jaw for grasping and deploying detachable microneedles (MNs) embedded with therapeutics. This solves the current challenges of delivering microneedle patches without open chest or abdominal wall surgery. We showed an example of this technology via delivering exosomes derived from mesenchymal stem cells (MSCs) directly to the heart's damaged regions via percutaneous minimally invasive surgery. The shell of MNs is fabricated from methacrylated hyaluronic acid (MeHA), which ensures mechanical strength for myocardium penetration, while the hyaluronic acid (HA) core allows a sustained release of exosomes. In a rat model of myocardial infarction (MI), the delivery of exosomes-loaded microneedles (XOs-MNs) resulted in angiomyogenesis and promoted cardiac function. The feasibility of this microneedle delivery method was also confirmed in a pig model. With its capability to encapsulate a wide range of therapeutic formulations, our system presents a versatile platform for the minimally invasive administration of treatments to internal organs.
将治疗药物有效输送到靶点部位,尤其是内部器官,对于其治疗成功至关重要。在此,我们开发了一种靶向内部器官的治疗递送系统,其特点是具有一种类似于蛇颚的机制,用于抓取和部署嵌入治疗药物的可分离微针(MNs)。这解决了当前在不进行开胸或腹壁手术的情况下递送微针贴片的挑战。我们通过经皮微创手术将间充质干细胞(MSCs)来源的外泌体直接递送至心脏受损区域展示了该技术的一个实例。微针的外壳由甲基丙烯酸化透明质酸(MeHA)制成,这确保了穿透心肌的机械强度,而透明质酸(HA)核心则允许外泌体持续释放。在心肌梗死(MI)大鼠模型中,递送负载外泌体的微针(XOs-MNs)导致血管生成并促进心脏功能。这种微针递送方法的可行性也在猪模型中得到了证实。由于其能够封装多种治疗制剂,我们的系统为向内部器官进行微创给药提供了一个通用平台。