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用于治疗脑缺血再灌注损伤及其机制研究的、包裹依达拉奉的活性氧响应性葡聚糖-苯硼酸频哪醇酯胶束

ROS-responsive dextran-benzeneboronic acid pinacol ester micelles encapsulating edaravone for the treatment and mechanism of cerebral ischemia-reperfusion injury.

作者信息

Zhao Hexiang, Yang Ping, Zhang Mou, Zheng Wenshu, Qi Renli, Zhu Xiaofeng, Li Jinghui, Li Shipeng

机构信息

Department of Neurosurgery, The First Affiliated Hospital of Kunming Medical University, No.295 Xichang Road, Kunming, 650032, Yunnan, China.

School of Basic Medical Sciences, Kunming Medical University, Kunming, 650500, Yunnan, China.

出版信息

Metab Brain Dis. 2025 May 13;40(5):202. doi: 10.1007/s11011-025-01626-6.

Abstract

Reperfusion, while essential for restoring blood supply, paradoxically exacerbates neuronal damage through cerebral ischemia-reperfusion injury (CIRI). This study aimed to develop a reactive oxygen species (ROS)-responsive drug delivery system (DDS) loaded with edaravone (EDA) to enhance targeted therapy for CIRI. The stimuli-responsive DDS was synthesized using dextran (DEX) as the biocompatible carrier and benzeneboronic acid pinacol ester (BAPE) as the ROS-sensitive moiety. The physicochemical characteristics of the DEX-BAPE/EDA (DB/EDA) micelles were systematically evaluated. In vitro studies assessed the anti-inflammatory, antioxidant, and anti-apoptotic effects of DB/EDA. Moreover, the neuroprotective efficacy of DB/EDA in vivo was analyzed via behavioral tests, infarct volume measurement, ELISA assays of inflammatory cytokines and OS markers, and Western blot analysis of Nrf2-related pathways. Pharmacokinetics and biosafety were analyzed through plasma profiling and H&E staining. DB/EDA exhibited high stability, efficient drug encapsulation, and ROS-responsive drug release. Cellular uptake studies confirmed enhanced internalization of DB/EDA micelles in BV2 cells. In the oxygen-glucose deprivation/reoxygenation (OGD/R) model, DB/EDA significantly suppressed TNF-α, IL-1β, IL-6, and MDA, restored SOD levels, and attenuated apoptosis. In the middle cerebral artery occlusion/reperfusion (MCAO/R) mice, DB/EDA administration effectively improves cognition and mitigates neuronal damage. Mechanistically, DB/EDA activated the Nrf2/HO-1 pathway, amplifying antioxidant and anti-inflammatory responses. Pharmacokinetic analysis revealed prolonged circulation and increased brain accumulation, and histopathological analysis demonstrated the safety profile of DB/EDA. The ROS-responsive DB/EDA nano-micelles provided targeted EDA delivery to ischemic brain regions, alleviating CIRI via Nrf2 activation, suggesting that DB/EDA is a promising strategy for CIRI treatment.

摘要

再灌注虽然对于恢复血液供应至关重要,但矛盾的是,它会通过脑缺血再灌注损伤(CIRI)加剧神经元损伤。本研究旨在开发一种负载依达拉奉(EDA)的活性氧(ROS)响应性药物递送系统(DDS),以增强对CIRI的靶向治疗。使用葡聚糖(DEX)作为生物相容性载体,苯硼酸频哪醇酯(BAPE)作为ROS敏感部分合成了刺激响应性DDS。系统评估了DEX-BAPE/EDA(DB/EDA)胶束的物理化学特性。体外研究评估了DB/EDA的抗炎、抗氧化和抗凋亡作用。此外,通过行为测试、梗死体积测量、炎症细胞因子和氧化应激(OS)标志物的ELISA分析以及Nrf2相关途径的蛋白质免疫印迹分析,分析了DB/EDA在体内的神经保护功效。通过血浆分析和苏木精-伊红(H&E)染色分析了药代动力学和生物安全性。DB/EDA表现出高稳定性、高效的药物包封和ROS响应性药物释放。细胞摄取研究证实了DB/EDA胶束在BV2细胞中的内化增强。在氧糖剥夺/复氧(OGD/R)模型中,DB/EDA显著抑制肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)和丙二醛(MDA),恢复超氧化物歧化酶(SOD)水平,并减轻细胞凋亡。在大脑中动脉闭塞/再灌注(MCAO/R)小鼠中,给予DB/EDA可有效改善认知并减轻神经元损伤。从机制上讲,DB/EDA激活了Nrf2/血红素加氧酶-1(HO-1)途径,放大了抗氧化和抗炎反应。药代动力学分析显示循环时间延长和脑内蓄积增加,组织病理学分析证明了DB/EDA的安全性。ROS响应性DB/EDA纳米胶束将EDA靶向递送至缺血脑区,通过激活Nrf2减轻CIRI,表明DB/EDA是一种有前途的CIRI治疗策略。

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