Objective: Heart failure (HF) is a prevalent, refractory, and costly medical condition. As most current strategies have failed to yield beneficial clinical outcomes, microenvironment-responsive micelles have been developed to target cardiomyocyte mitochondria to improve HF.
Methods: In this paper, we constructed reactive oxygen species (ROS)-responsive triphenylphosphine (TPP)-modified tanshinone IIA (TIIA) micelles (TK-TPP-TIIA@Ms). TIIA was encapsulated within the micelles and utilized TPP-conjugated DSPE-PEG2000 as the targeting molecule and ROS-responsive bond TK as the linker arm connecting DSPE-PEG5000. The formation of a hydrated membrane on the micelle surface prolonged micelle circulation while preventing active targeting molecules from binding to the mitochondria of normal cardiomyocytes throughout the body, which reduced drug accumulation in healthy tissues. In the HF microenvironment, TK was cleaved by overexpressed ROS, which led to the shedding of the PEG5000 hydration layer and the subsequent exposure of the target ligand TPP. This process facilitated TPP uptake by activated cardiomyocyte mitochondria and exerted anti-HF effects. Furthermore, in vivo and in vitro experiments were conducted to verify its effect on improving doxorubicin (DOX)-induced HF, which focused on oxidative stress, apoptosis, and inflammation.
Results: TK-TPP-TIIA@Ms was successfully prepared and exhibited normal appearance and morphology, appropriate particle size, and zeta potential; and demonstrated good encapsulation efficiency, drug loading, and biological safety. In vitro studies showed that TK-TPP-TIIA@Ms had strong uptake ability in H9c2 cells, which led to reduced DOX-induced ROS expression, decreased secretion of inflammatory factors, inhibition of cell apoptosis, and restoration of normal mitochondrial membrane potential. In vivo, TK-TPP-TIIA@Ms effectively ameliorated DOX-induced myocardial tissue damage, reduced cell apoptosis, decreased the expression of inflammatory factors, and improved oxidative stress, which inhibited DOX-induced HF in mice.
Conclusion: TK-TPP-TIIA@Ms is an effective and safe strategy for the targeted therapy of heart diseases and is expected to become a potential treatment for heart failure.
LB-100, a small molecule PP2A inhibitor currently in phase 1 and 2 dose-finding and efficacy trials, is an amide that is stable at pH ≥ 10.5, but can hydrolyze at lower pH values to endothall and N-methylpiperazine. Endothall has been detected in plasma of patients after i.v. LB-100 administration, but in vitro LB-100 hydrolysis has not been studied in detail. LC-MS/MS assays of various LB-100 solutions showed that LB-100 rapidly hydrolyzes in aqueous solutions at room temperature (RT) at pH 5.6-6.5 to endothall (t1/2 = 2.1-3.3 h). Although hydrolysis is much slower in PP2A assay medium HEPES pH 7.5 at RT (t1/2 ∼ 20 h), sufficiently high concentrations of the potent phosphatase inhibitor endothall (IC50 = 95 nM) are formed during a 2-hour incubation at RT to inhibit PP2A activity. At 37 °C LB-100 hydrolysis is much faster, with t1/2 values of 3.2 h and 4.9 h in cell culture medium pH 6.8 and pH 7.4, respectively. LB-100 stock in DMSO contains low endothall concentrations, from 0.2 % of LB-100 when dissolved at RT, to 3 % of LB-100 when DMSO is heated at 65 °C. Endothall added via stock solutions and/or formed during incubations, is thus always present in PP2A assays of LB-100. Data from in vitro PP2A assays using DMSO stocks made at RT show that LB-100 is a weak PP2A inhibitor with an apparent IC50 of 12.2 μM, and is 20-fold more potent (IC50 = 0.59 μM), when DMSO stocks are heated to 65 °C and endothall concentrations in assay medium are higher. Endothall concentrations present in LB-100 assays can account for the observed PP2A inhibition, indicating that inhibitory activity measured in LB-100 assays is mainly due to endothall. These data suggest that LB-100 is a prodrug that acts as a PP2A inhibitor through hydrolysis to endothall, which is ultimately responsible for PP2A inhibition and LB-100's pharmacological activity.