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The advance of ultrasound-enabled diagnostics and therapeutics 超声诊断和治疗技术的进步
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-08-31 DOI: 10.1016/j.jconrel.2024.08.039

Point-of-care ultrasound demonstrates significant potential in biomedical research due to its noninvasive, real-time visualization, cost-effectiveness, and other biological benefits. Ultrasound irradiation can precisely control the mechanical and physicochemical effects on pathogenic lesions, enabling real-time visualization, tunable tissue penetration depth, and therapeutic applications. This review summarizes recent advancements in ultrasound-enabled diagnostics and therapeutics, focusing on mechanochemical effects that can be directly integrated into biomedical applications. Additionally, the structure-functionality relationships of sonotheranostic nanoplatforms are systematically discussed, providing insights into the underlying biological effects. Finally, the limitations of current ultrasonic medicine are discussed, along with potential expansions to facilitate patient-centered translations.

护理点超声以其非侵入性、实时可视化、成本效益和其他生物学优势,在生物医学研究中展现出巨大的潜力。超声辐照可精确控制病变组织的机械和物理化学效应,从而实现实时可视化、可调组织穿透深度和治疗应用。本综述总结了超声诊断和治疗的最新进展,重点关注可直接整合到生物医学应用中的机械化学效应。此外,还系统地讨论了声otheranostic 纳米平台的结构-功能关系,为深入了解其潜在的生物效应提供了思路。最后,还讨论了当前超声医学的局限性,以及促进以患者为中心的转化的潜在扩展。
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引用次数: 0
Site-specific bioorthogonal regulation of bone morphogenetic protein 2 expression for effective bone regeneration 对骨形态发生蛋白 2 表达进行特定位点生物正交调节,以实现有效的骨再生
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-08-30 DOI: 10.1016/j.jconrel.2024.08.042

Growth factor holds great promise for bone regeneration, and spatiotemporal control of their expressing through site-specific reactions is crucial but challenging for on-demand therapy. In this study, we present the development of a novel unnatural amino acids (UAAs)-triggered therapeutic switch (UATS) system, composed of an orthogonal aminoacyl-tRNA-synthase (aaRS)-tRNA pair and a bone morphogenetic protein 2 (BMP2) gene harboring premature stop codon, which enable in situ and on-demand initiation of the expression of BMP2. The resulting UATS system allowed specifically control of base expressing on the BMP2 mRNA that switched to the BMP2 protein with complete structure and function to facilitate bone regeneration. Our investigations showed that the UATS system exhibits remarkable attributes of rapid, sensitive, reversible, and sustained BMP2 expression both in vitro and in vivo settings. Moreover, the implantation of microencapsulated cells with UATS system is applied to a mouse femur defect model, demonstrating high effciency in controlled expressing of BMP2 protein and substantial repair of bone defect following oral administration of UAAs. Therefore, our findings underscore the great potential of UATS system for on-demand awakening of functional growth factor, thus offering promising prospects in the realm of regenerative medicine.

生长因子在骨再生方面大有可为,而通过位点特异性反应对生长因子的表达进行时空控制是按需治疗的关键,但也具有挑战性。在这项研究中,我们开发了一种新型的非天然氨基酸(UTAs)触发治疗开关(UATS)系统,该系统由一对正交的氨基酰-tRNA合成酶(aaRS)-tRNA和一个含有过早终止密码子的骨形态发生蛋白 2(BMP2)基因组成,能在原位按需启动 BMP2 的表达。由此产生的 UATS 系统可专门控制 BMP2 mRNA 上的碱基表达,从而转换成具有完整结构和功能的 BMP2 蛋白,促进骨再生。我们的研究表明,UATS 系统在体外和体内都具有快速、灵敏、可逆和持续表达 BMP2 的显著特性。此外,将 UATS 系统的微囊化细胞植入小鼠股骨缺损模型,证明了口服 UAAs 后 BMP2 蛋白的高效可控表达和骨缺损的实质性修复。因此,我们的研究结果凸显了 UATS 系统在按需唤醒功能性生长因子方面的巨大潜力,从而为再生医学领域带来了广阔的前景。
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引用次数: 0
Antibiotic-free ocular sterilization while suppressing immune response to protect corneal transparency in infectious keratitis treatment 在治疗感染性角膜炎时,在抑制免疫反应以保护角膜透明度的同时进行无抗生素眼部消毒。
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-08-30 DOI: 10.1016/j.jconrel.2024.08.038

Clinical guidelines for infectious keratitis treatment require that anti-inflammatory drugs can only be used after infection elimination, which causes irreversible inflammatory damage to the cornea. In this work, photodynamic metal organic frameworks (PCN-224) were used as drug carrier to load Pt NPs with catalase-like activity and anti-inflammatory drug (Dexamethasone, DXMS) for endogenous oxygen generation and reduced corneal damage, respectively. The photodynamic therapy (PDT) effect was greatly enhanced in bacteria elimination and bacterial biofilms removal through catalysis of overexpressed hydrogen peroxide (H2O2, ∼8.0 and 31.0 μM in bacterial solution and biofilms, respectively) into oxygen by Pt NPs. More importantly, the cationic liposome modified PCN-224@Pt@DXMS@Liposomes (PPDL NPs) greatly enhanced the adhesion to negatively charged ocular surface and penetration into corneal barrier and bacterial biofilms. Both in vitro cell viability test and in vivo eye irritation tests proved good biocompatibility of PPDL NPs under 660 nm laser irradiation. Furthermore, PDT of PPDL NPs in rapid bacteria killing was verified through infectious keratitis animal model. The superior bactericidal effect of antibacterial materials could largely replace the bactericidal effect of the immune system. It is worth mentioning that this simultaneous sterilization and anti-inflammation treatment mode is a new exploration against the clinical treatment guidelines.

感染性角膜炎的临床治疗指南要求消炎药只能在感染消除后使用,这对角膜造成了不可逆的炎症损伤。本研究以光动力金属有机框架(PCN-224)为药物载体,负载具有类似催化酶活性的铂氮氧化物和抗炎药物(地塞米松,DXMS),分别用于内源制氧和减少角膜损伤。通过铂氮氧化物催化过量的过氧化氢(H2O2,在细菌溶液和生物膜中分别为 8.0 μM 和 31.0 μM)转化为氧气,大大提高了光动力疗法(PDT)的除菌和清除细菌生物膜的效果。更重要的是,阳离子脂质体修饰的 PCN-224@Pt@DXMS@Liposomes (PPDL NPs)极大地增强了对带负电荷的眼表面的粘附力以及对角膜屏障和细菌生物膜的渗透力。体外细胞活力试验和体内眼刺激试验均证明,在 660 纳米激光照射下,PPDL NPs 具有良好的生物相容性。此外,通过感染性角膜炎动物模型验证了 PPDL NPs 的光导疗法能快速杀灭细菌。抗菌材料卓越的杀菌效果在很大程度上可以取代免疫系统的杀菌作用。值得一提的是,这种同时杀菌和消炎的治疗模式是对照临床治疗指南的一种新探索。
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引用次数: 0
Development of an engineered extracellular vesicles-based vaccine platform for combined delivery of mRNA and protein to induce functional immunity 开发基于细胞外囊泡的工程化疫苗平台,联合输送 mRNA 和蛋白质,诱导功能性免疫。
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-08-30 DOI: 10.1016/j.jconrel.2024.08.017

mRNA incorporated in lipid nanoparticles (LNPs) became a new class of vaccine modality for induction of immunity against COVID-19 and ushered in a new era in vaccine development. Here, we report a novel, easy-to-execute, and cost effective engineered extracellular vesicles (EVs)-based combined mRNA and protein vaccine platform (EVX-M+P vaccine) and explore its utility in proof-of-concept immunity studies in the settings of cancer and infectious disease. As a first example, we engineered EVs, natural nanoparticle carriers shed by all cells, to contain ovalbumin mRNA and protein (EVOvaM+P vaccine) to serve as cancer vaccine against ovalbumin-expressing melanoma tumors. EVOvaM+P administration to mice with established melanoma tumors resulted in tumor regression associated with effective humoral and adaptive immune responses. As a second example, we generated engineered EVs that contain Spike (S) mRNA and protein to serve as a combined mRNA and protein vaccine (EVSpikeM+P vaccine) against SARS-CoV-2 infection. EVSpikeM+P vaccine administration in mice and baboons elicited robust production of neutralizing IgG antibodies against RBD (receptor binding domain) of S protein and S protein specific T cell responses. Our proof-of-concept study describes a new platform with an ability for rapid development of combination mRNA and protein vaccines employing EVs for deployment against cancer and other diseases.

将 mRNA 加入脂质纳米颗粒(LNPs)成为诱导 COVID-19 免疫的新型疫苗模式,开创了疫苗开发的新纪元。在这里,我们报告了一种新颖、易于执行且成本低廉的基于细胞外囊泡 (EVs) 的 mRNA 和蛋白质联合疫苗平台(EVX-M+P 疫苗),并探讨了它在癌症和传染病的概念验证免疫研究中的应用。作为第一个例子,我们设计了含有卵清蛋白 mRNA 和蛋白(EVOvaM+P)的 EVs,作为针对表达卵清蛋白的黑色素瘤的癌症疫苗。给黑色素瘤小鼠注射 EVOvaM+P 后,肿瘤消退,同时产生有效的体液免疫和适应性免疫反应。第二个例子是,我们生成了含有 mRNA 和蛋白穗(S)蛋白的工程化 EVs(所有细胞脱落的天然纳米颗粒载体),作为预防 SARS-CoV-2 感染的 mRNA 和蛋白联合疫苗(EVSpikeM+P 疫苗)。在小鼠和狒狒体内注射 EVSpikeM+P 疫苗后,可产生针对 S 蛋白 RBD(受体结合域)的强效中和 IgG 抗体和 S 蛋白特异性 T 细胞反应。我们的概念验证研究描述了一种新的平台,它能够利用 EVs 快速开发 mRNA 和蛋白质组合疫苗,用于抗击癌症和其他疾病。
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引用次数: 0
Injectable dual thermoreversible hydrogel for sustained intramuscular drug delivery 用于肌肉内持续给药的可注射双热可逆水凝胶
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-08-30 DOI: 10.1016/j.jconrel.2024.08.034

Herein, we reported novel docetaxel-decorated solid lipid nanoparticle (DCT-SLN)-loaded dual thermoreversible system (DCT-DRTS) for intramuscular administration with reduced burst effect, sustained release and improved antitumor efficacy. The optimized DCT-DRTs was subjected to in-vitro and in-vivo analyses. Antitumor evaluation of the DCT-DRTS was executed and compared with DCT-hydrogel, and DCT-suspension trailed by the histopathological and immune-histochemical analyses. The DCT-SLN gave a mean particle size of 157 nm and entrapment efficiency of 93 %. It was a solid at room temperature, and changed to liquid at physiological temperature due to its melting point of about 32 °C. Unlikely, poloxamer mixture remained liquefied at 25-27 °C, however converted to gel at physiological temperature. This behavior demonstrated opposed reversible property of the DCT-SLN and poloxamer hydrogel in DCT-DRTS system, making it ideal for intramuscular administration and quick gelation inside the body. The DCT-DRTS sustained the drugs release and unlike DCT-hydrogel, the preliminary plasma concentration of DCT-DRTS was significantly reduced, overcoming the burst release. A meaningfully enhanced antitumor efficacy and improved survival rate was observed from DCT-DRTS in tumor cell xenograft athymic nude mice. Additionally, increased apoptotic and reduced proliferation markers were observed in DCT-DRTS treated tumor masses. It was concluded that DCT-DRTS may be a suitable choice for intramuscular administration of DCT with sustained release, improved bioavailability, reduced toxicity and enhanced antitumor effects.

在此,我们报道了新型多西他赛装饰固体脂质纳米粒子(DCT-SLN)负载双热可逆系统(DCT-DRTS),该系统用于肌肉注射,具有降低猝灭效应、持续释放和提高抗肿瘤疗效的特点。对优化后的 DCT-DRTS 进行了体外和体内分析。通过组织病理学和免疫组织化学分析,对 DCT-DRTS 进行了抗肿瘤评估,并与 DCT 水凝胶和 DCT 悬浮液进行了比较。DCT-SLN 的平均粒径为 157 nm,截留效率为 93%。它在室温下为固态,由于熔点约为 32 °C,在生理温度下变为液态。与之不同的是,聚氧乙烯混合物在 25-27 °C 时仍为液态,但在生理温度下则转变为凝胶。这种行为表明,DCT-DRTS 系统中的 DCT-SLN 和聚氧乙烯水凝胶具有相反的可逆特性,因此非常适合肌肉注射和在体内快速凝胶化。DCT-DRTS 可持续释放药物,与 DCT 水凝胶不同的是,DCT-DRTS 的初步血浆浓度显著降低,克服了猝灭释放的问题。在肿瘤细胞异种移植裸鼠体内观察到,DCT-DRTS 的抗肿瘤疗效明显增强,存活率也有所提高。此外,在经 DCT-DRTS 处理的肿瘤块中还观察到凋亡标志物增加和增殖标志物减少。结论是,DCT-DRTS 可能是肌肉注射 DCT 的合适选择,它具有持续释放、生物利用度提高、毒性降低和抗肿瘤效果增强等特点。
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引用次数: 0
Bioorthogonal conjugation and responsive nanocoating of probiotics for inflammatory bowel disease 生物正交共轭益生菌治疗炎症性肠病。
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-08-30 DOI: 10.1016/j.jconrel.2024.08.036

Inflammatory bowel disease (IBD) is closely associated with dysregulated immune response, gut mucosal barrier, and microbiota. Conventional treatments suffer from inferior bioavailability and inadequate efficiency. Herein, we present a synergistic therapeutic strategy based on multifunctionalized probiotics to mitigate IBD through single oral administration. The probiotic (Escherichia coli Nissle 1917) is bioorthogonally conjugated with immunomodulators and subsequently encapsulated by an enteric coating. The viability and bioactivity of probiotics are not affected by the modifications. And the armored probiotics are able to resist the harsh environment of the stomach and shed their enteric coating in the intestinal tract, exposing immunomodulators to polarize pro-inflammatory M1-type macrophages into anti-inflammatory M2-type. In a mouse colitis model, orally administered multifunctionalized probiotics cooperatively alleviate IBD with increased body weight to 1.13 folds and decreased disease activity index to 0.43 folds, through downregulating the pro-inflammatory cytokines expression, upregulating the epithelial tight junction-associated proteins levels to restore the intestinal barrier, and increasing the microbiota richness and abundance. This work exhibits a feasible approach to construct functionalized orally administered probiotics for enhanced synergistic therapy of IBD.

炎症性肠病(IBD)与免疫反应、肠道粘膜屏障和微生物群失调密切相关。传统治疗方法的生物利用度较低,效率不高。在此,我们提出一种基于多功能益生菌的协同治疗策略,通过单次口服给药缓解 IBD。益生菌(Escherichia coli Nissle 1917)与免疫调节剂进行生物正交共轭,然后用肠溶包衣包裹。益生菌的存活率和生物活性不受改性的影响。铠装益生菌能够抵御胃部的恶劣环境,并在肠道中脱落肠衣,露出免疫调节剂,将促炎的 M1 型巨噬细胞极化为抗炎的 M2 型巨噬细胞。在小鼠结肠炎模型中,口服多功能益生菌通过下调促炎细胞因子的表达、上调上皮紧密连接相关蛋白水平以恢复肠道屏障,以及增加微生物群的丰富度和丰度,协同缓解了 IBD,使体重增加了 1.13 倍,疾病活动指数降低了 0.43 倍。这项工作展示了一种构建功能化口服益生菌以增强 IBD 协同疗法的可行方法。
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引用次数: 0
In situ formed reactive oxygen species-responsive dipyridamole prodrug hydrogel: Spatiotemporal drug delivery for chemoimmunotherapy. 原位形成的活性氧反应性双嘧达莫原药水凝胶:用于化疗免疫疗法的时空给药。
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-08-29 DOI: 10.1016/j.jconrel.2024.08.043
Bing Xiao, Xueying Shi, Xiaodan Xu, Jiwei Liu, Yixuan Pan, Hongxia Xu, Wenjing Sun, Nigel K H Slater, Hirak K Patra, Jianqing Gao, Youqing Shen, Jianbin Tang

In the realm of combined cancer immunotherapy, the strategic combination of therapeutics targeting both cancer cells and macrophages holds immense potential. However, the major challenges remain on how to achieve facile spatiotemporal delivery of these therapies, allowing ease of manipulation and ensuring differential drug release for enhanced synergistic therapeutic effects. In the present study, we introduced a tumor microenvironment (TME)-adapted hydrogel with the phenylboronic acid-modified dipyridamole prodrug (DIPP) as a crosslinker. This prodrug hydrogel scaffold, 3BP@DIPPGel, could be formed in situ by a simple mixture of DIPP and poly(vinyl alcohol) (PVA), and loaded with a high ratio of 3-bromopyruvic acid (3BP). The 3BP@DIPPGel enables spatiotemporal localized delivery of dipyridamole (DIP) and 3BP with distinct release kinetics that effectively reshape the immunosuppressive TME. Upon reactive oxygen species (ROS) stimulation, 3BP@DIPPGel preferentially released 3BP, inducing tumor-specific pyroptosis via the ROS/BAX/caspase-3/GSDME signaling pathway and decreasing the secretion of chemokines such as CCL8 to counteract macrophage recruitment. Subsequently, the crosslinked DIP is released, triggering the tumor-associated macrophages (TAMs) polarization towards the immunostimulatory M1 phenotype via the CCR2/JAK2/STAT3 cascade signaling pathway. This dual action from 3BP@DIPPGel leads to the restoration of tumor cell immunogenicity with high efficacy and activation of immune cells. Furthermore, the 3BP@DIPPGel-based chemoimmunotherapy upregulates the expression of sialic-acid-binding Ig-like lectin 10 and hence sensitizing tumors to anti-CD24 therapy in the tumor-bearing mice. Therefore, this strategy can have significant potential in the prevention of tumor metastases and recurrence. To the best of our understanding, this study represents a pioneering showcase of tumor pyroptosis, induced by glycolytic inhibitors, which can be effectively coordinated with DIP-mediated TAM polarization for immune activation, offering a new paradigm for differentially sustained drug delivery to foster cancer immunotherapy.

在联合癌症免疫疗法领域,针对癌细胞和巨噬细胞的治疗方法的战略组合具有巨大的潜力。然而,如何实现这些疗法的便捷时空给药,使其易于操作并确保不同药物的释放以增强协同治疗效果,仍然是一大挑战。在本研究中,我们引入了一种与肿瘤微环境(TME)相适应的水凝胶,以苯硼酸修饰的双嘧达莫原药(DIPP)作为交联剂。这种原药水凝胶支架--3BP@DIPPGel--可由 DIPP 和聚乙烯醇(PVA)的简单混合物在原位形成,并含有高比例的 3-溴丙酮酸(3BP)。3BP@DIPPGel 能以不同的释放动力学实现双嘧达莫(DIP)和 3BP 的时空定位递送,从而有效重塑免疫抑制 TME。在活性氧(ROS)刺激下,3BP@DIPPGel 优先释放 3BP,通过 ROS/BAX/caspase-3/GSDME 信号通路诱导肿瘤特异性热凋亡,并减少趋化因子(如 CCL8)的分泌以对抗巨噬细胞的招募。随后,交联的 DIP 被释放,通过 CCR2/JAK2/STAT3 级联信号通路引发肿瘤相关巨噬细胞(TAMs)向免疫刺激 M1 表型极化。3BP@DIPPGel 的这种双重作用可恢复肿瘤细胞的免疫原性,并高效激活免疫细胞。此外,基于 3BP@DIPPGel 的化学免疫疗法还能上调糖醛酸结合 Ig 样凝集素 10 的表达,从而使肿瘤小鼠对抗 CD24 治疗敏感。因此,这一策略在预防肿瘤转移和复发方面具有巨大潜力。据我们所知,这项研究开创性地展示了糖酵解抑制剂诱导的肿瘤热解,它可以有效地与 DIP 介导的 TAM 极化协调,从而激活免疫,为促进癌症免疫疗法的差异化持续给药提供了新的范例。
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引用次数: 0
Tailored small molecule for inflammation treatment: Dual scavenger targeting nitric oxide and reactive oxygen species 治疗炎症的定制小分子:针对一氧化氮和活性氧的双重清除剂。
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-08-29 DOI: 10.1016/j.jconrel.2024.08.026

Inflammation-related diseases are often marked by elevated levels of nitric oxide (NO) and reactive oxygen species (ROS), which play important roles in the modulation of inflammation. However, the development of organic materials effective in managing NO/ROS levels has remained a challenge. This study introduces a novel organic compound, NmeGA, engineered to scavenge both NO and ROS. NmeGA ingeniously integrates N-methyl-1,2,-phenylenediamine (Nme), a NO scavenger, with gallic acid (GA), a ROS scavenger, through an amide bond, endowing it with enhanced scavenging capabilities over its individual component. This compound exhibits reduced toxicity and increased lipophilicity value, underlining its increased biological applicability and highlighting its potential as an inflammation management tool. Through in vitro studies on lipopolysaccharide (LPS)-stimulated RAW 264.7 cells, NmeGA displayed remarkable scavenging efficiency for NO and ROS, coupled with significant anti-inflammatory effects. In an LPS-induced peritonitis model, administration of NmeGA substantially decreased mortality rates, NO and ROS levels, and inflammatory cytokine concentrations. These findings highlight NmeGA's versatility as a therapeutic agent against various inflammatory diseases.

与炎症相关的疾病通常以一氧化氮(NO)和活性氧(ROS)水平升高为特征,而一氧化氮和活性氧在炎症的调节中发挥着重要作用。然而,开发能有效控制一氧化氮/活性氧水平的有机材料仍是一项挑战。本研究介绍了一种新型有机化合物 NmeGA,它可以清除 NO 和 ROS。NmeGA 通过酰胺键将 NO 清除剂 N-甲基-1,2,-苯二胺(Nme)与 ROS 清除剂没食子酸(GA)巧妙地结合在一起,使其清除能力比单独的成分更强。这种化合物的毒性降低,亲脂性提高,突出了其生物适用性,并彰显了其作为炎症控制工具的潜力。通过对脂多糖(LPS)刺激的 RAW 264.7 细胞进行体外研究,NmeGA 显示出显著的清除 NO 和 ROS 效能,并具有明显的抗炎作用。在 LPS 诱导的腹膜炎模型中,服用 NmeGA 可大幅降低死亡率、NO 和 ROS 水平以及炎症细胞因子浓度。这些发现凸显了 NmeGA 作为一种治疗剂对各种炎症疾病的多功能性。
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引用次数: 0
An oil-in-gel type of organohydrogel loaded with methylprednisolone for the treatment of secondary injuries following spinal cord traumas 一种含有甲基强的松龙的油凝胶型有机水凝胶,用于治疗脊髓创伤后的继发性损伤。
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-08-29 DOI: 10.1016/j.jconrel.2024.08.033

The secondary injuries following traumatic spinal cord injury (SCI) is a multiphasic and complex process that is difficult to treat. Although methylprednisolone (MP) is the only available pharmacological regime for SCI treatment, its efficacy remains controversial due to its very narrow therapeutic time window and safety concerns associated with high dosage. In this study, we have developed an oil-in-gel type of organohydrogel (OHG) in which the binary oleic-water phases coexist, for the local delivery of MP. This new OHG is fabricated by a glycol chitosan/oxidized hyaluronic acid hydrophilic network that is uniformly embedded with a biocompatible oil phase, and it can be effectively loaded with MP or other hydrophobic compounds. In addition to spatiotemporally control MP release, this biodegradable OHG also provides a brain tissue-mimicking scaffold that can promote tissue regeneration. OHG remarkably decreases the therapeutic dose of MP in animals and extends its treatment course over 21 d, thereby timely manipulating microglia/macrophages and their associated with signaling molecules to restore immune homeostasis, leading to a long-term functional improvement in a complete transection SCI rat model. Thus, this OHG represents a new type of gel for clinical treatment of secondary injuries in SCI.

创伤性脊髓损伤(SCI)后的继发性损伤是一个多相复杂的过程,很难治疗。尽管甲基强的松龙(MP)是目前治疗 SCI 的唯一药物,但由于其治疗时间窗非常狭窄,且高剂量存在安全隐患,因此其疗效仍存在争议。在这项研究中,我们开发了一种油包凝胶型有机水凝胶(OHG),其中油酸-水二元相共存,用于局部给药 MP。这种新型有机水凝胶由乙二醇壳聚糖/氧化透明质酸亲水网络制成,其中均匀地嵌入了生物相容性油相,可以有效地负载MP或其他疏水性化合物。这种可生物降解的羟基透明质酸除了能在时空上控制 MP 的释放外,还能提供一种脑组织模拟支架,促进组织再生。OHG 显著降低了 MP 在动物体内的治疗剂量,并将其疗程延长了 21 天,从而及时操纵了小胶质细胞/巨噬细胞及其相关信号分子,恢复了免疫平衡,使完全横断 SCI 大鼠模型的功能得到了长期改善。因此,这种OHG代表了一种用于临床治疗SCI继发性损伤的新型凝胶。
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引用次数: 0
Harnessing transcription factor-driven ROS for synergistic multimodal lung cancer treatment 利用转录因子驱动的 ROS 协同多模式肺癌治疗。
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-08-28 DOI: 10.1016/j.jconrel.2024.08.035

Multimodal treatment of cancer is an unstoppable revolution in clinical application. However, designing a platform that integrates therapeutic modalities with different pharmacokinetic characteristics remains a great challenge. Herein, we designed a universal lipid nanoplatform equipping a ROS-cleavable docetaxel prodrug (DTX-L-DTX) and an NF-E2-related factor 2 (NRF2) inhibitor (clobetasol propionate, CP). This simply fabricated nanomedicine enables superior synergistic molecularly targeted/chemo/radio therapy for lung cancer cascade by a transcription factor-driven ROS self-sustainable motion. Chemotherapy is launched via ROS-triggered DTX release. Subsequently, CP inhibits the expression of NRF2 target genes, resulting in efficient targeted therapy, meanwhile inducing sustained ROS generation which in turn facilitates chemotherapy by overcoming ROS consumption during the DTX release process. Finally, the introduction of radiotherapy further amplifies ROS, offering continuous mutual feedback to amplify the ultimate treatment performance. This strategy is conceptually and operationally simple, providing solutions to challenges in clinical cancer treatment and beyond.

癌症的多模式治疗是临床应用中一场势不可挡的革命。然而,设计一个能整合具有不同药代动力学特征的治疗模式的平台仍然是一个巨大的挑战。在这里,我们设计了一种通用的脂质纳米平台,其中包含可清除 ROS 的多西他赛原药(DTX-L-DTX)和 NF-E2 相关因子 2(NRF2)抑制剂(丙酸氯倍他索,CP)。这种简单制造的纳米药物通过转录因子驱动的 ROS 自持运动,实现了针对肺癌级联反应的卓越协同分子靶向/化疗/放射治疗。化疗通过 ROS 触发的 DTX 释放而启动。随后,CP 可抑制 NRF2 靶基因的表达,从而实现高效的靶向治疗,同时诱导 ROS 的持续生成,从而克服 DTX 释放过程中的 ROS 消耗,促进化疗。最后,放疗的引入进一步放大了 ROS,提供了持续的相互反馈,从而放大了最终的治疗效果。这种策略在概念和操作上都很简单,可为临床癌症治疗及其他方面的挑战提供解决方案。
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引用次数: 0
期刊
Journal of Controlled Release
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