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Next-generation 3D printed multipurpose prevention intravaginal ring for prevention of HIV, HSV-2, and unintended pregnancy 用于预防艾滋病、HSV-2 和意外怀孕的新一代 3D 打印多用途阴道内避孕环。
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-12 DOI: 10.1016/j.jconrel.2024.10.059
Denali K. Dahl , Priya Srinivasan , Rima Janusziewicz , Jasmine L. King , Roopali Shrivastava , Jining Zhang , Dawn Little , Shanon Bachman , Kristen Kelley , Mackenzie L. Cottrell , Amanda P. Schauer , Craig Sykes , Angela D.M. Kashuba , James Smith , S. Rahima Benhabbour
Globally, nearly half of all pregnancies are unintended, ∼1.3 million new human immunodeficiency virus (HIV) infections are reported every year, and more than 500 million people are estimated to have a genital herpes simplex virus (HSV-2) infection. Here we report the first 3D printed multipurpose prevention technology (MPT) intravaginal ring (IVR) for prevention of HIV, HSV-2, and unintended pregnancy. The IVRs were fabricated using state-of-the-art Continuous Liquid Interface Production (CLIP™) 3D printing technology using a biocompatible silicone-urethane based resin. Anti-HIV drug (Dapivirine, DPV), anti-herpes drug (Pritelivir, PTV) and a contraceptive drug (Levonorgestrel, LNG) were loaded in a macaque size IVR (25 mm outer diameter, OD; 6.0 mm cross-section, CS) allometrically scaled from the human size (54 mm OD; 7.6 mm CS) IVR analogue. All three active pharmaceutical ingredients (APIs) were loaded in the IVR using a single-step drug loading process driven by absorption. DPV, PTV, and LNG elicited zero-order release kinetics in vitro in simulated vaginal fluid (SVF) at pH 4 and pH 8 relevant to human and macaque vaginal pH respectively. CLIP 3D printed MPT IVRs remained stable after 6 months of storage at 4 °C with no change in physical, dimensional, or mechanical properties and no change in drug concentration and absence of drug degradation byproducts. The MPT IVRs elicited sustained release of all three APIs in macaques for 28 days with median plasma concentrations of 138 pg/mL (DPV), 18,700 pg/mL (PTV), and 335 pg/mL (LNG). Safety studies demonstrated that the MPT IVRs were safe and well tolerated in the macaques with no observed change or abnormalities in vaginal pH and no significant changes in any of the 22 mucosal cytokines and chemokines tested including pro-inflammatory (IL-1β, IL-6, IL-8, IFN-γ, TNF-α, IL-17, IL-18) and anti-inflammatory (IL-10, IL-12) cytokines while the MPT IVR was in place or after its removal. Additionally, MPT IVRs elicited no observed alterations in systemic CD4+ and CD8+ T cells during the entire study. Collectively, the proposed MPT IVR has potential to expand preventative choices for young women and girls against unintended pregnancy and two highly prevalent sexually transmitted infections (STIs).
在全球范围内,近一半的妊娠是意外怀孕,每年新增约 130 万例人类免疫缺陷病毒(HIV)感染病例,估计有超过 5 亿人感染生殖器单纯疱疹病毒(HSV-2)。在此,我们报告了首个用于预防 HIV、HSV-2 和意外怀孕的 3D 打印多用途预防技术(MPT)阴道内环(IVR)。阴道内避孕环采用最先进的连续液体界面生产(CLIP™)3D 打印技术,使用生物相容性硅酮-聚氨酯树脂制成。抗艾滋病毒药物(达匹韦林,DPV)、抗疱疹药物(普利特韦,PTV)和避孕药物(左炔诺孕酮,LNG)被装载在猕猴大小的 IVR 中(外径 25 毫米,OD;横截面 6.0 毫米,CS),与人类大小(外径 54 毫米;横截面 7.6 毫米)的 IVR 类似物成比例。所有三种活性药物成分(API)都通过吸收驱动的单步药物加载过程加载到 IVR 中。在体外模拟阴道液(SVF)中,DPV、PTV 和 LNG 分别在与人和猕猴阴道 pH 值相关的 pH 4 和 pH 8 条件下产生零阶释放动力学。CLIP 三维打印的 MPT IVR 在 4 °C 下储存 6 个月后仍保持稳定,物理、尺寸或机械性能没有变化,药物浓度没有变化,也没有药物降解副产物。MPT IVR 在猕猴体内持续释放三种原料药达 28 天,血浆中位浓度分别为 138 pg/mL(DPV)、18,700 pg/mL(PTV)和 335 pg/mL(LNG)。安全性研究表明,MPT IVR 对猕猴安全且耐受性良好,阴道 pH 值未观察到变化或异常,测试的 22 种粘膜细胞因子和趋化因子中,包括促炎细胞因子(IL-1β、IL-6、IL-8、IFN-γ、TNF-α、IL-17、IL-18)和抗炎细胞因子(IL-10、IL-12)在放置 MPT IVR 时或移除后均无显着变化。此外,在整个研究过程中,MPT IVR 不会引起全身 CD4+ 和 CD8+ T 细胞的变化。总之,拟议的 MPT IVR 有可能为年轻妇女和女孩提供更多预防意外怀孕和两种高发性传播感染 (STI) 的选择。
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引用次数: 0
Enhanced CRISPR-Cas9 RNA system delivery using cell penetrating peptides-based nanoparticles for efficient in vitro and in vivo applications 利用基于肽的细胞穿透纳米颗粒增强 CRISPR-Cas9 RNA 系统的递送,实现高效的体外和体内应用
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-11 DOI: 10.1016/j.jconrel.2024.11.008
Veronica Guzman Gonzalez , Audrey Grunenberger , Olivier Nicoud , Elodie Czuba , Julien Vollaire , Véronique Josserand , Xavier Le Guével , Nail Desai , Jean-Luc Coll , Gilles Divita , Virginie Faure
CRISPR-Cas9 system has emerged as a revolutionary gene-editing tool with huge therapeutic potential for addressing the underlying genetic causes of various diseases, including cancer. However, there are challenges such as the delivery method that must be overcome for its clinical application. In addition to the risk of nuclease degradation and rapid clearance of the CRISPR-Cas9 system by macrophages, the large size of Cas9, the high anionic charge density and hydrophilic nature of the RNA hinder their intracellular delivery and overall gene transfection efficiency.
In this study, we engineered a novel Peptide-Based Nanoparticles ADGN for the delivery of long RNA. ADGN peptides can form stable self-assembled nanoparticles with CRISPR-Cas9 RNA. They have the ability to cross the cell membrane of various cell types, exhibiting a preference for cancer cells that overexpress laminin receptor and safeguard RNA prior their delivery into the cytoplasm. We demonstrate that ADGN peptides significantly promote CRISPR-Cas9 mediated knockout of the luciferase gene in vitro achieving 60 % efficiency with a preference for G insertion at the targeted site of luciferase gene. Moreover, we have provided evidence that these nanoparticles can also be systemically intravenously administrated in vivo in mice to deliver a functional CRISPR-Cas9 system to tumoral lung cells orthotopically implanted in the mouse, resulting in an effective gene knockout in mice. We also demonstrated that the in vivo distribution of ADGN-RNA is influenced by its peptides to RNA molar ratio. This study introduces a promising new Peptide-Based Nanoparticles for delivering CRISPR-Cas9 system in its RNA form applicable in both in vitro and in vivo models.
CRISPR-Cas9 系统已成为一种革命性的基因编辑工具,在解决包括癌症在内的各种疾病的潜在基因病因方面具有巨大的治疗潜力。然而,要将其应用于临床,还必须克服传递方法等挑战。除了核酸酶降解的风险和CRISPR-Cas9系统被巨噬细胞快速清除之外,Cas9的大尺寸、高阴离子电荷密度和RNA的亲水性也阻碍了其在细胞内的递送和整体基因转染效率。ADGN 肽能与 CRISPR-Cas9 RNA 形成稳定的自组装纳米颗粒。它们能够穿过各种类型细胞的细胞膜,对过度表达层粘连蛋白受体的癌细胞表现出偏好,并在将 RNA 运送到细胞质之前对其进行保护。我们证明,ADGN肽能显著促进体外CRISPR-Cas9介导的荧光素酶基因敲除,效率高达60%,且偏好G插入荧光素酶基因的靶位点。此外,我们还提供了证据,证明这些纳米颗粒也可以在小鼠体内进行系统性静脉注射,将功能性 CRISPR-Cas9 系统输送到小鼠体内正位植入的肿瘤肺细胞中,从而在小鼠体内实现有效的基因敲除。我们还证明,ADGN-RNA 的体内分布受其多肽与 RNA 摩尔比的影响。本研究介绍了一种新型肽基纳米颗粒,它能以 RNA 形式递送 CRISPR-Cas9 系统,适用于体外和体内模型,前景广阔。
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引用次数: 0
Cellulose nanocrystal-annealed hydrogel system for local chemo-metabolic therapy of melanoma. 用于黑色素瘤局部化疗-代谢治疗的纤维素纳米晶体-退火水凝胶系统。
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-11 DOI: 10.1016/j.jconrel.2024.11.015
Da In Jeong, Qiaojun Hao, Song Yi Lee, Sungyun Kim, Mrinmoy Karmakar, Seongnam Chu, Miso Park, Hyun-Jong Cho

A cellulose nanocrystal (CNC)-annealed hydrogel (CAH) structure, including doxorubicin (DOX) and 2-deoxy-d-glucose (2DG), was developed for local chemo-metabolic therapy (LCMT) of melanoma. DOX has been used as a chemotherapeutic agent because of its intercalation into DNA and generation of free radicals. 2DG has been used as a glycolytic inhibitor in multiple metabolic therapies in combination with DOX. Covalent and non-covalent (i.e., ionic and hydrogen-bonding) binding approaches between CNC and drug cargo (i.e., DOX and 2DG) were used to tune the rheological properties of the CAH structure to achieve sustained drug release. Reduction of reduced nicotinamide adenine dinucleotide phosphate, adenosine triphosphate, and mitochondrial membrane potential, and elevation of cellular reactive oxygen species and cleaved caspases 3 and 7 were observed following treatment with CNC/DOX/2DG in B16F10 cells. Glutathione depletion, enhanced lipid peroxidation, and decreased lactate levels were observed in the CNC/DOX/2DG group. After intratumoral injection of the CNC/DOX/2DG hydrogel into B16F10 tumor-bearing mice, stronger tumor growth suppression and anti-recurrence capabilities were observed. These findings imply that the viscoelastically modulated CAH hydrogel system can be a strong candidate for LCMT of melanoma.

一种纤维素纳米晶(CNC)-退火水凝胶(CAH)结构,包括多柔比星(DOX)和2-脱氧葡萄糖(2DG),被开发用于黑色素瘤的局部化疗-代谢疗法(LCMT)。DOX 可插入 DNA 并产生自由基,因此一直被用作化疗药物。在多种代谢疗法中,2DG 作为糖酵解抑制剂与 DOX 结合使用。CNC 与药物货物(即 DOX 和 2DG)之间的共价和非共价(即离子和氢键)结合方法被用来调整 CAH 结构的流变特性,以实现药物的持续释放。在 B16F10 细胞中使用 CNC/DOX/2DG 处理后,观察到还原型烟酰胺腺嘌呤二核苷酸磷酸酯、三磷酸腺苷和线粒体膜电位降低,细胞活性氧、裂解的 Caspases 3 和 7 升高。CNC/DOX/2DG 组观察到谷胱甘肽耗竭、脂质过氧化反应增强和乳酸水平下降。在 B16F10 肿瘤小鼠体内注射 CNC/DOX/2DG 水凝胶后,可观察到更强的抑制肿瘤生长和抗复发能力。这些研究结果表明,粘弹性调控 CAH 水凝胶系统是黑色素瘤 LCMT 的理想候选材料。
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引用次数: 0
Poly(vinyl alcohol) potentiating an inert D-amino acid-based drug for boron neutron capture therapy. 用于硼中子俘获疗法的聚乙烯醇增效惰性 D-氨基酸药物。
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-10 DOI: 10.1016/j.jconrel.2024.11.017
Kakeru Konarita, Kaito Kanamori, Minoru Suzuki, Daiki Tokura, Shota Tanaka, Yuto Honda, Nobuhiro Nishiyama, Takahiro Nomoto

Since the discovery of D-amino acids, they have been considered inactive and have not been used as potent drugs. Here, we report that simple mixing with poly(vinyl alcohol) (PVA) unleashed latent potentials of D-amino acids in boron neutron capture therapy (BNCT). PVA formed boronate esters with seemingly useless boronated D-amino acids and induced tumor-associated amino acid transporter-superselective internalization and prolonged intracellular retention, accomplishing complete cure of tumors. The superselective internalization was achieved by switching the internalization pathway from ineffective pass through the transporter to the transporter-mediated endocytosis. The acidic environment in the endo-/lysosome dissociated the boronate esters and elicited the stealthiness of the drugs, preventing their externalization and prolonging intracellular retention time. In a subcutaneous tumor model, this system accomplished surprisingly high tumor-selective accumulation that could not be achieved by conventional approaches and induced drastic BNCT effects. PVA may be a unique material to unlock potentials of seemingly inert molecules.

自发现 D- 氨基酸以来,它们一直被认为没有活性,也没有被用作强效药物。在这里,我们报告了在硼中子俘获疗法(BNCT)中,D-氨基酸与聚(乙烯醇)(PVA)的简单混合释放了其潜在的潜力。PVA 与看似无用的硼化 D-氨基酸形成硼酸酯,诱导肿瘤相关氨基酸转运体超选择性内化并延长细胞内滞留时间,从而彻底治愈肿瘤。超选择性内化是通过将无效通过转运体的内化途径转换为转运体介导的内吞来实现的。内吞/溶酶体中的酸性环境解离了硼酸酯,激发了药物的隐蔽性,阻止了药物外排,延长了药物在细胞内的保留时间。在皮下肿瘤模型中,该系统实现了传统方法无法达到的惊人的高肿瘤选择性蓄积,并诱导了剧烈的 BNCT 效应。PVA 可能是释放看似惰性分子潜能的一种独特材料。
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引用次数: 0
Fluorinated dendrimer-mediated miR-30a delivery regulates the inflammation of macrophages and mitigates the symptoms of rheumatoid arthritis 氟化树枝状聚合物介导的 miR-30a 递送可调节巨噬细胞的炎症并减轻类风湿性关节炎的症状
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-09 DOI: 10.1016/j.jconrel.2024.11.009
Jiakai Xing , Jiaxin Jia , Hugang Zhang , Haobo Han , Quanshun Li
Abnormal expression of microRNAs (miRNAs) plays a significant role in the pathogenesis of rheumatoid arthritis (RA), and thus miRNA-based therapy has emerged as a promising approach for the RA treatment. Herein, miR-30a was successfully screened and identified to be an essential mediator for the inflammation of RA. MiR-30a could directly target the Snai1 gene and further regulate the Cad11 expression to inhibit the NF-κB and MAPK signaling pathways, contributing to the anti-inflammatory effect. To enhance the therapeutic outcome of miR-30a, fluorinated polyamidoamine dendrimer (FP) was developed as the carrier to achieve the miR-30a delivery in the mice of collagen-induced arthritis. The carrier FP and miR-30a formed stable nanocomplexes and effectively mediated the transfection of miR-30a to execute the anti-inflammatory response in lipopolysaccharide-stimulated macrophages. Further, the intravenous administration of FP/miR-30a showed obvious accumulation in the inflamed joints and inhibited the inflammatory response via the Snai1/Cad11 axis, thereby contributing to the anti-arthritic efficacy. In addition, the FP/miR-30a nanocomplexes displayed favorable biocompatibility, as they did not cause the damage of organs following the systemic administration. Taken together, our study demonstrated that miR-30a is an effective anti-inflammatory oligonucleotide and the fluorinated dendrimer-mediated miR-30a delivery possesses the potential to be a promising approach for the treatment of RA and other autoimmune diseases.
微RNA(miRNA)的异常表达在类风湿性关节炎(RA)的发病机制中起着重要作用,因此基于miRNA的疗法已成为治疗RA的一种有前途的方法。本文成功地筛选出了miR-30a,并确定它是类风湿性关节炎炎症的重要介质。MiR-30a可直接靶向Snai1基因,并进一步调控Cad11的表达,从而抑制NF-κB和MAPK信号通路,起到抗炎作用。为了提高 miR-30a 的治疗效果,研究人员开发了含氟聚酰胺树枝状聚合物(FP)作为载体,以实现 miR-30a 在胶原诱导的关节炎小鼠体内的传递。载体FP和miR-30a形成了稳定的纳米复合物,有效地介导了miR-30a的转染,从而在脂多糖刺激的巨噬细胞中发挥抗炎作用。此外,静脉注射FP/miR-30a后,其在发炎关节中明显蓄积,并通过Snai1/Cad11轴抑制炎症反应,从而起到抗关节炎的作用。此外,FP/miR-30a 纳米复合物具有良好的生物相容性,全身给药后不会对器官造成损伤。综上所述,我们的研究表明,miR-30a是一种有效的抗炎寡核苷酸,氟化树枝状聚合物介导的miR-30a递送有望成为治疗RA和其他自身免疫性疾病的一种有效方法。
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引用次数: 0
Engineering of phosphatidylserine-targeting ROS-responsive polymeric prodrug for the repair of ischemia-reperfusion-induced acute kidney injury 设计磷脂酰丝氨酸靶向 ROS 响应聚合原药,用于修复缺血再灌注诱发的急性肾损伤。
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-09 DOI: 10.1016/j.jconrel.2024.10.063
Jin-Hui Wang , Hai-Bo Mao , Jing-Bo Hu , Shunhua Cheng , Hao Su
Ischemia-reperfusion-induced acute kidney injury (IR-AKI) commonly occurs in situations such as hemorrhagic shock, kidney transplantation, and cardiovascular surgery. As one of the significant causes of AKI, IR-AKI is characterized by its high incidence and mortality rates. Currently, effective inflammation control is the key for the treatment of IR-AKI. In this study, we developed an ROS-responsive polymeric prodrugs (Zn-D/DTH) which could target the externalized PS of apoptotic cells, and then responsively released HDM (anti-inflammatory peptides) in the presence of intracellular ROS. Zn-D/DTH effectively ameliorated renal function and mitigated pathological alterations such as the loss of the brush border, tubular dilation, and accumulation of cellular debris within the tubular lumens. Furthermore, Zn-D/DTH greatly reduced the generation of pro-inflammatory factors like IL-6, COX-2, and iNOS in renal tissues, suggesting its protective role largely stems from suppression of the inflammatory response. Additional mechanism exploration revealed that Zn-D/DTH markedly decreased the expression levels of TLR4 and MyD88, as well as the phosphorylation of NF-κB in the damaged kidneys. This, in turn, reduced the number of apoptotic tubular cells and the activity of Caspase 9 and Caspase 3 caused by ischemia-reperfusion. Additionally, Zn-D/DTH treatment showed improvement in the long-term renal damage and fibrosis induced by ischemia-reperfusion. The experimental outcomes indicated that Zn-D/DTH attenuated renal ischemia-reperfusion injury and delayed the transition from acute kidney injury to chronic kidney disease by downregulating the TLR4/MyD88/NF-κB signaling pathway and reducing the expression of apoptotic caspases, thereby inhibiting inflammation and reducing cell apoptosis.
缺血再灌注诱发的急性肾损伤(IR-AKI)通常发生在失血性休克、肾移植和心血管手术等情况下。作为急性肾损伤的重要原因之一,IR-AKI 的特点是发病率和死亡率高。目前,有效控制炎症是治疗 IR-AKI 的关键。在这项研究中,我们开发了一种 ROS 响应聚合物原药(Zn-D/DTH),它可以靶向凋亡细胞的外化 PS,然后在细胞内 ROS 存在的情况下响应性地释放 HDM(抗炎肽)。Zn-D/DTH 能有效改善肾功能,减轻刷状缘消失、肾小管扩张和肾小管腔内细胞碎片堆积等病理改变。此外,Zn-D/DTH 还大大减少了肾组织中 IL-6、COX-2 和 iNOS 等促炎因子的生成,表明其保护作用主要源于对炎症反应的抑制。其他机制探索显示,Zn-D/DTH 能显著降低受损肾脏中 TLR4 和 MyD88 的表达水平,以及 NF-κB 的磷酸化水平。这反过来又减少了缺血再灌注导致的肾小管细胞凋亡数量以及 Caspase 9 和 Caspase 3 的活性。此外,Zn-D/DTH 治疗对缺血再灌注引起的长期肾损伤和纤维化也有改善作用。实验结果表明,Zn-D/DTH通过下调TLR4/MyD88/NF-κB信号通路和减少凋亡Caspase的表达,从而抑制炎症和减少细胞凋亡,减轻了肾脏缺血再灌注损伤,延缓了急性肾损伤向慢性肾病的转变。
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引用次数: 0
Lipidation-dimerization platform unlocks treatment potential of fibroblast growth factor 21 for non-alcoholic steatohepatitis 脂肪二聚化平台释放成纤维细胞生长因子 21 治疗非酒精性脂肪性肝炎的潜力
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-09 DOI: 10.1016/j.jconrel.2024.11.006
Yapeng Wang , Lei Shen , Chengcheng Wang , Yuanzhen Dong , Haoju Hua , Jun Xu , Ying Zhang , Hao Huang , Zongqing Huang , Fei Zhao , Zhiru Xu , Yunliang Qiu , Jianguang Lu , Dianwen Ju , Jun Feng
Optimizing the druggability of both native and AI-designed bioactive proteins is crucial for realizing their therapeutic potential. A key focus in designing protein-based therapeutics is improving their pharmacokinetic properties. However, a significant challenge is to preserve biological activity while implementing long-acting strategies. Fibroblast growth factor 21 (FGF21), an endogenous hormone with potential as a treatment for non-alcoholic steatohepatitis (NASH), exemplifies this challenge. In this study, we present a novel lipidation-dimerization (LiDi) platform that integrates lipidation with a dimeric form of FGF21 connected by a hydrophilic linker. The lipidation enhances albumin binding, enabling sustained release, while the dimeric structure boosts biological activity. In vivo evaluations of the LiDi FGF21 analogs demonstrated that they offer excellent pharmacokinetic properties and superior efficacy compared to other treatments for NASH. This platform effectively extends the therapeutic half-life of proteins without compromising their activity, substantially broadening the application range of proteins as therapeutics.
优化原生蛋白质和人工智能设计的生物活性蛋白质的可药用性对于实现其治疗潜力至关重要。设计基于蛋白质的疗法的一个重点是改善其药代动力学特性。然而,如何在实施长效策略的同时保持生物活性是一个重大挑战。成纤维细胞生长因子 21(FGF21)是一种内源性激素,具有治疗非酒精性脂肪性肝炎(NASH)的潜力。在这项研究中,我们提出了一种新型脂化-二聚化(LiDi)平台,它将脂化与由亲水连接体连接的 FGF21 二聚体形式结合在一起。脂化增强了与白蛋白的结合,从而实现了持续释放,而二聚体结构则提高了生物活性。对 LiDi FGF21 类似物的体内评估表明,与其他治疗 NASH 的方法相比,它们具有出色的药代动力学特性和更优越的疗效。该平台有效延长了蛋白质的治疗半衰期,同时不影响其活性,大大拓宽了蛋白质作为治疗药物的应用范围。
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引用次数: 0
Strategic delivery of rapamycin and ranibizumab with intravitreal hydrogel depot disrupts multipathway-driven angiogenesis loop for boosted wAMD therapy. 雷帕霉素和雷尼珠单抗通过玻璃体内水凝胶去势剂的战略投放,破坏了多途径驱动的血管生成环路,从而促进了 wAMD 治疗。
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-09 DOI: 10.1016/j.jconrel.2024.11.011
Xi Jiang, Congyan Liu, Qun Zhang, Yanli Lv, Chen Lu, Wenting Su, Jing Zhou, Huangqin Zhang, Huiling Gong, Yuping Liu, Songtao Yuan, Yan Chen, Ding Qu

Autophagic dysfunction-induced deterioration of the retinal microenvironment drives the progression of wet age-related macular degeneration (wAMD). The efficacy of single-target anti-VEGF antibodies in treating wAMD has long been suboptimal due to the intricate interplay between autophagy dysfunction, oxidative stress, and angiogenesis. Here, we introduce an intravitreal hydrogel depot, named Rab&Rapa-M@G, consisting of rapamycin-loaded microemulsion (Rapa-M, an mTOR inhibitor), ranibizumab (anti-VEGF antibody), and a thermosensitive hydrogel matrix. A single intravitreal injection of Rab&Rapa-M@G can sustainably deliver Rapa-M and ranibizumab to the retinal pigment epithelium for at least 14 days. This formulation significantly improves retinal autophagic flux homeostasis and reduces oxidative stress injury in wAMD mice by modulating the AMPK/mTOR/HIF-1α/VEGF and AMPK/ROS/HO-1/VEGF pathways. Consequently, it synergistically disrupts the "autophagic dysfunction-oxidative stress-angiogenesis" loop, leading to a remarkable reduction in choroidal neovascularization area and retinal damage compared to ranibizumab alone. Notably, the sequential administration of ranibizumab and Rab&Rapa-M@G further enhances the overall anti-wAMD efficacy, achieved through sequential delivery of Rab and Rapa, allowing for a more precise grasp of the treatment window. In conclusion, this hydrogel depot design, with its sequential and sustained delivery of mTOR inhibitors and anti-VEGF antibodies, offers a promising strategy for multi-target synergistic therapy in wAMD.

自噬功能障碍引起的视网膜微环境恶化是湿性老年性黄斑变性(wAMD)进展的驱动因素。长期以来,由于自噬功能障碍、氧化应激和血管生成之间错综复杂的相互作用,单靶点抗血管内皮生长因子抗体治疗湿性老年性黄斑变性的疗效一直不理想。在这里,我们介绍了一种名为 Rab&Rapa-M@G 的玻璃体内水凝胶去势剂,由雷帕霉素微乳剂(Rapa-M,一种 mTOR 抑制剂)、雷尼珠单抗(抗血管内皮生长因子抗体)和热敏水凝胶基质组成。Rab&Rapa-M@G 一次玻璃体内注射可将 Rapa-M 和雷尼珠单抗持续输送到视网膜色素上皮细胞至少 14 天。这种制剂通过调节 AMPK/mTOR/HIF-1α/VEGF 和 AMPK/ROS/HO-1/VEGF 通路,明显改善了 wAMD 小鼠视网膜自噬通量的平衡,并减轻了氧化应激损伤。因此,与单用雷尼珠单抗相比,它能协同破坏 "自噬功能障碍-氧化应激-血管生成 "环路,显著减少脉络膜新生血管面积和视网膜损伤。值得注意的是,雷尼珠单抗和 Rab&Rapa-M@G 的相继给药进一步提高了抗黄斑变性的整体疗效,通过 Rab 和 Rapa 的相继给药,可以更精确地把握治疗窗口期。总之,这种水凝胶去势设计能够依次持续递送 mTOR 抑制剂和抗血管内皮生长因子抗体,为 wAMD 的多靶点协同治疗提供了一种前景广阔的策略。
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引用次数: 0
Engineered manganese-BODIPY coordinated nanoadjuvants for enhanced NIR-II photo-metalloimmunotherapy 用于增强近红外-II 光金属免疫疗法的工程锰-BODIPY 配位纳米佐剂
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-09 DOI: 10.1016/j.jconrel.2024.11.005
Yushi Zhang , Xuya Yu , Lingpeng Luo , Yigang Xu , Hanjie Zhang , Zhuo Mao , Yuqin Zhang , Cuihong Yang , Lu Wang , Pengcheng Zhang , Sitong Li , Meitong Ou , Ran Luo , Dunwan Zhu , Wen Li , Lin Mei
Immunotherapy, a pivotal and promising approach for tumor treatment, has demonstrated prominent clinical efficacy. However, its effectiveness is often impeded by insufficient antitumor immune responses attributed to the immunosuppressive tumor microenvironment (TME). The combination of immune activation through the stimulator of interferon genes (STING) pathway and phototherapy holds great potential for surmounting this challenge in advanced tumor immunotherapy. Herein, a novel manganese-boosted NIR-II photo-metalloimmunotherapy is proposed to synergistically enhance antitumour efficacy by fabricating Mn2+-BODIPY-based coordinated photo-immune nanoadjuvants (BMR), modified with tumor-targeted peptide cRGD. The obtained BMR could effectively deliver Mn2+ to tumor sites, and immunogenic cell death (ICD) was evoked by localized photothermal ablation of tumors using NIR-II laser irradiation. Simultaneously, pH-responsive release of Mn2+ would trigger the activation of STING pathway to promote the production of type I interferons (I-IFNs), significantly facilitating the maturation of dendritic cells (DCs) and polarization of macrophages to M1 phenotypes. Furthermore, by synergistically initiating systematic and robust antitumour immune responses, the BMR-mediated NIR-II photo-metalloimmunotherapy achieved remarkable therapeutic efficacy against both primary and lung metastasis of B16F10 tumors. Overall, in light of the versatile functionalities and synthetic flexibility of coordinated nanoadjuvants, formulated with photofunctional ligands and diverse metal ions, this work provides new insights into the design of metal coordination nanomedicine for effective antitumor photo-metalloimmunotherapy.
免疫疗法是治疗肿瘤的一种关键且前景广阔的方法,已显示出显著的临床疗效。然而,免疫抑制性肿瘤微环境(TME)导致的抗肿瘤免疫反应不足往往会阻碍免疫疗法的效果。通过干扰素基因刺激器(STING)途径激活免疫反应与光疗相结合,有望克服晚期肿瘤免疫疗法面临的这一挑战。本文提出了一种新型的锰促进近红外-II光金属免疫疗法,通过制备基于Mn2+-BODIPY的协同光免疫纳米佐剂(BMR),并用肿瘤靶向肽cRGD修饰,协同提高抗肿瘤疗效。所获得的 BMR 能有效地将 Mn2+ 递送到肿瘤部位,并利用近红外-II 激光照射肿瘤局部光热消融诱发免疫性细胞死亡(ICD)。同时,Mn2+的pH响应性释放会触发STING通路的激活,促进I型干扰素(I-IFNs)的产生,从而显著促进树突状细胞(DCs)的成熟和巨噬细胞向M1表型的极化。此外,BMR 介导的近红外-II 光金属免疫疗法通过协同启动系统而强大的抗肿瘤免疫反应,对 B16F10 肿瘤的原发和肺转移取得了显著疗效。总之,鉴于配位纳米佐剂具有多功能性和合成灵活性,并由光功能配体和多种金属离子配制而成,这项工作为设计金属配位纳米药物以实现有效的抗肿瘤光-金属免疫疗法提供了新的见解。
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引用次数: 0
Injectable nanocomposite hydrogel with cascade drug release for treatment of uveal melanoma 用于治疗葡萄膜黑色素瘤的级联药物释放可注射纳米复合水凝胶。
IF 10.5 1区 医学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-09 DOI: 10.1016/j.jconrel.2024.11.001
Zhihao Guo , Linyun Xiu , Yumei Li , Jiangcheng Tan , Cailing Wei , Junhui Sui , Shijin Zhang , Ruohua Zhu , Ji-Liang Li
Uveal melanoma (UM) is the most common malignant intraocular tumor with the trait of distant metastases. Currently, the standard clinical therapy results in suboptimal outcomes due to ineffective inhibition of tumor metastasis. Thus, developing novel therapeutic modalities for UM remains a critical priority. Herein, we have developed an injectable nanocomposite hydrogel (HA-DOX/LAP gel) through integrating hyaluronic acid-based drug-loaded nanoparticles into an alginate-dopamine gel, delivering the chemotherapeutic drugs, lapatinib and doxorubicin for combinational treatment of UM. HA-DOX/LAP gel is fabricated in situ by a simple injection of the mixed precursor solution into tumor sites and maintains in vivo for more than 21 days. The entrapped drug-loaded nanoparticles can gradually release from HA-DOX/LAP gel, enhancing tumor targeting and penetration, and synchronously releasing lapatinib and doxorubicin into the acidic intracellular environment to synergistically destroy UM cells. In vivo anti-tumor studies conducted in MuM-2B tumor models demonstrated that HA-DOX/LAP gel significantly impedes tumor growth, diminishes postoperative recurrence, and prolongs overall survivals of UM tumor-bearing mice through only single injection. Remarkably, the escaped drug-loaded nanoparticles effectively reduce the risk of tumor metastases. Our findings provide new insights for the development of multifunctional nanocomposite-incorporating combination therapy against UM by targeting tumor recurrence and metastases.
葡萄膜黑色素瘤(UM)是最常见的眼内恶性肿瘤,具有远处转移的特性。目前,标准的临床疗法由于无法有效抑制肿瘤转移而导致疗效不佳。因此,开发治疗 UM 的新型疗法仍是当务之急。在此,我们开发了一种可注射的纳米复合水凝胶(HA-DOX/LAP 凝胶),它将透明质酸基药物载荷纳米粒子整合到藻酸盐-多巴胺凝胶中,可输送化疗药物拉帕替尼和多柔比星,用于 UM 的联合治疗。只需将混合前体溶液注入肿瘤部位,就能在原位制成 HA-DOX/LAP 凝胶,并在体内维持 21 天以上。夹带药物的纳米颗粒可从 HA-DOX/LAP 凝胶中逐渐释放,增强了肿瘤的靶向性和穿透性,并将拉帕替尼和多柔比星同步释放到酸性细胞内环境中,协同破坏 UM 细胞。在 MuM-2B 肿瘤模型中进行的体内抗肿瘤研究表明,HA-DOX/LAP 凝胶只需注射一次,就能显著抑制肿瘤生长,减少术后复发,并延长 UM 肿瘤小鼠的总体存活时间。值得注意的是,逸出的载药纳米粒子能有效降低肿瘤转移的风险。我们的研究结果为开发针对肿瘤复发和转移的多功能纳米复合材料联合疗法提供了新的思路。
{"title":"Injectable nanocomposite hydrogel with cascade drug release for treatment of uveal melanoma","authors":"Zhihao Guo ,&nbsp;Linyun Xiu ,&nbsp;Yumei Li ,&nbsp;Jiangcheng Tan ,&nbsp;Cailing Wei ,&nbsp;Junhui Sui ,&nbsp;Shijin Zhang ,&nbsp;Ruohua Zhu ,&nbsp;Ji-Liang Li","doi":"10.1016/j.jconrel.2024.11.001","DOIUrl":"10.1016/j.jconrel.2024.11.001","url":null,"abstract":"<div><div>Uveal melanoma (UM) is the most common malignant intraocular tumor with the trait of distant metastases. Currently, the standard clinical therapy results in suboptimal outcomes due to ineffective inhibition of tumor metastasis. Thus, developing novel therapeutic modalities for UM remains a critical priority. Herein, we have developed an injectable nanocomposite hydrogel (HA-DOX/LAP gel) through integrating hyaluronic acid-based drug-loaded nanoparticles into an alginate-dopamine gel, delivering the chemotherapeutic drugs, lapatinib and doxorubicin for combinational treatment of UM. HA-DOX/LAP gel is fabricated <em>in situ</em> by a simple injection of the mixed precursor solution into tumor sites and maintains <em>in vivo</em> for more than 21 days. The entrapped drug-loaded nanoparticles can gradually release from HA-DOX/LAP gel, enhancing tumor targeting and penetration, and synchronously releasing lapatinib and doxorubicin into the acidic intracellular environment to synergistically destroy UM cells. <em>In vivo</em> anti-tumor studies conducted in MuM-2B tumor models demonstrated that HA-DOX/LAP gel significantly impedes tumor growth, diminishes postoperative recurrence, and prolongs overall survivals of UM tumor-bearing mice through only single injection. Remarkably, the escaped drug-loaded nanoparticles effectively reduce the risk of tumor metastases. Our findings provide new insights for the development of multifunctional nanocomposite-incorporating combination therapy against UM by targeting tumor recurrence and metastases.</div></div>","PeriodicalId":15450,"journal":{"name":"Journal of Controlled Release","volume":"376 ","pages":"Pages 1086-1099"},"PeriodicalIF":10.5,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Journal of Controlled Release
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