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Surface Activity Changes after Photoirradiation of PS80 in Citrate Buffer Containing Iron and Disulfide. PS80在含铁二硫化物柠檬酸缓冲液中光照射后表面活性的变化。
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-02 DOI: 10.1021/acs.molpharmaceut.5c00967
Estephanie Laura Nottar Escobar, Ginny Ke, Yilue Zhang, Esraa Abdelsalam, Christian Schöneich, Prajnaparamita Dhar

Polysorbate 80 (PS80) is a commonly used surfactant for stabilizing biotherapeutics by preventing protein adsorption at the air-liquid interface. However, PS80 is susceptible to oxidative degradation during manufacturing and storage. We show here that light exposure combined with the presence of metals can result in byproduct formation and potentially decrease the surfactant's ability to prevent protein adsorption to the air-liquid interface. PS80 formulated in citrate buffer can undergo cis/trans isomerization of unsaturated fatty acids in the presence of disulfides and iron (Prajapati et al., 2022). This work investigates novel surface activity aspects of polysorbate formulations before and after exposure to UV-A light. Polysorbate samples of different grades were formulated in citrate buffer containing iron and glutathione disulfide (GSSG; as a surrogate for peptide and protein disulfides), and a Langmuir trough was used to monitor the surface pressure during adsorption to the air-solution interface. Our results showed significant changes in the polysorbate surface activity after photoirradiation: all-oleate PS80 exhibited a 3-fold increase in the apparent critical micelle concentration (CMC), and the presence of both cis and trans fatty acids was confirmed. Also, the impact of photoirradiation on surface pressure depended on the surfactant concentration during irradiation, suggesting that the presence of micelles can alter the degradation pathway and byproduct formation.

聚山梨酯80 (PS80)是一种常用的表面活性剂,通过防止蛋白质在气液界面吸附来稳定生物治疗药物。然而,PS80在制造和储存过程中容易氧化降解。我们在这里表明,光暴露与金属的存在相结合会导致副产物的形成,并可能降低表面活性剂防止蛋白质吸附到气液界面的能力。在柠檬酸缓冲液中配制的PS80可以在二硫化物和铁的存在下进行不饱和脂肪酸的顺/反异构化(Prajapati et al., 2022)。这项工作研究了暴露于UV-A光之前和之后聚山梨酯配方的新表面活性方面。在含有铁和谷胱甘肽二硫化物(GSSG;肽和蛋白二硫化物的替代品)的柠檬酸缓冲液中配制不同等级的聚山酸酯样品,并使用Langmuir槽监测吸附到空气-溶液界面时的表面压力。我们的研究结果表明,光照射后聚山梨酸酯表面活性发生了显著变化:全油酸酯PS80的表观临界胶束浓度(CMC)增加了3倍,并且证实了顺式和反式脂肪酸的存在。此外,光辐射对表面压力的影响取决于辐照时表面活性剂的浓度,这表明胶束的存在可以改变降解途径和副产物的形成。
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引用次数: 0
Microbubbles for Acoustically Mediated Drug Delivery to the Inner Ear. 声学介导的内耳药物递送微泡。
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-02 DOI: 10.1021/acs.molpharmaceut.5c01397
Charlotte Jeanneau, Fabrice Micaletti, Damien Fouan, Valérie Schubnel, Cédric Chauvierre, John J Galvin, Jean-Michel Escoffre, David Bakhos

The blood-labyrinth barrier (BLB) is a selective endothelial barrier that maintains the homeostasis of the inner ear and protects it against toxic molecules and pathogens. This highly selective barrier represents a significant challenge for the delivery of therapeutic agents to the inner ear. To overcome this issue, various drug delivery methods have been developed. Among these modalities, microbubble-assisted ultrasound is an innovative and promising method for the noninvasive, targeted and efficient delivery of therapeutic agents through the round window membrane. The safety and the efficacy of this physical modality is strongly dependent on physiological properties of the targeted tissue, the pharmacological properties of the therapeutic molecules, the ultrasound parameters but also microbubble-related properties. The present review focuses on the current state of MB formulations and their use for the acoustically mediated inner ear drug delivery.

血迷宫屏障(BLB)是一种选择性内皮屏障,维持内耳的稳态,保护内耳免受有毒分子和病原体的侵害。这种高度选择性的屏障对治疗药物进入内耳是一个重大的挑战。为了克服这个问题,已经开发了各种给药方法。在这些方法中,微泡辅助超声是一种创新的、有前途的方法,可以通过圆窗膜无创、靶向和有效地给药。这种物理方式的安全性和有效性在很大程度上取决于目标组织的生理特性、治疗分子的药理学特性、超声参数以及微泡相关特性。本文综述了MB制剂的现状及其在声学介导内耳给药中的应用。
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引用次数: 0
Cascade Nanoreactor Based on Mo2C MXene for NIR-II-Activated Multimodal Therapy of Cancer. 基于Mo2C MXene的级联纳米反应器用于nir - ii激活的癌症多模式治疗。
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-02 DOI: 10.1021/acs.molpharmaceut.5c01663
Lu Zhao, Jianfeng Li, Xuehui Zhang, Yunfeng Bai, Feng Feng

The complexity and dynamic nature of the tumor microenvironment (TME) pose significant challenges to effective cancer therapy. Therefore, the development of nanocomposites capable of fully exploiting TME characteristics is crucial for achieving precise and efficient tumor treatment. Herein, the cascade nanoreactor PDA@Mo2C-MnO2-Au/Apt-M (PMMAA) was successfully constructed based on Mo2C MXene and nanozymes. This nanoreactor leveraged the TME to achieve NIR-II-triggered combined photothermal therapy and chemodynamic therapy (PTT/CDT) with active targeting capability. PMMAA exhibited a photothermal conversion efficiency of 41.89% under NIR-II laser irradiation, enabling efficient thermal ablation of tumor tissues. In the acidic TME, the loaded MnO2 NPs mediated Fenton-like reactions that selectively converted endogenous H2O2 into highly cytotoxic OH, realizing intelligent TME-responsive CDT. Notably, the embedded Au NPs in the nanoreactor exhibited glucose oxidase-like activity, catalyzing the conversion of glucose into H2O2 and gluconic acid, thereby simultaneously elevating both H2O2 levels and local acidity to establish a self-amplifying catalytic cascade. This nanozymes-based cascade amplification effect significantly enhanced CDT efficacy by promoting OH generation. Systematic evaluations demonstrated that the nanoreactor possessed dual enzyme-mimicking activities (POD-like and GOx-like), excellent biosafety, and remarkable tumor suppression effects. This study established a new paradigm for precision cancer therapy through the rational design of multifunctional nanozymes-enhanced CDT capable of dynamically modulating the TME.

肿瘤微环境(TME)的复杂性和动态性对有效的肿瘤治疗提出了重大挑战。因此,开发能够充分利用TME特性的纳米复合材料对于实现精确有效的肿瘤治疗至关重要。本文成功构建了基于Mo2C MXene和纳米酶的级联纳米反应器PDA@Mo2C-MnO2-Au/Apt-M (PMMAA)。该纳米反应器利用TME实现了具有主动靶向能力的nir - ii触发的联合光热治疗和化学动力治疗(PTT/CDT)。PMMAA在NIR-II激光照射下的光热转换效率为41.89%,能够对肿瘤组织进行有效的热消融。在酸性TME中,负载的MnO2 NPs介导fenton样反应,选择性地将内源性H2O2转化为高细胞毒性•OH,实现智能TME响应CDT。值得注意的是,纳米反应器中嵌入的Au NPs表现出类似葡萄糖氧化酶的活性,催化葡萄糖转化为H2O2和葡萄糖酸,从而同时提高H2O2水平和局部酸度,从而建立一个自放大的催化级联。这种基于纳米酶的级联扩增效应通过促进•OH的生成显著增强了CDT的功效。系统评价表明,该纳米反应器具有双酶模拟活性(pod样和gox样),具有良好的生物安全性和显著的肿瘤抑制作用。该研究通过合理设计能够动态调节TME的多功能纳米酶增强CDT,为精确癌症治疗建立了新的范例。
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引用次数: 0
Ginseng-Derived Exosomes-Loaded Thermosensitive Hydrogel for the Treatment of Periodontitis. 人参衍生外泌体负载热敏水凝胶治疗牙周炎。
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-02 DOI: 10.1021/acs.molpharmaceut.5c01404
Xiaorong Wang, Yawen Yu, Xiaoning Li, Chang Liu, Zhishan Lu, Zhanzhou Wang

Periodontitis represents a persistent inflammatory condition marked by the irreversible destruction of the alveolar bone, eventually leading to tooth loss. The ideal treatment for periodontitis involves three key steps: antibacterial treatment, inflammation control, and periodontal regeneration, ultimately leading to the complete restoration of alveolar bone and the full recovery of periodontal function. However, current periodontitis treatments cannot comprehensively solve these issues. In this study, a ginseng-derived exosomes (GEXs)-loaded injectable hydrogel (GEXs@Gel) was designed. GEXs@Gel was thermosensitive with good fluidity, capable of conforming to the intricate contours of periodontal pockets, while withstanding the persistent wash of gingival crevicular fluid. In vitro studies showed that GEXs and GEXs@Gel can inhibit the growth of periodontal pathogenic bacteria, effectively remove biofilms, promote the polarization of macrophages to the anti-inflammatory (M2) phenotype, and alleviate cellular oxidative stress. In particular, GEXs@Gel had the functions of promoting bone/angiogenesis and regeneration. In vivo studies showed that GEXs@Gel effectively inhibited inflammation, promoted alveolar bone regeneration, and effectively reversed periodontitis. In summary, GEXs@Gel offers a promising strategy for the treatment of periodontitis.

牙周炎是一种以牙槽骨不可逆转的破坏为特征的持续性炎症,最终导致牙齿脱落。理想的牙周炎治疗包括三个关键步骤:抗菌治疗、炎症控制和牙周再生,最终导致牙槽骨的完全修复和牙周功能的完全恢复。然而,目前的牙周炎治疗还不能全面解决这些问题。在这项研究中,设计了一种人参源性外泌体(ges)负载的可注射水凝胶(GEXs@Gel)。GEXs@Gel具有热敏性和良好的流动性,能够符合牙周袋的复杂轮廓,同时承受牙龈沟液的持续洗涤。体外研究表明,GEXs和GEXs@Gel能抑制牙周致病菌生长,有效去除生物膜,促进巨噬细胞向抗炎(M2)表型极化,缓解细胞氧化应激。特别是GEXs@Gel具有促进骨/血管生成和再生的功能。体内研究表明GEXs@Gel有效抑制炎症,促进牙槽骨再生,有效逆转牙周炎。总之,GEXs@Gel为治疗牙周炎提供了一个有希望的策略。
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引用次数: 0
Developing Nanotechnology for Intratumoral Immunotherapy 发展纳米技术用于肿瘤内免疫治疗
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-02 DOI: 10.1021/acs.molpharmaceut.6c00055
Anthony O. Omole, , , Hui Cai, , , Steven Fiering, , and , Nicole F. Steinmetz*, 
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引用次数: 0
Deciphering Copper Homeostasis and Cuproptosis: Biological Mechanisms, Disease Connections, and Cutting-Edge Copper-Based Nanomedicine. 破译铜稳态和铜退化:生物机制、疾病联系和前沿的铜基纳米医学。
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-02 DOI: 10.1021/acs.molpharmaceut.5c01708
Shu-Xin Zhang, Liu-Gen Li, Lu-Jin Wang, Nan-Nan Chen, Fan Leng, Hua-Zhen Xu, Tong-Fei Li

Copper (Cu), as an essential trace element, participates in various physiological processes through strict homeostatic regulation. Abnormal intracellular copper accumulation can cause multiple forms of copper-dependent cell death (including apoptosis, autophagy, ferroptosis, and the recently identified cuproptosis) and disrupt cellular functions, which emphasizes the importance of maintaining copper homeostasis. This review aims to outline the connections between the copper homeostatic regulatory network and different copper-dependent cell death pathways, exploring their potential for understanding disease mechanisms and developing targeted therapies. Therefore, this review systematically discusses copper homeostasis, copper-related diseases, copper-dependent cell death, and the associated mitochondria-dependent mechanisms. Additionally, we highlight the implications of various copper-dependent cell death processes in diseases (such as Menkes disease, Wilson disease, neurodegenerative disorders, and cancer), as well as the potential role of copper-induced cellular proliferation (cuproplasia) in tumor progression. As our understanding of copper metabolism regulation deepens, strategies targeting copper-associated cell death, including copper-based nanobiomaterials and targeted drug delivery, show promise as emerging therapeutic approaches for multiple diseases. Future research should further elucidate the links between copper-dependent cell death and disease, not only to understand the underlying mechanisms but also to develop nanomedicine-based interventions, alongside assessments of the feasibility and safety of restoring copper homeostasis in clinical practice.

铜(Cu)作为人体必需的微量元素,通过严格的体内平衡调节参与各种生理过程。异常的细胞内铜积累可导致多种形式的铜依赖性细胞死亡(包括凋亡、自噬、铁凋亡和最近发现的铜增生)并破坏细胞功能,这强调了维持铜稳态的重要性。本文旨在概述铜稳态调节网络与不同铜依赖性细胞死亡途径之间的联系,探索其在理解疾病机制和开发靶向治疗方面的潜力。因此,本文系统地讨论了铜稳态、铜相关疾病、铜依赖性细胞死亡以及相关的线粒体依赖机制。此外,我们强调了各种铜依赖性细胞死亡过程在疾病(如Menkes病、Wilson病、神经退行性疾病和癌症)中的意义,以及铜诱导的细胞增殖(铜增生)在肿瘤进展中的潜在作用。随着我们对铜代谢调控的理解不断加深,针对铜相关细胞死亡的策略,包括铜基纳米生物材料和靶向药物递送,有望成为多种疾病的新兴治疗方法。未来的研究应进一步阐明依赖铜的细胞死亡与疾病之间的联系,不仅要了解潜在的机制,而且要开发基于纳米医学的干预措施,同时在临床实践中评估恢复铜稳态的可行性和安全性。
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引用次数: 0
Liver-on-a-Chip (LoC) Models: Case Studies of Academic Platforms and Commercial Products. 肝脏芯片(LoC)模型:学术平台和商业产品的案例研究
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1021/acs.molpharmaceut.5c01122
Zineb Benzait, Özlem Tomsuk, Aliakbar Ebrahimi, Hamed Ghorbanpoor, Ceren Özel, Reza Didarian, Bahar Demir Cevizlidere, Murat Kaya, Tamer Gur, Nigar Gasimzade, Fulya Büge Ergen, Ahmet Emin Topal, Shadab Dabagh, Roshan Javanifar, Nuran Abdullayeva, Onur Uysal, Ayla Eker Sarıboyacı, Fatma Doğan Güzel, Shabir Hassan, Huseyin Avci

Pharmaceutical companies place significant importance on the liver due to its crucial role in numerous biochemical processes, specifically in drug metabolism. This focus has led to significant progress in liver-on-a-chip (LoC) technology, which has proven useful not only in drug development but also in more advanced applications. As a result, elaboration and incorporation of advanced LoC models into preclinical workflows have great potential to decrease R&D expenses and reduce or even replace animal testing, while improving the safety and efficacy of new therapies. To explore this potential, the present review provides an overview of recent academic and commercial LoC models, examines their different designs and cellular compositions, and evaluates the advantages and disadvantages of their complexity. A systematic comparison of these models is then performed, along with a discussion of their current challenges and future perspectives. Ultimately, we hope this review will assist scientists and industry professionals in selecting optimal models and in contributing to future advancements in LoC technology.

制药公司非常重视肝脏,因为它在许多生化过程中起着至关重要的作用,特别是在药物代谢中。这种关注导致肝脏芯片(LoC)技术取得了重大进展,该技术不仅在药物开发中很有用,而且在更高级的应用中也很有用。因此,在临床前工作流程中细化和纳入先进的LoC模型具有很大的潜力,可以减少研发费用,减少甚至取代动物试验,同时提高新疗法的安全性和有效性。为了探索这种潜力,本文综述了最近的学术和商业LoC模型,研究了它们不同的设计和细胞组成,并评估了它们复杂性的优点和缺点。然后对这些模型进行系统的比较,并讨论它们当前的挑战和未来的前景。最后,我们希望这篇综述将帮助科学家和行业专业人士选择最佳模型,并为LoC技术的未来发展做出贡献。
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引用次数: 0
Preclinical Evaluation and First-in-Human Imaging with 18F-NOTA-R49: A Comparative Analysis versus 18F-FDG PET/CT in Various Cancer Patients. 18F-NOTA-R49的临床前评估和首次人体成像:与18F-FDG PET/CT在不同癌症患者中的比较分析
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1021/acs.molpharmaceut.5c01742
Guanyun Wang, Xin Wen, Lingling Zheng, Xinyue Ge, Keyu Zhang, Ying Kan, Mengyi Zhang, Wei Wang, Mingyu Zhang, Feihu Guo, Jigang Yang

Our study aims to develop a novel 18F-labeled fibroblast activation protein inhibitor (FAPI) probe, 18F-NOTA-R49, and validate its diagnostic performance across multiple cancers in both preclinical and clinical studies. 18F-NOTA-R49 was synthesized through chemical methods, and its in vitro affinity, internalization characteristics, and specificity were evaluated in FAP-overexpressing cells HEK-293-hFAP and U-87 MG. Tumor-bearing mouse models were established to assess in vivo targeting and pharmacokinetics via small-animal PET/CT imaging and biodistribution studies. Ten patients with various cancers were enrolled in a clinical study comparing lesion-detection capabilities of 18F-NOTA-R49 and 18F-FDG PET/CT. In vivo studies showed significant early uptake in FAP-positive tumors (29.36 ± 1.49%ID/g at 0.5 h), which was effectively blocked by unlabeled NOTA-R49. Clinically, 18F-NOTA-R49 exhibited superior lesion contrast compared to 18F-FDG in gastric cancer, mesenchymal tumors, prostate cancer, seminoma, and pancreatic cancer, particularly in peritoneal and lymph node metastases. 18F-NOTA-R49 demonstrates high affinity and specificity and excellent tumor-targeting properties. It shows better diagnostic efficacy than 18F-FDG in various malignant tumors, indicating a significant clinical translation potential.

我们的研究旨在开发一种新的18f标记的成纤维细胞活化蛋白抑制剂(FAPI)探针18F-NOTA-R49,并在临床前和临床研究中验证其对多种癌症的诊断性能。通过化学方法合成18F-NOTA-R49,并在过表达fap的细胞HEK-293-hFAP和U-87 MG中评价其体外亲和力、内化特性和特异性。建立荷瘤小鼠模型,通过小动物PET/CT成像和生物分布研究来评估体内靶向性和药代动力学。10名不同癌症患者参加了一项临床研究,比较了18F-NOTA-R49和18F-FDG PET/CT的病变检测能力。体内研究显示,fap阳性肿瘤的早期摄取显著(0.5 h时为29.36±1.49%ID/g),未标记的NOTA-R49可有效阻断。在临床上,18F-NOTA-R49在胃癌、间质肿瘤、前列腺癌、精原细胞瘤和胰腺癌中表现出优于18F-FDG的病变对比,尤其是在腹膜和淋巴结转移中。18F-NOTA-R49具有高亲和力和特异性,具有良好的肿瘤靶向性。对多种恶性肿瘤的诊断效果优于18F-FDG,具有重要的临床翻译潜力。
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引用次数: 0
High-Throughput Physiologically Based Pharmacokinetic Model for Rodent Pharmacokinetics Prediction Using Machine Learning-Predicted Inputs and a Large In Vivo Pharmacokinetics Data Set. 利用机器学习预测输入和大型体内药代动力学数据集,用于啮齿动物药代动力学预测的高通量生理药代动力学模型。
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-30 DOI: 10.1021/acs.molpharmaceut.5c01317
Davide Bassani, Andrea Andrews-Morger, Jin Zhang, Luca Docci, Giuseppe Cecere, Axel Pähler, Tejashree Belubbi, Pierre Laye, Iris Shih, Neil John Parrott

Accurate prediction of the pharmacokinetic (PK) properties of small-molecule drug candidates is a critical aspect of pharmaceutical research. Fast and reliable PK predictions can accelerate compound optimization cycles, reduce animal testing, and enhance the quality of molecules advancing to human studies. Although physiologically based PK (PBPK) models are well-established for compound selection, their application in early discovery faces limitations due to low throughput and the requirement for substantial in vitro data. Recently, high-throughput PBPK (HT-PBPK) methods have become possible, offering scalable, parallel PBPK simulations that can be executed on thousands of compounds within minutes. Additionally, advancements in machine learning (ML) have enabled the substitution of in vitro data by high-quality in silico predictions that are based solely on chemical structures. In this study, the performance of a corporate HT-PBPK application, called SwiftPK, that leverages the HTPK simulation module included in a commercial software package was evaluated for predicting ten primary and secondary PK endpoints for a large (>9000 compounds) set of rodent PK data. Utilizing a corporate ML pipeline, all in vitro parameter inputs were replaced with in silico predictions. This approach is particularly relevant for early stage project phases, such as lead identification, as well as for external collaborations where experimental data are unavailable. The findings demonstrate the highly predictive performance of the HT-PBPK approach, with most endpoints predicted within a three- to four-fold error. Performance improves after filtering for compounds that are predicted, based on structure alone, to be cleared by hepatic metabolism (Extended Clearance Classification System class 2) and when using ML inputs that demonstrate high confidence. The results highlight the key prerequisites for successful application in early phase projects: predicted primary elimination pathway accuracy and prediction quality. This study is expected to inspire more organizations to incorporate HT-PBPK into their discovery pipelines, expediting the development of safe and effective novel medicines for patients.

准确预测小分子候选药物的药代动力学(PK)特性是药物研究的一个关键方面。快速可靠的PK预测可以加快化合物优化周期,减少动物试验,提高分子的质量,推进人类研究。尽管基于生理的PK (PBPK)模型在化合物选择方面已经建立起来,但由于低通量和对大量体外数据的要求,它们在早期发现中的应用受到限制。最近,高通量PBPK (HT-PBPK)方法已经成为可能,提供可扩展的并行PBPK模拟,可以在几分钟内对数千种化合物进行模拟。此外,机器学习(ML)的进步使得仅基于化学结构的高质量计算机预测能够取代体外数据。在本研究中,利用商业软件包中包含的HTPK模拟模块,对公司HT-PBPK应用程序SwiftPK的性能进行了评估,用于预测大型(bbb9000种化合物)啮齿动物PK数据集的10个主要和次级PK终点。利用公司ML管道,所有体外参数输入都被计算机预测取代。这种方法特别适用于项目的早期阶段,例如铅的确定,以及无法获得实验数据的外部合作。研究结果表明,HT-PBPK方法具有高度的预测性能,大多数终点预测误差在三到四倍以内。在过滤了仅基于结构预测的化合物后,性能得到改善,这些化合物将被肝脏代谢清除(扩展清除分类系统2类),并且当使用具有高置信度的ML输入时。结果强调了在早期项目中成功应用的关键先决条件:预测初级消除途径的准确性和预测质量。这项研究有望激励更多的组织将HT-PBPK纳入他们的发现管道,加快为患者开发安全有效的新药。
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引用次数: 0
Chondroitin Sulfate-Based ROS-Responsive Nanoparticles Targeting Activated Myofibroblasts via CD44 Receptors for the Renal Fibrosis Therapy. 基于硫酸软骨素的ros反应纳米颗粒通过CD44受体靶向活化的肌成纤维细胞用于肾纤维化治疗。
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-01-30 DOI: 10.1021/acs.molpharmaceut.5c01524
Wei Zhao, Jie Zhou, Yan Xia, Jingwei Li, Jiahao Chen, Xinghe Ji, Lingling Wang, Jinhang Zhang, Shuting Qiu, Yimin Xiong, Lunzhi Liu, Jinhan He, Yanping Li

Renal fibrosis, a central pathological feature in chronic kidney disease progression, is marked by aberrant myofibroblast activation and excessive extracellular matrix deposition. Currently, no effective therapies are available to reverse this condition. Although celastrol (CEL) exhibits potent antifibrotic activity, its clinical application is hindered by poor solubility and significant systemic toxicity. To overcome these limitations, we developed a CD44-targeted and reactive oxygen species (ROS)-responsive nanoparticle (CEL@CB) for targeted renal delivery. The nanoparticle was constructed by conjugating bilirubin (BR) to chondroitin sulfate (CS), creating an amphiphilic CS-BR conjugate that self-assembles into nanoparticles capable of encapsulating CEL. The CS shell enables active targeting of CD44 receptors, which are highly overexpressed on activated renal myofibroblasts, while the BR core responds to elevated ROS levels in fibrotic kidneys, triggering drug release and simultaneously scavenging ROS to alleviate inflammation. Both in vitro and in vivo studies demonstrated that CEL@CB nanoparticles facilitate targeted CEL delivery to activated myofibroblasts, achieving a drug accumulation in fibrotic kidneys more than 2-fold higher than in healthy controls. Treatment with CEL@CB reduced the expression of key fibrotic markers (α-SMA and Col1a1) by approximately 30-70% at both mRNA and protein levels and decreased serum creatinine and blood urea nitrogen (BUN) levels by about 50%, thereby significantly attenuating folic acid-induced renal fibrosis, restoring renal function, and mitigating histological damage. Importantly, this targeted strategy markedly minimized the toxicity to the heart, testis, and hematological systems associated with free CEL. This dual-functional nanoparticle combines CD44-mediated renal targeted delivery with ROS-responsive drug release, offering a novel approach for antifibrotic therapy.

肾纤维化是慢性肾脏疾病进展的中心病理特征,其特征是异常的肌成纤维细胞活化和过度的细胞外基质沉积。目前,还没有有效的治疗方法来逆转这种情况。虽然celastrol (CEL)显示出有效的抗纤维化活性,但其临床应用受到溶解度差和显著的全身毒性的阻碍。为了克服这些限制,我们开发了一种靶向cd44和活性氧(ROS)响应的纳米颗粒(CEL@CB),用于靶向肾递送。该纳米颗粒通过将胆红素(BR)与硫酸软骨素(CS)偶联而成,形成两亲性CS-BR偶联物,该偶联物可自组装成能够包裹CEL的纳米颗粒。CS壳能够主动靶向CD44受体,CD44受体在活化的肾肌成纤维细胞上高度过度表达,而BR核响应纤维化肾脏中升高的ROS水平,触发药物释放,同时清除ROS以减轻炎症。体外和体内研究表明,CEL@CB纳米颗粒促进靶向CEL递送到活化的肌成纤维细胞,使纤维化肾脏中的药物蓄积比健康对照高2倍以上。CEL@CB治疗可使关键纤维化标志物(α-SMA和Col1a1) mRNA和蛋白水平的表达降低约30-70%,血清肌酐和血尿素氮(BUN)水平降低约50%,从而显著减轻叶酸诱导的肾纤维化,恢复肾功能,减轻组织学损伤。重要的是,这种靶向策略显著降低了游离CEL对心脏、睾丸和血液系统的毒性。这种双功能纳米颗粒结合了cd44介导的肾靶向递送和ros反应性药物释放,为抗纤维化治疗提供了一种新的途径。
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Molecular Pharmaceutics
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