Efficient and targeted chemo-gene delivery with self-assembled fluoro-nanoparticles for liver fibrosis therapy and

Pengkai Wu1, Xinping Luo1, Hui Wu1

  • 1State Key Laboratory of Natural Medicines, Department of Pharmaceutics, China Pharmaceutical University, Nanjing, 210009, China.

Biomaterials
|September 10, 2020
PubMed

Insights

This study introduces a novel dual-targeting therapy for liver fibrosis using sorafenib and an miR155 inhibitor. Early intervention with this chemogene therapy shows improved efficacy and recurrence prevention by regulating hepatic stellate cells (HSCs) and Kupffer cells (KCs).

Area of Science:

  • Biomedical Engineering
  • Nanomedicine
  • Hepatology

Background:

  • Liver fibrosis treatment options are limited, with transplantation being the primary choice.
  • Fibrosis progression is complex, and recurrence/intervention timing are understudied factors impacting therapy efficacy.

Purpose of the Study:

  • To develop a novel fluoropolymer for co-delivery of sorafenib and anti-miR155.
  • To investigate the relationship between chemogene therapy, intervention timing, and liver fibrosis recurrence.
  • To evaluate the dual-targeting efficacy on hepatic stellate cells (HSCs) and Kupffer cells (KCs).

Main Methods:

  • Design of a novel fluoropolymer for high drug loading and efficient delivery.
  • Co-delivery of sorafenib (chemotherapy) and miR155 inhibitor (gene therapy).
  • Dual-targeting of HSCs and KCs for synergistic anti-fibrotic effects.

Main Results:

  • The combined therapy demonstrated superior therapeutic efficiency.
  • Pro-inflammatory M1 Kupffer cells were polarized to anti-inflammatory M2 phenotype.
  • HSC proliferation was significantly inhibited.
  • Early-stage intervention proved more effective for efficacy and recurrence prevention.

Conclusions:

  • A novel chemogene therapy strategy improves liver fibrosis treatment efficacy and prevents recurrence.
  • Dual-regulation of KCs and HSCs is key to the therapeutic success.
  • Emphasizes the critical importance of early intervention in liver fibrosis treatment.