Calming egress of inflammatory monocytes and related septic shock by therapeutic CCR2 silencing using

Liang Ding1, Wenjing Zhou1, Jian Zhang2

  • 1Department of Cardiovascular Surgery of the First Affiliated Hospital & Institute for Cardiovascular Science, Suzhou Medical College of Soochow University, Soochow University, Suzhou 215006, China. chenweiqian@suda.edu.cn.

Nanoscale
|February 28, 2022
PubMed

Insights

Engineered macrophage extracellular vesicles (Mac-EVs) carrying siRNA targeting CCR2 effectively reduced inflammatory monocyte mobilization and sepsis symptoms in mice, offering a novel therapeutic strategy.

Area of Science:

  • Immunology
  • Nanomedicine
  • Biotechnology

Background:

  • Sepsis-associated immune disorders involve uncontrolled inflammation driven by inflammatory monocytes.
  • Extracellular vesicles (EVs) share membrane proteins with parent cells, making them suitable for targeted drug delivery.
  • Macrophage-derived EVs (Mac-EVs) show potential for targeting monocytes and macrophages.

Purpose of the Study:

  • To develop Mac-EVs for targeted delivery of anti-inflammatory agents to monocytes/macrophages.
  • To evaluate the efficacy of Mac-EVs loaded with siRNA targeting CCR2 (Mac-EVsiCCR2) in a mouse model of sepsis.

Main Methods:

  • Generated EVs from immortalized bone marrow-derived macrophages.
  • Compared internalization efficiency of Mac-EVs versus MSC-EVs in vitro and in vivo.
  • Loaded Mac-EVs with siRNA targeting chemokine receptor CCR2.
  • Administered Mac-EVsiCCR2 to septic mice and assessed inflammatory monocyte mobilization, cytokine storm, and septic symptoms.

Main Results:

  • Mac-EVs demonstrated superior internalization by inflammatory monocytes/macrophages in vitro and in septic spleens in vivo compared to MSC-EVs.
  • Mac-EVsiCCR2 treatment effectively restrained inflammatory monocyte chemotaxis.
  • Treatment with Mac-EVsiCCR2 alleviated septic symptoms in mice by reducing splenic inflammatory monocytes and mitigating the serum cytokine storm.

Conclusions:

  • Mac-EVsiCCR2 represents a promising therapeutic approach for targeting septic inflammatory monocytes.
  • The study provides functional evidence for CCR2 inhibition as a viable strategy for sepsis treatment.
  • Clinical development of CCR2 inhibition for infectious diseases is warranted.