Intravenous route to choroidal neovascularization by macrophage-disguised nanocarriers for mTOR modulation

Weiyi Xia1, Chao Li2, Qinjun Chen2

  • 1Department of Ophthalmology and Vision Science, Eye & ENT Hospital, Shanghai Medical School, Fudan University, Shanghai 200031, China.

Insights

Biomimetic nanocomplexes loaded with rapamycin and coated in macrophage membranes (MRaNPs) effectively target age-related macular degeneration lesions. This approach enhances rapamycin delivery, downregulates the mTOR pathway, and promotes RPE autophagy for therapeutic benefit.

Area of Science:

  • Ophthalmology and Regenerative Medicine
  • Nanotechnology and Biomaterials

Background:

  • Age-related macular degeneration (AMD) involves retinal pigment epithelial (RPE) cell damage, leading to photoreceptor loss and choroidal neovascularization (CNV).
  • The mechanistic target of rapamycin (mTOR) pathway is implicated in AMD pathogenesis, but rapamycin's therapeutic use is limited.
  • Developing targeted, noninvasive therapies is crucial for AMD treatment.

Purpose of the Study:

  • To develop a novel biomimetic nanocarrier system for targeted delivery of rapamycin to AMD lesions.
  • To investigate the efficacy of macrophage-membrane-coated rapamycin nanoparticles (MRaNPs) in modulating the mTOR pathway and treating AMD.
  • To evaluate the potential of MRaNPs in activating autophagy and rescuing RPE cells.

Main Methods:

  • Rapamycin-loaded nanoparticles were engineered and coated with cell membranes derived from macrophages to create MRaNPs.
  • The biodistribution and accumulation of MRaNPs were assessed after intravenous injection, focusing on CNV lesions.
  • The effects of MRaNPs on mTOR pathway downregulation, angiogenesis inhibition, and RPE autophagy activation were evaluated.

Main Results:

  • Intravenous administration of MRaNPs demonstrated enhanced accumulation in CNV lesions due to macrophage membrane properties.
  • MRaNPs effectively downregulated the mTOR pathway and attenuated angiogenesis in the eye.
  • MRaNPs significantly activated autophagy in RPE cells, suggesting a protective mechanism against damage.

Conclusions:

  • Macrophage-disguised rapamycin nanocarriers (MRaNPs) represent a promising noninvasive therapeutic strategy for AMD.
  • Biomimetic cell membrane coating enhances targeted drug delivery and therapeutic efficacy for retinal diseases.
  • MRaNPs offer a dual therapeutic approach by inhibiting angiogenesis and promoting RPE survival through autophagy.

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