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Updated: Sep 20, 2025

Synthesis of Monocyte-targeting Peptide Amphiphile Micelles for Imaging of Atherosclerosis
Published on: November 17, 2017
Inflammatory endothelium-targeted and cathepsin responsive nanoparticles are effective against atherosclerosis
Fei Fang1,2, Yinghao Ni1, Hongchi Yu1
1Institute of Biomedical Engineering, West China School of Basic Medical Sciences & Forensic Medicine, Sichuan University, Chengdu 610041, China.
Insights
New nanoparticles deliver rapamycin (RAP) effectively for atherosclerosis treatment. These targeted and responsive nanoparticles (T/R NPs) reduce inflammation and block plaque development in mice.
Area of Science:
- Biomedical Engineering
- Nanotechnology
- Cardiovascular Research
Background:
- Atherosclerosis involves lipid accumulation and plaque formation, posing challenges for pharmacological treatments due to issues with drug delivery and clearance.
- Current therapies for atherosclerosis struggle with targeted delivery, controlled release, and preventing non-specific clearance of drugs.
Purpose of the Study:
- To develop an integrin αvβ3-targeted and cathepsin K (CTSK)-responsive nanoparticle system for localized rapamycin (RAP) delivery.
- To overcome the limitations of current atherosclerosis treatments by enhancing drug targeting and controlled release.
Main Methods:
- Engineered targeted and responsive nanoparticles (T/R NPs) using PLGA-PEG-c(RGDfC) and CTSK-sensitive PLGA-Pep-PEG polymers.
- Incorporated a FRET probe into PLGA-Pep-PEG to monitor CTSK-mediated hydrolysis events.
- Evaluated RAP@T/R NPs in vitro for drug release and effects on macrophages, and in vivo in ApoE-/- mice for atherosclerosis progression and inflammation.
Main Results:
- RAP@T/R NPs demonstrated CTSK-stimulated accelerated RAP release in vitro, inhibiting macrophage phagocytosis of oxidized LDL (OxLDL) and cytokine release.
- T/R NPs exhibited prolonged blood circulation and enhanced accumulation in atherosclerotic lesions at both early and late stages.
- Treatment with RAP@T/R NPs significantly inhibited atherosclerosis development and reduced systemic and local inflammation in ApoE-/- mice.
Conclusions:
- Targeted and responsive nanoparticles (T/R NPs) show promise for localized rapamycin delivery in atherosclerosis therapy.
- This novel drug delivery system offers a safer and more efficient therapeutic strategy for atherosclerosis.
- The CTSK-responsive nature of the nanoparticles enables precise drug release at lesion sites, improving treatment efficacy.
Abstract:
Rationale: Atherosclerosis is characterized by lipid accumulation, plaque formation, and artery stenosis. The pharmacological treatment is a promising therapy for atherosclerosis, but this approach faces major challenges such as targeted drug delivery, controlled release, and non-specific clearance. Methods: Based on the finding that the cathepsin k (CTSK) enzyme is enriched in atherosclerotic lesions, we constructed an integrin αvβ3 targeted and CTSK-responsive nanoparticle to control the release of rapamycin (RAP) locally. The targeted and responsive nanoparticles (T/R NPs) were engineered by the self-assembly of a targeting polymer PLGA-PEG-c(RGDfC) and a CTSK-sensitive polymer PLGA-Pep-PEG. PLGA-Pep-PEG was also modified with a pair of FRET probe to monitor the hydrolysis events. Results: Our results indicated that RAP@T/R NPs accelerated the release of RAP in response to CTSK stimulation in vitro, which significantly inhibited the phagocytosis of OxLDL and the release of cytokines by inflammatory macrophages. Additionally, T/R NPs had prolonged blood retention time and increased accumulation in the early and late stage of atherosclerosis lesions. RAP@T/R NPs significantly blocked the development of atherosclerosis and suppressed the systemic and local inflammation in ApoE-/- mice. Conclusions: RAP@T/R NPs hold a great promise as a drug delivery system for safer and more efficient therapy of atherosclerosis.
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