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Updated: Aug 31, 2025

Synthesis of Monocyte-targeting Peptide Amphiphile Micelles for Imaging of Atherosclerosis
Published on: November 17, 2017
Programmed prodrug breaking the feedback regulation of P-selectin in plaque inflammation for atherosclerotic therapy
Quan Wang1, Hongshu Jing2, Jun Lin3
1State Key Laboratory of Oncogenes and Related Genes, Renji Hospital, School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, 200032, China.
Abstract:
Inflammation is the main driver of the aggravation of arteriosclerosis, and the complex inflammatory response in plaque is usually the result of the interaction of various cells and cytokines. Therefore, it is difficult to comprehensively regulate the inflammatory process of arteriosclerosis by intervening a single target, resulting in the poor effect of existing treatment method. Based on our clinical findings that P-selectin stably and highly expressed in patients' plaque endothelial cells, the programmed prodrug, low molecular weight heparin-indomethacin nanoparticles (LI NPs), were established as anti-inflammatory agent to multiphase inhibit arteriosclerosis by cascade interference of P-selectin. Structurally, LI NPs was obtained by simple esterification of low molecular weight heparin and indomethacin without any additives, guaranteeing the biocompatibility and applicability of LI NPs. Functionally, LI NPs could interfere with P-selectin in the inflammatory process, such as inhibiting macrophage adhesion, reducing the secretion of inflammatory factors, and inducing macrophage apoptosis. In the arteriosclerosis mice model, LI NPs significantly reduced the plaque area and showed satisfactory curative effect, which is related to the intervention of the multiphase inflammation between endothelial cells and macrophages. In conclusion, the programmed prodrug LI NPs offered a promising approach for the clinical therapy of arteriosclerosis.
Insights
New nanoparticles target P-selectin to combat arteriosclerosis. This programmed prodrug effectively reduces inflammation and plaque in mice, offering a promising therapeutic strategy for this cardiovascular disease.
Area of Science:
- Cardiovascular Research
- Nanomedicine
- Inflammation Biology
Background:
- Arteriosclerosis progression is driven by complex plaque inflammation.
- Current treatments targeting single pathways show limited efficacy.
- P-selectin is highly expressed on plaque endothelial cells in patients.
Purpose of the Study:
- To develop a novel anti-inflammatory agent for arteriosclerosis.
- To investigate the efficacy of low molecular weight heparin-indomethacin nanoparticles (LI NPs) in targeting P-selectin.
- To evaluate the therapeutic potential of LI NPs in an arteriosclerosis model.
Main Methods:
- Programmed prodrug LI NPs synthesized via esterification of low molecular weight heparin and indomethacin.
- In vitro assessment of LI NPs' anti-inflammatory functions, including macrophage adhesion inhibition and apoptosis induction.
- In vivo evaluation of LI NPs in an arteriosclerosis mouse model.
Main Results:
- LI NPs demonstrated biocompatibility and applicability without additives.
- LI NPs effectively interfered with P-selectin, reducing inflammatory factor secretion and inducing macrophage apoptosis.
- Significant reduction in plaque area and satisfactory therapeutic effect observed in the arteriosclerosis mice model.
Conclusions:
- Programmed prodrug LI NPs offer a multiphase inhibition strategy for arteriosclerosis.
- LI NPs show promise for clinical therapy by intervening in endothelial cell-macrophage interactions.
- Targeting P-selectin with LI NPs presents a novel approach to managing arteriosclerosis.
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