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Related Experiment Video

Updated: Aug 13, 2025

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Injectable, Drug-Eluting Nanocrystals Prevent Fibrosis and Stricture Formation In Vivo.

Ling Li1, Rachel L Shapiro2, Min Kyung Joo3

  • 1Division of Gastroenterology and Hepatology, School of Medicine, The Johns Hopkins University, Baltimore, Maryland.

Gastroenterology
|January 19, 2023
PubMed
Summary
This summary is machine-generated.

A novel drug delivery system using sulconazole nanocrystals effectively prevents tissue fibrosis and stricture formation in preclinical models. This localized, sustained-release treatment shows promise for gastrointestinal conditions.

Keywords:
FibrosisNanocrystalStrictureSulconazoleTherapies

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Area of Science:

  • Biomedical Engineering
  • Pharmacology
  • Gastroenterology

Background:

  • Tissue fibrosis involves excessive extracellular matrix deposition, leading to gastrointestinal strictures.
  • Current treatments for gastrointestinal fibrosis are limited, necessitating novel therapeutic strategies.
  • Developing localized, sustained-release antifibrotic drugs is crucial for effective stricture management.

Purpose of the Study:

  • To identify and develop a small molecule drug with potent antifibrotic effects for localized, sustained delivery.
  • To evaluate the efficacy of the antifibrotic drug in preventing fibrosis and stricture formation in relevant animal models.

Main Methods:

  • High-throughput screening identified small molecules with antifibrotic properties.
  • An identified antifibrotic molecule was formulated into nanocrystals for sustained release.
  • Antifibrotic potential was assessed in three distinct animal models of fibrosis, including a swine model of bowel stricture.

Main Results:

  • Sulconazole, an FDA-approved antifungal drug, demonstrated significant antifibrotic properties.
  • Sulconazole nanocrystals achieved sustained release and showed superior or equivalent fibrosis prevention in mouse models compared to less frequent dosing.
  • A single injection of sulconazole nanocrystals successfully prevented stricture formation in a swine model.

Conclusions:

  • Sulconazole nanocrystals represent a promising therapeutic approach for preventing tissue fibrosis and strictures.
  • The localized, sustained-release formulation enhances drug efficacy and potentially reduces systemic side effects.
  • These findings provide a strong foundation for clinical studies investigating antifibrotic treatments for fibrotic diseases.