Tetrahedral Framework Nucleic Acids Based Small Interfering RNA Targeting Receptor for Advanced Glycation End

Zhengwen Cai1, Yong Li1, Long Bai2

  • 1State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan 610041, China.

ACS Nano
|September 26, 2023
PubMed

Insights

A novel nanomedicine, Tsi, targets the receptor for advanced glycation end products (RAGE) to reduce inflammation and cell death, offering a new treatment for diabetic complications.

Area of Science:

  • Biomedical Engineering
  • Nanomedicine
  • Molecular Biology

Background:

  • Diabetes complications affect multiple organs, driven by advanced glycation end products (AGEs).
  • AGEs accumulate due to hyperglycemia and processed diets, triggering inflammation and cell death via the receptor for AGEs (RAGE).
  • Existing treatments often focus on hyperglycemia, necessitating alternative strategies for AGEs-induced damage.

Purpose of the Study:

  • To develop a novel nanomedicine system, Tsi, for targeting RAGE and mitigating AGEs-induced complications.
  • To evaluate the efficacy of Tsi in downregulating RAGE expression and suppressing downstream inflammatory pathways.
  • To assess Tsi's impact on macrophage pyroptosis and its potential for synergistic treatment of diabetic complications.

Main Methods:

  • Development of an siRNA-binding tetrahedral framework nucleic acid (TDN) system (Tsi) with enhanced cell membrane penetration and serum stability.
  • In vitro and in vivo assessment of Tsi's ability to downregulate RAGE expression.
  • Analysis of Tsi's effects on the NF-κB inflammatory pathway, antioxidant functions, and the NLRP3/caspase-1 pyroptosis axis in macrophages.

Main Results:

  • Tsi effectively and persistently downregulates RAGE expression, suppressing AGEs-induced inflammation.
  • Tsi inhibits the NF-κB pathway and exhibits antioxidant properties.
  • Tsi regulates macrophage pyroptosis via the NLRP3/caspase-1 axis, preventing the spread of cell death signals and maintaining homeostasis.

Conclusions:

  • The Tsi nanomedicine system offers a promising therapeutic strategy for diabetic complications by targeting RAGE and AGE-induced inflammation.
  • Tsi demonstrates long-lasting efficacy, independent of lowering blood glucose levels.
  • This approach provides a novel treatment avenue for diabetic complications and potentially age-related diseases.

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