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A Cardiac-Targeted Nanozyme Interrupts the Inflammation-Free Radical Cycle in Myocardial Infarction
Xueliang Liu1, Binghua Chen2, Jingqi Chen1
1Institute of Molecular Medicine (IMM), Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200240, China.
Abstract:
Severe systemic inflammation following myocardial infarction (MI) is a major cause of patient mortality. MI-induced inflammation can trigger the production of free radicals, which in turn ultimately leads to increased inflammation in cardiac lesions (i.e., inflammation-free radicals cycle), resulting in heart failure and patient death. However, currently available anti-inflammatory drugs have limited efficacy due to their weak anti-inflammatory effect and poor accumulation at the cardiac site. Herein, a novel Fe-Cur@TA nanozyme is developed for targeted therapy of MI, which is generated by coordinating Fe3+ and anti-inflammatory drug curcumin (Cur) with further modification of tannic acid (TA). Such Fe-Cur@TA nanozyme exhibits excellent free radicals scavenging and anti-inflammatory properties by reducing immune cell infiltration, promoting macrophage polarization toward the M2-like phenotype, suppressing inflammatory cytokine secretion, and blocking the inflammatory free radicals cycle. Furthermore, due to the high affinity of TA for cardiac tissue, Fe-Cur@TA shows an almost tenfold greater in cardiac retention and uptake than Fe-Cur. In mouse and preclinical beagle dog MI models, Fe-Cur@TA nanozyme preserves cardiac function and reduces scar size, suggesting promising potential for clinical translation in cardiovascular disease.
Insights
A new nanozyme therapy targets myocardial infarction (MI) by reducing inflammation and free radicals. This novel treatment enhances cardiac retention, preserving heart function and reducing scar size in preclinical models.
Area of Science:
- Biomaterials Science
- Nanomedicine
- Cardiovascular Research
Background:
- Systemic inflammation post-myocardial infarction (MI) significantly increases mortality.
- MI-induced free radicals exacerbate cardiac inflammation, leading to heart failure.
- Current anti-inflammatory drugs show limited efficacy due to poor cardiac targeting and weak effects.
Purpose of the Study:
- To develop a novel nanozyme for targeted therapy of myocardial infarction.
- To investigate the anti-inflammatory and free radical scavenging capabilities of the nanozyme.
- To evaluate the therapeutic potential of the nanozyme in preclinical MI models.
Main Methods:
- Fabrication of Fe-Cur@TA nanozyme by coordinating Fe3+ and curcumin (Cur) with tannic acid (TA).
- Assessment of nanozyme's anti-inflammatory effects, including immune cell infiltration, macrophage polarization, and cytokine suppression.
- Evaluation of cardiac retention and uptake using in vivo models.
- Testing therapeutic efficacy in mouse and beagle dog MI models.
Main Results:
- Fe-Cur@TA nanozyme demonstrated potent free radical scavenging and anti-inflammatory properties.
- Nanozyme effectively reduced immune cell infiltration and promoted M2-like macrophage polarization.
- Tannic acid modification significantly enhanced cardiac retention and uptake (nearly tenfold increase).
- In vivo studies showed preserved cardiac function and reduced scar size post-MI.
Conclusions:
- Fe-Cur@TA nanozyme effectively blocks the inflammation-free radical cycle in cardiac lesions.
- The nanozyme exhibits superior cardiac targeting and retention compared to non-modified counterparts.
- This novel nanozyme therapy holds significant promise for clinical translation in treating myocardial infarction and cardiovascular diseases.
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