Promoting collateral formation in type 2 diabetes mellitus using ultra-small nanodots with autophagy activation and

Yixuan Wang1,2, Feifei Li1,2, Linshuang Mao1,2

  • 1Department of Cardiovascular Medicine, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.

PubMed
Abstract

Insights

Molybdenum disulfide nanodots (MoS2 NDs) promote collateral formation in diabetic mice by enhancing endothelial cell function and activating autophagy. These nanodots offer a dual therapeutic approach for improving blood supply in type 2 diabetes mellitus patients.

Area of Science:

  • Biomedical Engineering
  • Nanomedicine
  • Cardiovascular Research

Background:

  • Impaired collateral formation worsens prognosis in type 2 diabetes mellitus (T2DM) patients with cardiovascular disease.
  • Current treatments for enhancing collateral formation are inadequate.
  • Endothelial autophagy and reactive oxygen species (ROS) scavenging are key targets for improving angiogenesis.

Purpose of the Study:

  • To investigate molybdenum disulfide nanodots (MoS2 NDs) for enhancing collateral formation and prognosis in T2DM.
  • To elucidate the underlying mechanisms of MoS2 NDs in promoting angiogenesis.

Main Methods:

  • In vivo studies using ischemic tissues of diabetic mice.
  • In vitro experiments on endothelial cell proliferation, migration, and tube formation under high glucose/hypoxia.
  • Mechanistic investigations involving ROS scavenging and molecular pathway analysis (cAMP/PKA-NR4A2).

Main Results:

  • MoS2 NDs significantly improved collateral formation and blood resupply in diabetic mice.
  • MoS2 NDs enhanced endothelial cell proliferation, migration, and tube formation in vitro.
  • MoS2 NDs scavenge ROS and activate the cAMP/PKA-NR4A2 pathway, promoting autophagy and mitigating endothelial cell damage.

Conclusions:

  • MoS2 NDs demonstrate dual therapeutic functions: ROS scavenging and autophagy activation.
  • The synergy between autophagy and antioxidation is crucial for MoS2 NDs' efficacy.
  • MoS2 NDs represent a promising, cost-effective, and biocompatible agent for promoting collateral formation in diabetic contexts.

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