ROS-responsive death receptor 5 fusion protein nano-delivery system enhances myocardial ischemia-reperfusion injury

Xiaoyu Liang1,2,3, Yang Zhang1, Changduo Wang2

  • 1Center for Coronary Artery Disease, Division of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, China.

Materials Today. Bio
|June 12, 2025
PubMed

Insights

New nanoparticles targeting reactive oxygen species (ROS) effectively treat myocardial ischemia-reperfusion (I/R) injury. These ROS-intelligent responsive sDR5-Fc nanoparticles reduce heart damage and apoptosis, offering a promising new therapy.

Area of Science:

  • Biomedical Engineering
  • Cardiovascular Research
  • Nanomedicine

Background:

  • Myocardial ischemia-reperfusion (I/R) injury is exacerbated by inflammation and oxidative stress.
  • Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) pathway contributes to myocardial cell apoptosis.
  • Current treatments for I/R injury have limitations in addressing the complex microenvironment.

Purpose of the Study:

  • To develop ROS-intelligent responsive sDR5-Fc nanoparticles (DPP) for targeted I/R injury treatment.
  • To enhance the bioavailability and selectivity of sDR5-Fc by encapsulating it in nanoparticles.
  • To investigate the therapeutic efficacy of DPP in mitigating oxidative stress, inflammation, and apoptosis in myocardial I/R injury.

Main Methods:

  • Synthesis and characterization of 6S-PLGE-PO-PEG polymer.
  • Construction and in vitro evaluation of ROS-intelligent responsive sDR5-Fc nanoparticles (DPP).
  • Assessment of DPP's biocompatibility, stability, and drug release profile.
  • In vitro studies on hypoxia-reoxygenation-induced myocardial cell damage and apoptosis.
  • In vivo evaluation of DPP's therapeutic effects in a rat model of myocardial I/R injury.

Main Results:

  • Successfully synthesized and characterized the polymer and constructed DPP nanoparticles (~200 nm) with H2O2-responsive release.
  • DPP demonstrated good biocompatibility and significantly reduced myocardial cell damage and apoptosis in vitro.
  • In vivo, DPP administration markedly reduced myocardial infarction area, fibrosis, and apoptosis.
  • DPP treatment improved cell proliferation, enhanced angiogenesis, and inhibited myocardial hypertrophy in the I/R rat model.
  • DPP showed superior therapeutic effects compared to free sDR5-Fc.

Conclusions:

  • ROS-intelligent responsive sDR5-Fc nanoparticles (DPP) represent a novel and effective therapeutic strategy for myocardial I/R injury.
  • DPP's ability to target the oxidative stress microenvironment and inhibit apoptosis offers significant advantages over conventional treatments.
  • This interdisciplinary approach holds promise for advancing cardiovascular regenerative medicine and treatment strategies.

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