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Redox-Responsive Tellurium-Bridged Covalent Organic Frameworks/PEG Composites for Targeted Therapy of Diabetic
Jing Xue1, Jialu Zhuang2, Taotao Fan3
1Department of Pharmacology, School of Pharmacy, Anhui Medical University, Hefei, 230032, China.
Insights
A novel tellurium-bridged covalent organic framework (Te-COF) nanocomposite effectively lowers glycated hemoglobin (HbA1c) and reactive oxygen species (ROS) in diabetic models. This breakthrough offers a promising therapeutic strategy for diabetic cardiomyopathy.
Area of Science:
- Biomaterials Science
- Nanotechnology
- Cardiovascular Research
Background:
- Diabetic cardiomyopathy is linked to high HbA1c and ROS levels.
- Current treatments struggle to address both HbA1c and ROS simultaneously.
- Novel therapeutic agents are needed for effective diabetic cardiomyopathy management.
Purpose of the Study:
- To develop a multifunctional platform for simultaneous HbA1c and ROS reduction.
- To investigate the therapeutic potential of redox-responsive Te-COF@PEG nanocomposites.
- To evaluate the efficacy of Te-COF@PEG2000 in preclinical models of diabetic cardiomyopathy.
Main Methods:
- Synthesis of redox-responsive tellurium-bridged covalent organic frameworks (Te-COF) functionalized with polyethylene glycol (PEG).
- In vitro evaluation of Te-COF@PEG composites for HbA1c and glycated protein removal from diabetic patient plasma.
- In vivo assessment of Te-COF@PEG2000 efficacy in diabetic mouse and rabbit models, including analysis of blood glucose, HbA1c, inflammatory markers, and cardiac function.
Main Results:
- Te-COF@PEG composites efficiently removed HbA1c and glycated proteins, lowering blood glucose without affecting other serum components.
- Te-COF@PEG2000 significantly reduced fasting blood glucose, HbA1c, and inflammatory factors in diabetic animal models.
- Te-COF@PEG2000 promoted M2 macrophage polarization, inhibited cardiomyocyte apoptosis, scavenged ROS, and ameliorated myocardial injury.
Conclusions:
- COF@polymer nanocomposites represent a promising multifunctional platform for diabetic cardiomyopathy therapy.
- Te-COF@PEG2000 demonstrates significant therapeutic potential by simultaneously targeting key pathological pathways.
- This approach offers a novel strategy for managing diabetic complications affecting the heart.
Abstract:
Diabetic cardiomyopathy, a major complication of diabetes, is strongly associated with elevated levels of glycated hemoglobin (HbA1c) and reactive oxygen species (ROS). However, effective clinical strategies to simultaneously lower HbA1c and ROS levels remain elusive, primarily due to the lack of therapeutic agents that can efficiently and synergistically interact with both biological macromolecules and small reactive molecules. To tackle this challenge, a redox-responsive tellurium-bridged covalent organic framework (Te-COF) is developed whose surface is functionalized with hydrazine-bonded polyethylene glycol (PEG), yielding a series of three emissive Te-COF@PEG nanocomposites with varying PEG molecular weights (Te-COF@PEG, MW = 600, 2000, 6000 Da). In vitro studies demonstrate that Te-COF@PEG composites efficiently remove HbA1c and total glycated protein from the plasma of diabetic patients, significantly lowering blood glucose levels without affecting serum levels of total proteins, lipids, and apolipoproteins. Among the composites, Te-COF@PEG2000 exhibits the most promising therapeutic effects in diabetic mouse and rabbit models, including a significant reduction in fasting blood glucose, HbA1c, and inflammatory factor levels. Importantly, Te-COF@PEG2000 induces macrophage polarization towards M2 phenotype, inhibits cardiomyocyte apoptosis, scavenges excess ROS, and synergistically improves myocardial injury. This study unlocks the immense potential of COF@polymer nanocomposites as a multifunctional platform for targeted diabetic cardiomyopathy therapy.
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