Ultrasound targeted microbubble destruction-assisted mesoporous silicon delivery of dexamethasone inhibits ulcerative

Kai Kang1, Zimo Zhou2, Yueting Zhang3

  • 1Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, Liaoning, 110004, China.

Life Sciences
|March 6, 2026
PubMed
Abstract

Insights

This study reveals that targeting acyl-CoA synthetase long-chain family member 4 (ACSL4) and ferroptosis is key in ulcerative colitis (UC). Combining ultrasound-targeted microbubble destruction with dexamethasone nanoparticles offers a potent therapeutic strategy for colitis.

Area of Science:

  • Gastroenterology
  • Nanomedicine
  • Molecular Biology

Background:

  • Ulcerative colitis (UC) is a chronic inflammatory bowel disease with limited treatment options.
  • Ferroptosis, a regulated form of cell death, plays a significant role in the pathogenesis of UC.
  • Acyl-CoA synthetase long-chain family member 4 (ACSL4) is implicated in ferroptosis, but its precise role in UC requires further elucidation.

Purpose of the Study:

  • To investigate the role of ACSL4-mediated ferroptosis in UC.
  • To evaluate the therapeutic efficacy of dexamethasone (DEX)-loaded hollow mesoporous silica nanoparticles (HMSN@DEX) combined with ultrasound-targeted microbubble destruction (UTMD) for targeted drug delivery and synergistic treatment in UC.

Main Methods:

  • Cell cultures and mouse models of colitis were used to assess therapeutic performance.
  • UTMD was employed to enhance targeted delivery of HMSN@DEX.
  • The mechanism of ACSL4-mediated ferroptosis was analyzed, including the role of Metadherin (MTDH) and NF-κB signaling.

Main Results:

  • Inhibition of ACSL4 prevented ferroptosis and attenuated experimental colitis in mice.
  • MTDH regulates ACSL4 ubiquitination, affecting its interaction with MARCHF6 and activating NF-κB signaling.
  • The combination of UTMD and HMSN@DEX demonstrated superior colonic drug accumulation and therapeutic effects in both cellular and murine colitis models compared to free DEX or HMSN@DEX alone.

Conclusions:

  • The MTDH/ACSL4/NF-κB signaling pathway is critical in regulating intestinal ferroptosis in UC.
  • The combined UTMD and HMSN@DEX delivery strategy achieved the most significant attenuation of colitis, highlighting its therapeutic potential.

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