Microenvironment-Responsive Nanomedicine Enables Vertical Modulation of Mitochondrial Pathological Networks in

Jue Wang1,2, Jia Zhou1,3,4, Wenqin Yuan2

  • 1Department of Pharmacy, Xiangya Hospital, Central South University, Changsha, China.

Insights

A novel nanotherapeutic, Berberine/Isoliensinine-loaded Melanin Nanocomposite (BIM), effectively targets mitochondria to combat myocardial ischemia-reperfusion injury (MIRI). BIM reduces oxidative stress, inflammation, and apoptosis, significantly decreasing infarct size in MIRI.

Area of Science:

  • Biomedical Engineering
  • Cardiovascular Research
  • Nanomedicine

Background:

  • Myocardial ischemia-reperfusion injury (MIRI) is a critical complication following acute myocardial infarction, leading to significant patient morbidity.
  • Current reperfusion therapies, while necessary, can exacerbate cardiac damage through MIRI.

Purpose of the Study:

  • To develop and evaluate a novel mitochondria-targeted nanotherapeutic for precise treatment of MIRI.
  • To investigate the efficacy of Berberine/Isoliensinine-loaded Melanin Nanocomposite (BIM) in mitigating MIRI at the molecular and cellular levels.

Main Methods:

  • Co-encapsulation of berberine (BBR) and isoliensinine (ILS) into a melanin capsule with a controllable channel (MCC) to form BIM.
  • Characterization of BIM for size, surface charge, and responsiveness to acidic pH and reactive oxygen species (ROS).
  • In vivo evaluation of BIM's therapeutic effects on MIRI, including infarct size reduction and molecular pathway modulation.

Main Results:

  • BIM demonstrated preferential accumulation in injured myocardium and targeted damaged mitochondria due to its physicochemical properties.
  • BIM effectively scavenged mitochondrial ROS, suppressed inflammatory signaling via BBR, and inhibited apoptosis via ILS.
  • Significant reduction in oxidative stress, inflammation, cardiomyocyte apoptosis, and infarct size was observed in MIRI models treated with BIM.

Conclusions:

  • Mitochondria-centered vertical network modulation represents a precise therapeutic strategy for MIRI.
  • The developed BIM nanotherapeutic offers a promising approach to attenuate MIRI and improve outcomes after acute myocardial infarction.