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Published on: November 17, 2017
A Multifunctional Polymeric Modulator Targeting Autophagic Lipid Efflux for Efficient Atherosclerosis Therapy
Tengfei Yu1,2, Dahai Yu2, Ping Xu3
1Department of Endocrinology and Metabolism, The Affiliated Hospital of Qingdao University, Qingdao266003, China.
A novel curcumin and gold nanoparticle modulator targets macrophages to improve lipid metabolism and reduce inflammation, offering a promising new therapy for atherosclerosis (AS). This approach enhances plaque stability and combats AS progression effectively.
Area of Science:
- Biomedical Engineering
- Nanotechnology
- Cardiovascular Research
Background:
- Atherosclerosis (AS) is a major cardiovascular disease driven by impaired lipid metabolism and inflammatory macrophages.
- Conventional therapies face limitations in effectively targeting these pathological mechanisms.
- Developing targeted nanomedicines is crucial for advancing anti-atherosclerotic treatments.
Purpose of the Study:
- To develop a macrophage-targeted nanomodulator for simultaneous correction of lipid homeostasis and suppression of inflammatory macrophage expansion in AS.
- To investigate the therapeutic efficacy of the novel construct in attenuating AS progression and stabilizing plaques.
Main Methods:
- A macrophage-targeted nanomodulator (Cur@HAPPT) was synthesized by integrating curcumin (Cur) with gold nanoparticles (AuNPs) functionalized on hyaluronic acid (HA) via protoporphyrin (Por)-conjugated polycaprolactone (PCL) with ROS-cleavable linkers.
- The construct was designed for CD44-mediated foam cell recognition and intracellular drug release.
- In vitro studies assessed phenotypic repolarization, autophagy activation, lipid efflux, and macrophage expansion.
Main Results:
- Cur@HAPPT successfully induced M1-to-M2 macrophage repolarization and activated autophagy upon cellular uptake.
- Autophagy activation promoted lipid efflux and inhibited inflammatory macrophage proliferation, leading to synergistic therapeutic effects.
- The nanomodulator effectively attenuated AS progression and enhanced plaque stability in preclinical models.
Conclusions:
- The developed Cur@HAPPT nanomodulator demonstrates significant potential as a targeted therapeutic strategy for atherosclerosis.
- This approach offers a dual-action mechanism to resolve inflammation and correct lipid dysregulation.
- Targeted nanomedicine holds promise for improving the management of AS and cardiovascular diseases.
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