M2 Macrophage-Mimetic and ROS-Sensitive Hybrid Nanoplatform for Targeted Alleviation of Rheumatoid Arthritis

Yi Xiao1, Shiyu Meng1, Zhuang Tang1

  • 1School of Pharmacy and State Key Laboratory of Quality Research in Chinese Medicine Macau University of Science and Technology Macao China.

Insights

A novel nanomedicine targets rheumatoid arthritis (RA) by delivering celastrol to inflamed joints, reducing inflammation and protecting against joint damage. This innovative treatment improves safety and shows promise for other inflammatory diseases.

Area of Science:

  • Biomedical Engineering
  • Nanotechnology
  • Rheumatology

Background:

  • Rheumatoid arthritis (RA) is a prevalent inflammatory disease causing joint damage, with current treatments offering limited efficacy and significant side effects.
  • The complex RA microenvironment presents challenges for effective therapeutic intervention.

Purpose of the Study:

  • To develop a novel hybrid silica nanosystem (Cel@M2-L-MSN) for targeted delivery of celastrol (Cel) to the RA microenvironment.
  • To investigate the anti-inflammatory, antioxidative, and joint-protective effects of Cel@M2-L-MSN in a rat model of RA.

Main Methods:

  • Fabrication of M2 macrophage membrane-cloaked, ROS-sensitive, lipid-gated, celastrol-loaded hybrid silica nanosystems (Cel@M2-L-MSN).
  • Evaluation of targeted accumulation in inflamed joints and drug release triggered by reactive oxygen species (ROS).
  • Assessment of anti-inflammatory effects by measuring pro-arthritogenic factors (TNF-α, IL-1β, CCL-2) and in vivo efficacy in adjuvant-induced arthritis (AIA) rat models.

Main Results:

  • Cel@M2-L-MSN selectively accumulated in inflamed joints, with ROS triggering controlled celastrol release.
  • The nanosystem demonstrated potent anti-inflammatory and antioxidative effects, significantly alleviating arthritis symptoms and mitigating cartilage/bone degeneration in AIA rats.
  • Cel@M2-L-MSN exhibited improved biocompatibility and biosafety compared to free celastrol.

Conclusions:

  • The developed biohybrid, stimuli-responsive nanomedicine offers a promising strategy for targeted rheumatoid arthritis remission.
  • Cel@M2-L-MSN effectively reshapes the RA microenvironment, downregulates inflammation, clears ROS, and repolarizes macrophages.
  • This nanomedicine holds potential for the clinical intervention of various refractory inflammatory diseases.

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