期刊
ADVANCED HEALTHCARE MATERIALS
卷 10, 期 12, 页码 -出版社
WILEY
DOI: 10.1002/adhm.202100028
关键词
angiogenesis; cerebral ischemia; hydroxyethyl starch; pH‐ sensitive; targeted drug delivery
资金
- National Natural Science Foundation of China [82090044, 81901212, 81820108010, 81801172, 81901214, 82001271, 82071336]
- National Key Research and Development Program of China [2018YFC1312200]
- Natural Science Foundation of Hubei Province of China [2020CF763]
This study introduces a dual-targeted therapeutic strategy for improving drug delivery in ischemic brain, utilizing PHSRN peptides for targeted delivery and SAG@PHSRN-HES nanoparticles to release more SAG in the acidic environment of ischemic brain tissue. The synergistic mechanisms of PHSRN and SAG hold promise in promoting angiogenesis and improving neurological function recovery, suggesting potential for treating cerebral infarction patients.
Angiogenesis, an essential restorative process following ischemia, is a promising therapeutic approach to improve neurological deficits. However, overcoming the blood-brain barrier (BBB) and effective drug enrichment are challenges for conventional drug delivery methods, which has limited the development of treatment strategies. Herein, a dual-targeted therapeutic strategy is reported to enable pH-sensitive drug release and allow cerebral ischemia targeting to improve stroke therapeutic efficacy. Targeted delivery is achieved by surface conjugation of Pro-His-Ser-Arg-Asn (PHSRN) peptides, which binds to integrin alpha(5)beta(1) enriched in the cerebral vasculature of ischemic tissue. Subsequently, smoothened agonist (SAG), an activator of sonic hedgehog (Shh) signaling, is coupled to PHSRN-HES by pH-dependent electrostatic adsorption. SAG@PHSRN-HES nanoparticles can sensitively release more SAG in the acidic environment of ischemic brain tissue. More importantly, SAG@PHSRN-HES exerts the synergistic mechanisms of PHSRN and SAG to promote angiogenesis and BBB integrity, thus improving neuroplasticity and neurological function recovery. This study proposes a new approach to improve the delivery of medications in the ischemic brain. Dual-targeted therapeutic strategies have excellent potential to treat patients suffering from cerebral infarction.
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