Anti-inflammatory coupled anti-angiogenic airway stent effectively suppresses tracheal in-stents restenosis

Abstract Excessive vascularization during tracheal in-stent restenosis (TISR) is a significant but frequently overlooked issue. We developed an anti-inflammatory coupled anti-angiogenic airway stent (PAGL) incorporating anlotinib hydrochloride and silver nanoparticles using advanced electrospinning...

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Main Authors: Yanan Zhao, Yiming Liu, Jiheng Shan, Xiaohong Xu, Chengzhi Zhang, Zaoqu Liu, Xiaomeng Li, Zhaoqian Zhong, Yanxia Gao, Kewei Ren, Dechao Jiao, Jianzhuang Ren, Ping Wu, Yong Jiang, Xinwei Han
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Nanobiotechnology
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Online Access:https://doi.org/10.1186/s12951-024-03087-y
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author Yanan Zhao
Yiming Liu
Jiheng Shan
Xiaohong Xu
Chengzhi Zhang
Zaoqu Liu
Xiaomeng Li
Zhaoqian Zhong
Yanxia Gao
Kewei Ren
Dechao Jiao
Jianzhuang Ren
Ping Wu
Yong Jiang
Xinwei Han
author_facet Yanan Zhao
Yiming Liu
Jiheng Shan
Xiaohong Xu
Chengzhi Zhang
Zaoqu Liu
Xiaomeng Li
Zhaoqian Zhong
Yanxia Gao
Kewei Ren
Dechao Jiao
Jianzhuang Ren
Ping Wu
Yong Jiang
Xinwei Han
author_sort Yanan Zhao
collection DOAJ
description Abstract Excessive vascularization during tracheal in-stent restenosis (TISR) is a significant but frequently overlooked issue. We developed an anti-inflammatory coupled anti-angiogenic airway stent (PAGL) incorporating anlotinib hydrochloride and silver nanoparticles using advanced electrospinning technology. PAGL exhibited hydrophobic surface properties, exceptional mechanical strength, and appropriate drug-release kinetics. Moreover, it demonstrated a remarkable eradication effect against methicillin-resistant Staphylococcus aureus. It also displayed anti-proliferative and anti-angiogenic properties on human umbilical vein endothelial cells and lung fibroblasts. PAGL was implanted into the tracheae of New Zealand rabbits to evaluate its efficacy in inhibiting bacterial infection, suppressing the inflammatory response, reducing angiogenesis, and attenuating excessive fibroblast activation. RNA sequencing analysis revealed a significant downregulation of genes associated with fibrosis, intimal hyperplasia, and cell migration following PAGL treatment. This study provides insight into the development of airway stents that target angiogenesis and inflammation to address problems associated with TISR effectively and have the potential for clinical translation.
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institution Kabale University
issn 1477-3155
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series Journal of Nanobiotechnology
spelling doaj-art-3671721bc220442c89259af61653e3f92025-02-02T12:41:04ZengBMCJournal of Nanobiotechnology1477-31552025-01-0123112110.1186/s12951-024-03087-yAnti-inflammatory coupled anti-angiogenic airway stent effectively suppresses tracheal in-stents restenosisYanan Zhao0Yiming Liu1Jiheng Shan2Xiaohong Xu3Chengzhi Zhang4Zaoqu Liu5Xiaomeng Li6Zhaoqian Zhong7Yanxia Gao8Kewei Ren9Dechao Jiao10Jianzhuang Ren11Ping Wu12Yong Jiang13Xinwei Han14Department of Interventional Radiology, Key Laboratory of Interventional Radiology of Henan Province, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Interventional Radiology, Key Laboratory of Interventional Radiology of Henan Province, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Interventional Radiology, Key Laboratory of Interventional Radiology of Henan Province, The First Affiliated Hospital of Zhengzhou UniversityState Key Laboratory of Antiviral Drugs, Henan Key Laboratory of Critical Care Medicine, Henan International Joint Laboratory of Infection and Immmunology, Department of Emergency Medicine, The First Affiliated Hospital, Zhengzhou UniversityDepartment of Interventional Radiology, Key Laboratory of Interventional Radiology of Henan Province, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Interventional Radiology, Key Laboratory of Interventional Radiology of Henan Province, The First Affiliated Hospital of Zhengzhou UniversitySchool of Mechanics and Safety Engineering, Zhengzhou UniversityState Key Laboratory of Antiviral Drugs, Henan Key Laboratory of Critical Care Medicine, Henan International Joint Laboratory of Infection and Immmunology, Department of Emergency Medicine, The First Affiliated Hospital, Zhengzhou UniversityState Key Laboratory of Antiviral Drugs, Henan Key Laboratory of Critical Care Medicine, Henan International Joint Laboratory of Infection and Immmunology, Department of Emergency Medicine, The First Affiliated Hospital, Zhengzhou UniversityDepartment of Interventional Radiology, Key Laboratory of Interventional Radiology of Henan Province, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Interventional Radiology, Key Laboratory of Interventional Radiology of Henan Province, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Interventional Radiology, Key Laboratory of Interventional Radiology of Henan Province, The First Affiliated Hospital of Zhengzhou UniversityNational Key Laboratory of Macromolecular Drug Development and Manufacturing, School of Pharmaceutical Science, Wenzhou Medical UniversityState Key Laboratory of Antiviral Drugs, Henan Key Laboratory of Critical Care Medicine, Henan International Joint Laboratory of Infection and Immmunology, Department of Emergency Medicine, The First Affiliated Hospital, Zhengzhou UniversityDepartment of Interventional Radiology, Key Laboratory of Interventional Radiology of Henan Province, The First Affiliated Hospital of Zhengzhou UniversityAbstract Excessive vascularization during tracheal in-stent restenosis (TISR) is a significant but frequently overlooked issue. We developed an anti-inflammatory coupled anti-angiogenic airway stent (PAGL) incorporating anlotinib hydrochloride and silver nanoparticles using advanced electrospinning technology. PAGL exhibited hydrophobic surface properties, exceptional mechanical strength, and appropriate drug-release kinetics. Moreover, it demonstrated a remarkable eradication effect against methicillin-resistant Staphylococcus aureus. It also displayed anti-proliferative and anti-angiogenic properties on human umbilical vein endothelial cells and lung fibroblasts. PAGL was implanted into the tracheae of New Zealand rabbits to evaluate its efficacy in inhibiting bacterial infection, suppressing the inflammatory response, reducing angiogenesis, and attenuating excessive fibroblast activation. RNA sequencing analysis revealed a significant downregulation of genes associated with fibrosis, intimal hyperplasia, and cell migration following PAGL treatment. This study provides insight into the development of airway stents that target angiogenesis and inflammation to address problems associated with TISR effectively and have the potential for clinical translation.https://doi.org/10.1186/s12951-024-03087-yAnlotinibSilver nanoparticlesAirway stentTracheal in-stents restenosis
spellingShingle Yanan Zhao
Yiming Liu
Jiheng Shan
Xiaohong Xu
Chengzhi Zhang
Zaoqu Liu
Xiaomeng Li
Zhaoqian Zhong
Yanxia Gao
Kewei Ren
Dechao Jiao
Jianzhuang Ren
Ping Wu
Yong Jiang
Xinwei Han
Anti-inflammatory coupled anti-angiogenic airway stent effectively suppresses tracheal in-stents restenosis
Journal of Nanobiotechnology
Anlotinib
Silver nanoparticles
Airway stent
Tracheal in-stents restenosis
title Anti-inflammatory coupled anti-angiogenic airway stent effectively suppresses tracheal in-stents restenosis
title_full Anti-inflammatory coupled anti-angiogenic airway stent effectively suppresses tracheal in-stents restenosis
title_fullStr Anti-inflammatory coupled anti-angiogenic airway stent effectively suppresses tracheal in-stents restenosis
title_full_unstemmed Anti-inflammatory coupled anti-angiogenic airway stent effectively suppresses tracheal in-stents restenosis
title_short Anti-inflammatory coupled anti-angiogenic airway stent effectively suppresses tracheal in-stents restenosis
title_sort anti inflammatory coupled anti angiogenic airway stent effectively suppresses tracheal in stents restenosis
topic Anlotinib
Silver nanoparticles
Airway stent
Tracheal in-stents restenosis
url https://doi.org/10.1186/s12951-024-03087-y
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