In situ size amplification strategy reduces lymphatic clearance for enhanced arthritis therapy

Abstract Rheumatoid arthritis (RA) is an autoimmune disorder characterized by painful swelling and inflammation, arising from the immune system attacking on healthy cells. However, arthritic sites often experience increased lymph flow, hastening drug clearance and potentially reducing treatment effe...

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Main Authors: Xianyan Qin, Luhan Zhang, Yang-Bao Miao, Linxi Jiang, Liang Zou, Qin Wang, Yi Shi
Format: Article
Language:English
Published: BMC 2024-12-01
Series:Journal of Nanobiotechnology
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Online Access:https://doi.org/10.1186/s12951-024-03061-8
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author Xianyan Qin
Luhan Zhang
Yang-Bao Miao
Linxi Jiang
Liang Zou
Qin Wang
Yi Shi
author_facet Xianyan Qin
Luhan Zhang
Yang-Bao Miao
Linxi Jiang
Liang Zou
Qin Wang
Yi Shi
author_sort Xianyan Qin
collection DOAJ
description Abstract Rheumatoid arthritis (RA) is an autoimmune disorder characterized by painful swelling and inflammation, arising from the immune system attacking on healthy cells. However, arthritic sites often experience increased lymph flow, hastening drug clearance and potentially reducing treatment effectiveness. To address this challenge, an in situ size amplification has been proposed to reduce lymphatic clearance and thereby enhance arthritis therapy. This system has been developed based on a conjugate of dexamethasone (Dex) and polysialic acid (PSA), linked via an acid-sensitive linker, supplemented with bis-5-hydroxytryptamine (Bis-5HT) on the PSA backbone. Under physiological conditions, the system autonomously assembles into stable nanoparticles (PD5NPs), facilitating prolonged circulation and targeted delivery to inflamed joints. Upon arrival at arthritic joints, Bis-5HT reacts to elevated myeloperoxidase (MPO) levels and oxidative stress, prompting particle aggregation and in-situ size amplification. This in situ size amplification nanocarrier effectively reduces lymphatic clearance and serves as reservoirs for sustained Dex release in acidic pH environments within arthritic sites, thus continuously alleviating RA symptoms. Moreover, investigation on the underlying mechanism elucidates how the in situ size amplification nanocarrier influences the transportation of PD5NPs from inflamed joints to lymphatic vessels. Our study offers valuable insights for optimizing nanomedicine performance in vivo and augmenting therapeutic efficacy. Graphical Abstract
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spelling doaj-art-80c01a876c2f4862b0214f7124bf50d92025-08-20T02:39:41ZengBMCJournal of Nanobiotechnology1477-31552024-12-0122111610.1186/s12951-024-03061-8In situ size amplification strategy reduces lymphatic clearance for enhanced arthritis therapyXianyan Qin0Luhan Zhang1Yang-Bao Miao2Linxi Jiang3Liang Zou4Qin Wang5Yi Shi6Sichuan Provincial Key Laboratory for Human Disease Gene Study and the Center for Medical Genetics, Department of Laboratory Medicine, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of ChinaSichuan Provincial Key Laboratory for Human Disease Gene Study and the Center for Medical Genetics, Department of Laboratory Medicine, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of ChinaSichuan Provincial Key Laboratory for Human Disease Gene Study and the Center for Medical Genetics, Department of Laboratory Medicine, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of ChinaSichuan Provincial Key Laboratory for Human Disease Gene Study and the Center for Medical Genetics, Department of Laboratory Medicine, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of ChinaSchool of Food and Biological Engineering, Chengdu UniversityInstitute of Biomedical Engineering, College of Medicine, Southwest Jiaotong UniversitySichuan Provincial Key Laboratory for Human Disease Gene Study and the Center for Medical Genetics, Department of Laboratory Medicine, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of ChinaAbstract Rheumatoid arthritis (RA) is an autoimmune disorder characterized by painful swelling and inflammation, arising from the immune system attacking on healthy cells. However, arthritic sites often experience increased lymph flow, hastening drug clearance and potentially reducing treatment effectiveness. To address this challenge, an in situ size amplification has been proposed to reduce lymphatic clearance and thereby enhance arthritis therapy. This system has been developed based on a conjugate of dexamethasone (Dex) and polysialic acid (PSA), linked via an acid-sensitive linker, supplemented with bis-5-hydroxytryptamine (Bis-5HT) on the PSA backbone. Under physiological conditions, the system autonomously assembles into stable nanoparticles (PD5NPs), facilitating prolonged circulation and targeted delivery to inflamed joints. Upon arrival at arthritic joints, Bis-5HT reacts to elevated myeloperoxidase (MPO) levels and oxidative stress, prompting particle aggregation and in-situ size amplification. This in situ size amplification nanocarrier effectively reduces lymphatic clearance and serves as reservoirs for sustained Dex release in acidic pH environments within arthritic sites, thus continuously alleviating RA symptoms. Moreover, investigation on the underlying mechanism elucidates how the in situ size amplification nanocarrier influences the transportation of PD5NPs from inflamed joints to lymphatic vessels. Our study offers valuable insights for optimizing nanomedicine performance in vivo and augmenting therapeutic efficacy. Graphical Abstracthttps://doi.org/10.1186/s12951-024-03061-8Rheumatoid arthritisNanomedicine deliveryIn situ size amplificationAggregatesLymphatic clearance
spellingShingle Xianyan Qin
Luhan Zhang
Yang-Bao Miao
Linxi Jiang
Liang Zou
Qin Wang
Yi Shi
In situ size amplification strategy reduces lymphatic clearance for enhanced arthritis therapy
Journal of Nanobiotechnology
Rheumatoid arthritis
Nanomedicine delivery
In situ size amplification
Aggregates
Lymphatic clearance
title In situ size amplification strategy reduces lymphatic clearance for enhanced arthritis therapy
title_full In situ size amplification strategy reduces lymphatic clearance for enhanced arthritis therapy
title_fullStr In situ size amplification strategy reduces lymphatic clearance for enhanced arthritis therapy
title_full_unstemmed In situ size amplification strategy reduces lymphatic clearance for enhanced arthritis therapy
title_short In situ size amplification strategy reduces lymphatic clearance for enhanced arthritis therapy
title_sort in situ size amplification strategy reduces lymphatic clearance for enhanced arthritis therapy
topic Rheumatoid arthritis
Nanomedicine delivery
In situ size amplification
Aggregates
Lymphatic clearance
url https://doi.org/10.1186/s12951-024-03061-8
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AT linxijiang insitusizeamplificationstrategyreduceslymphaticclearanceforenhancedarthritistherapy
AT liangzou insitusizeamplificationstrategyreduceslymphaticclearanceforenhancedarthritistherapy
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