Man Ye1
1Renmin Hospital of Wuhan University, Wuhan, China
Synopsis
Keywords: Atherosclerosis, Molecular Imaging
Motivation: Cardiovascular disease is the main cause and disease of morbidity and mortality in the world, and atherosclerosis causes more than 90% of cardiovascular diseases.
Goal(s): Early diagnosis and timely treatment of atherosclerosis to reduce the morbidity and mortality of residents.
Approach: In the development of atherosclerosis, reducing the content of macrophages which derived foam cells can reverse the formation of atherosclerotic plaque.
Results: The dextran sulfate in the nanoparticles can target SR-A of activated macrophages in atherosclerosis, and then the nanoparticles undergo phase transformation in macrophages to induce apoptosis.
Impact: The nanoparticles have multi-mode molecular imaging capabilities, and have excellent targeting
performance. Under LIFU, it can undergo
phase transformation and induce apoptosis of macrophages, providing a promising
strategy for the diagnosis and treatment of atherosclerotic plaque in the
future.
INTRODUCTION
Atherosclerosis
is an important pathological basis for the occurrence and development of
cardiovascular diseases.1 Vulnerable atherosclerotic plaques are prone to sudden
rupture, leading to fatal events.2 The rupture of atherosclerosis plaque is
closely related to the composition of plaque. Therefore, non-invasive detection
of the composition of atherosclerosis plaque will have a very important
clinical application value for the treatment and prognosis of atherosclerosis
patients. In this study,we prepare a magnetic resonance
imaging (MRI)/near-infrared fluorescence dual-mode molecular probe targeting
scavenger receptor A with phase change material-perfluorohexane (PFH) and
dextran sulfate (DS), and study its effect on activated macrophages, aiming at
early intervention of vulnerable atherosclerotic plaques at the molecular level
and evaluating the therapeutic effect.METHODS
Nanoparticles
(PFH-Fe/DiR-DS) were prepared using an improved double emulsion method and
electrostatic adsorption method.3 The average particle size,
polydispersity indexes, and surface potential of the nanoparticles were
measured using the Marvin particle size analyzer. The morphology and internal
structural characteristics were observed using scanning electron microscopy and
high-resolution transmission electron microscopy. Study the in vitro MRI and
near-infrared fluorescence imaging of nanoparticles and their phase transition
performance. Cultivate mouse macrophages RAW 264.7 in vitro, study the
targeting effect of nanoparticles on activated macrophages, conduct cell
viability experiments, and analyze the induction of macrophage apoptosis by
nanoparticles phase transition using biological electron microscopy.RESULTS
The
final size of the prepared PFH-Fe/DiR-DS nanoparticles is (286.30 ± 16.82) nm,
with a polydispersity indexes of (0.102 ± 0.057) and a surface potential of
(-18.65 ± 1.09) mV. They have a shell core structure and a smooth
three-dimensional spherical surface. In the element mapping images collected
under high-resolution transmission electron microscopy, it can be seen that the
fluorine element of PFH and the iron element of Fe3O4 are
concentrated inside the nanoparticles, while the sulfur element of DS exhibits
a clear circular structure distributed outside the nanoparticles. The
PFH-Fe/DiR-DS nanoparticles can be used as ideal MRI contrast agents and have
good near-infrared fluorescence imaging ability. Fluorescence signals are
enhanced in a concentration dependent manner. Under the irradiation of low
intensity focused ultrasound (LIFU), PFH-Fe/DiR-DS nanoparticles can undergo
phase transition. Nanoparticles have good targeting properties towards
activated macrophages and are time dependent. After being internalized by
macrophages and irradiated by LIFU, they can induce macrophage apoptosis
through sound induced phase transition effect.CONCLUSION
In
this study, we successfully constructed multimodal multifunctional
nanoparticles (PFH-Fe/DiR-DS) targeting atherosclerotic plaques, and induced
macrophage apoptosis under LIFU irradiation. The application of magnetic
resonance and near-infrared fluorescence molecular imaging technology to
monitor and evaluate the status of plaque is expected to be able to carry out
specific diagnosis and targeted treatment of atherosclerotic plaque. So as to
effectively prevent cardiovascular and cerebrovascular events and reduce
medical costs. Significantly improve the quality of life of patients and
alleviate the contradiction between doctors and patients, which not only
provides an effective means for non-invasive, early assessment, treatment and
efficacy evaluation of vulnerable atherosclerosis plaque, but also has
important significance for promoting social harmony and stability.Acknowledgements
No acknowledgement found.References
1. An J, Zhang YY, Zhou H, et al.
Incidence of Atherosclerotic Cardiovascular Disease in Young Adults at Low
Short-Term But High Long-Term Risk. J Am Coll Cardiol.2023;81(7):623-632.
2. Patterson MT, Williams JW.
Metabolic regulation of macrophage proliferation and function in
atherosclerosis. Curr Opin Lipidol.2021;32(5):293-300.
3. Hou J, Zhou J, Chang M, et al.
LIFU-responsive nanomedicine enables acoustic droplet vaporization-induced
apoptosis of macrophages for stabilizing vulnerable atherosclerotic plaques.
Bioact Mater. 2022; 16:120-133.