Patients with ulcerative colitis(UC)often loss responses over long term usage of conventional therapies.Tofacitinib,a pan-Janus kinases(JAK)inhibitor is approved for moderate to severe UC treatment,while dose-limiting...Patients with ulcerative colitis(UC)often loss responses over long term usage of conventional therapies.Tofacitinib,a pan-Janus kinases(JAK)inhibitor is approved for moderate to severe UC treatment,while dose-limiting systemic side effects including infections,cancers and lymphoma limit its popularity of clinical application.This study sought to construct an anti-mucosal vascular addressin cell-adhesion molecule-1(anti-MAdCAM-1)antibody modified reactive oxygen species(ROS)responsive human serum albumin-based nanomedicine denoted as THM,to improve the therapeutic efficacy of tofacitinib for UC treatment.THM has the drug releasing properties in response to ROS stimulation.In vitro studies show that THM selectively adhered to the endothelial cells and had obvious anti-inflammatory effect on macrophages.Meanwhile,the nanomedicine can inhibit the phenotypic switching of M1 macrophages and promote M2 polarization to produce anti-inflammatory medicators during wound healing.In addition,in vivo fluorescence imaging verified that THM exhibited enhanced preferential accumulation and extended retention in inflamed colon.Moreover,THM significantly reduced the production of proinflammatory cytokines in the colon and suppressed the homing of T cells to the gut in dextran sodium sulfate induced experimental colitis.This work elucidates that the inflamed colon-targeted delivery of tofacitinib by nanomedicine is promising for UC treatment and sheds light on addressing the unmet medical need.展开更多
文摘目的:探讨MAdCAM-1在恶唑酮结肠炎中的表达及一氧化氮供体DETA NONOate和GTN对恶唑酮结肠炎的干预作用.方法:32只C57BL/6小鼠随机分为正常对照组(A)、恶唑酮结肠炎组(B)、GTN干预组(C)和DETA NONOate干预组(D).除正常对照组外,其余3组均建立小鼠恶唑酮结肠炎模型,两个一氧化氮供体干预后处死小鼠.评价DAI、大体评分和组织学评分;免疫组织化学法检测MAdCAM-1及NF-КB;硝酸还原酶法测定血清中NO含量;测定结肠组织MPO活性.结果:B组小鼠DAI评分自灌肠之日起逐渐增高,而D组则变化不明显.B组小鼠大体评分、组织学评分、NF-КB的表达、MAdCAM-1的表达、MPO活性(3.13±0.84,20.31±2.63,30.29±8.68,17.60±6.53,3.83±0.60)均分别高于A组(0.38±0.52,0.88±0.83,7.38±2.29,4.08±1.30,1.75±0.25,P<0.01)和D组(1.38±0.52,11.13±1.48,12.60±3.54,8.42±2.16,2.76±0.48,P<0.01),而C组则与B组相近.B组小鼠血清NO浓度高于A组(54.51±22.28 vs 32.17±14.88,P<0.05),而低于D组和C组(54.51±22.28 vs 88.53±24.77,80.12±19.79,均P<0.05).B组MAdCAM-1的表达与组织学评分、MPO活性、NF-КB P65 L4值呈正相关(r=0.786,r=0.833,r=0.833,P<0.05).结论:小鼠恶唑酮结肠炎中结肠固有层MAdCAM-1的表达增加,DETA NONOate可能是治疗溃疡性结肠炎的有价值药物.
基金This work was partially supported by grants from the National Natural Science Foundation of China(Nos.31971302 and 82170532)the Natural Science Foundation of Guangdong Province of China(No.2019A1515011597)+2 种基金the talent young scientist supporting program of China Association for Science and Technology,the Educational Commission of Guangdong Province of China key Project(No.2020ZDZX2001)the joint grant between Guangzhou City and College(No.202102010106)Guangzhou Science and Technology Plan Project(No.202201011509).
文摘Patients with ulcerative colitis(UC)often loss responses over long term usage of conventional therapies.Tofacitinib,a pan-Janus kinases(JAK)inhibitor is approved for moderate to severe UC treatment,while dose-limiting systemic side effects including infections,cancers and lymphoma limit its popularity of clinical application.This study sought to construct an anti-mucosal vascular addressin cell-adhesion molecule-1(anti-MAdCAM-1)antibody modified reactive oxygen species(ROS)responsive human serum albumin-based nanomedicine denoted as THM,to improve the therapeutic efficacy of tofacitinib for UC treatment.THM has the drug releasing properties in response to ROS stimulation.In vitro studies show that THM selectively adhered to the endothelial cells and had obvious anti-inflammatory effect on macrophages.Meanwhile,the nanomedicine can inhibit the phenotypic switching of M1 macrophages and promote M2 polarization to produce anti-inflammatory medicators during wound healing.In addition,in vivo fluorescence imaging verified that THM exhibited enhanced preferential accumulation and extended retention in inflamed colon.Moreover,THM significantly reduced the production of proinflammatory cytokines in the colon and suppressed the homing of T cells to the gut in dextran sodium sulfate induced experimental colitis.This work elucidates that the inflamed colon-targeted delivery of tofacitinib by nanomedicine is promising for UC treatment and sheds light on addressing the unmet medical need.
