1. Coassembly of hypoxia-sensitive macrocyclic amphiphiles and extracellular vesicles for targeted kidney injury imaging and therapy.
- Author
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Cheng YQ, Yue YX, Cao HM, Geng WC, Wang LX, Hu XY, Li HB, Bian Q, Kong XL, Liu JF, Kong DL, Guo DS, and Wang YB
- Subjects
- Acute Kidney Injury metabolism, Acute Kidney Injury pathology, Animals, Calixarenes chemistry, Calixarenes metabolism, Calixarenes pharmacology, Calixarenes therapeutic use, Cell Line, Epithelial Cells drug effects, Epithelial Cells metabolism, Extracellular Vesicles metabolism, Humans, Hypoxia-Inducible Factor 1, alpha Subunit metabolism, Indoles chemistry, Indoles metabolism, Indoles pharmacology, Indoles therapeutic use, Inflammation, Integrins metabolism, Macrocyclic Compounds metabolism, Macrocyclic Compounds pharmacology, Macrocyclic Compounds therapeutic use, Macrophages drug effects, Macrophages metabolism, Mice, NF-kappa B metabolism, Organometallic Compounds chemistry, Organometallic Compounds metabolism, Organometallic Compounds pharmacology, Organometallic Compounds therapeutic use, Signal Transduction drug effects, Surface-Active Agents metabolism, Surface-Active Agents pharmacology, Surface-Active Agents therapeutic use, Acute Kidney Injury diagnostic imaging, Acute Kidney Injury drug therapy, Cell Hypoxia drug effects, Extracellular Vesicles chemistry, Macrocyclic Compounds chemistry, Surface-Active Agents chemistry
- Abstract
Background: Hypoxia is a major contributor to global kidney diseases. Targeting hypoxia is a promising therapeutic option against both acute kidney injury and chronic kidney disease; however, an effective strategy that can achieve simultaneous targeted kidney hypoxia imaging and therapy has yet to be established. Herein, we fabricated a unique nano-sized hypoxia-sensitive coassembly (Pc/C5A@EVs) via molecular recognition and self-assembly, which is composed of the macrocyclic amphiphile C5A, the commercial dye sulfonated aluminum phthalocyanine (Pc) and mesenchymal stem cell-excreted extracellular vesicles (MSC-EVs)., Results: In murine models of unilateral or bilateral ischemia/reperfusion injury, MSC-EVs protected the Pc/C5A complex from immune metabolism, prolonged the circulation time of the complex, and specifically led Pc/C5A to hypoxic kidneys via surface integrin receptor α
4 β1 and αL β2 , where Pc/C5A released the near-infrared fluorescence of Pc and achieved enhanced hypoxia-sensitive imaging. Meanwhile, the coassembly significantly recovered kidney function by attenuating cell apoptosis, inhibiting the progression of renal fibrosis and reducing tubulointerstitial inflammation. Mechanistically, the Pc/C5A coassembly induced M1-to-M2 macrophage transition by inhibiting the HIF-1α expression in hypoxic renal tubular epithelial cells (TECs) and downstream NF-κB signaling pathway to exert their regenerative effects., Conclusion: This synergetic nanoscale coassembly with great translational potential provides a novel strategy for precise kidney hypoxia diagnosis and efficient kidney injury treatment. Furthermore, our strategy of coassembling exogenous macrocyclic receptors with endogenous cell-derived membranous structures may offer a functional platform to address multiple clinical needs., (© 2021. The Author(s).)- Published
- 2021
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