1. Intracisternal administration of tanshinone IIA-loaded nanoparticles leads to reduced tissue injury and functional deficits in a porcine model of ischemic stroke
- Author
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Xueyuan Yang, Soo K. Shin, Jin Xie, Kylee J. Duberstein, Madison M. Fagan, Simon R. Platt, Kelly M. Scheulin, Erin E. Kaiser, Holly A. Kinder, Elizabeth S. Waters, Julie Jeon, Franklin D. West, Anil Kumar, and Hea Jin Park
- Subjects
Baic, Baicalin ,Tan IIA-NPs, Tan IIA-loaded nanoparticles ,ICH, intracerebral hemorrhage ,ddH2O, double-distilled water ,NP, nanoparticle ,NSCs, neural stem cells ,MLS, midline shift ,T2W, T2Weighted ,FA, fractional anisotropy ,Lead (electronics) ,Stroke ,TNF-α, tumor necrosis factor α ,ANOVA, analysis of variance ,Tan IIA-NPs, Tan IIA PLGA NPs ,PLGA-b-PEG-OH, poly (lactide-co-glycolide)-b-poly (ethylene glycol)-maleimide ,DLS, dynamic light scattering ,Ischemic stroke ,General Neuroscience ,T2FLAIR, T2 Fluid Attenuated Inversion Recovery ,Neural stem cell ,TD, transdermal ,Tan IIA, Tanshinone IIA ,DAMPS, damaged-associated molecular patterns ,BBB, blood brain barrier ,UGA, University of Georgia ,IL-6, interleukin 6 ,medicine.anatomical_structure ,Nanomedicine ,Cardiology ,PLGA, Poly (lactic-co-glycolic acid) ,AU, arbitrary units ,LPS, lipopolysaccharide ,Edar, Edaravone ,RC321-571 ,Research Paper ,Resv, Resveratrol ,medicine.medical_specialty ,STAIR, Stroke Therapy Academic and Industry Roundtable ,DTI, Diffusion Tensor Imaging ,Neurosciences. Biological psychiatry. Neuropsychiatry ,Tanshinone IIA ,CNS, central nervous system ,White matter ,Piog, Pioglitazone ,CSF, cerebral spinal fluid ,ROS, reactive oxygen species ,Midline shift ,PBS, phosphate buffered saline ,Internal medicine ,SOD, superoxide dismutase ,medicine ,IM, intramuscular ,DWI, Diffusion-Weighted Imaging ,WM, white matter ,TEM, transmission electron microscopy ,MCAO, middle cerebral artery occlusion ,Pathological ,business.industry ,Pig stroke model ,Therapeutic effect ,T2*, T2Star ,PLGA nanoparticle ,medicine.disease ,PEG–PLGA, polyethyleneglycol–polylactic-co-glycolic acid ,FDA, Food and Drug Administration ,tPA, Tissue plasminogen activator ,Bioavailability ,Puer, Puerarin ,GM, gray matter ,IC, inhibitory concentration ,MCA, middle cerebral artery ,business ,ADC, Apparent Diffusion Coefficient ,GABA, γ-aminobutyric acid - Abstract
Background The absolute number of new stroke patients is annually increasing and there still remains only a few Food and Drug Administration (FDA) approved treatments with significant limitations available to patients. Tanshinone IIA (Tan IIA) is a promising potential therapeutic for ischemic stroke that has shown success in pre-clinical rodent studies but lead to inconsistent efficacy results in human patients. The physical properties of Tan-IIA, including short half-life and low solubility, suggests that Poly (lactic-co-glycolic acid) (PLGA) nanoparticle-assisted delivery may lead to improve bioavailability and therapeutic efficacy. The objective of this study was to develop Tan IIA-loaded nanoparticles (Tan IIA-NPs) and to evaluate their therapeutic effects on cerebral pathological changes and consequent motor function deficits in a pig ischemic stroke model. Results Tan IIA-NP treated neural stem cells showed a reduction in SOD activity in in vitro assays demonstrating antioxidative effects. Ischemic stroke pigs treated with Tan IIA-NPs showed reduced hemispheric swelling when compared to vehicle only treated pigs (7.85 ± 1.41 vs. 16.83 ± 0.62%), consequent midline shift (MLS) (1.72 ± 0.07 vs. 2.91 ± 0.36 mm), and ischemic lesion volumes (9.54 ± 5.06 vs. 12.01 ± 0.17 cm3) when compared to vehicle-only treated pigs. Treatment also lead to lower reductions in diffusivity (−37.30 ± 3.67 vs. −46.33 ± 0.73%) and white matter integrity (−19.66 ± 5.58 vs. −30.11 ± 1.19%) as well as reduced hemorrhage (0.85 ± 0.15 vs 2.91 ± 0.84 cm3) 24 h post-ischemic stroke. In addition, Tan IIA-NPs led to a reduced percentage of circulating band neutrophils at 12 (7.75 ± 1.93 vs. 14.00 ± 1.73%) and 24 (4.25 ± 0.48 vs 5.75 ± 0.85%) hours post-stroke suggesting a mitigated inflammatory response. Moreover, spatiotemporal gait deficits including cadence, cycle time, step time, swing percent of cycle, stride length, and changes in relative mean pressure were less severe post-stroke in Tan IIA-NP treated pigs relative to control pigs. Conclusion The findings of this proof of concept study strongly suggest that administration of Tan IIA-NPs in the acute phase post-stroke mitigates neural injury likely through limiting free radical formation, thus leading to less severe gait deficits in a translational pig ischemic stroke model. With stroke as one of the leading causes of functional disability in the United States, and gait deficits being a major component, these promising results suggest that acute Tan IIA-NP administration may improve functional outcomes and the quality of life of many future stroke patients., Highlights • Tanshinone IIA loaded nanoparticles demonstrate antioxidative capabilities in neural stem cell cultures. • Tanshinone IIA loaded nanoparticles leads to reduced lesion volume, midline shift, and white matter damage post-stroke. • Tanshinone IIA loaded nanoparticle treatment leads to marked improvements in spatiotemporal and kinetic gait parameters.
- Published
- 2021