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目前,研究者對於細胞內細菌介導的抗生素耐藥性在慢性和復發性感染中所發揮的關鍵作用還了解不足。由於受感染細胞會阻止藥物滲透,並且保留在細菌部位的藥物濃度較低,因此常規的抗生素治療往往效果不佳,需要開發新的策略以用於細胞內抗感染治療。

(A) Preparation of the targeted intracellular drug delivery nanosystem by co-assembly of TPE-PMAMA-PLAMA and PCL-b-PAAPBA. (B) Design and predicted mechanism of the nanosystem to kill intracellular bacteria residing inside macrophages.

鑑於此,南開大學的張新歌教授和山東第一醫科大學附屬省立醫院的毋中明教授依據胞內菌感染微環境的生物學特性,設計、開發了一種可將抗生素靶向遞送到受細菌感染巨噬細胞中的新策略,提高藥物在細胞內生態位中的積累和抗生素對於細胞內病原體的殺菌活性。該策略利用糖基化的苯硼酸衍生聚合物,通過多重配體-受體相互作用介導巨噬細胞特異性地攝取納米載體,並主動靶向細胞內的寄生細菌。糖基化聚合物外殼避免納米載體在體循環中被清除,改善巨噬細胞內的藥物積累。此外,該納米載體進入巨噬細胞後,糖基化的外殼響應細菌脫離,並激活苯硼酸配體與細菌表面的特異性結合,在細菌自身分泌的脂肪酶作用下,進一步促進納米載體的降解,實現抗生素的程序化釋放,高效消除細胞內的病原體。該策略在體外和體內均取得了良好的細菌靶向和明顯優於單獨抗生素的抗胞內菌感染效果。綜上所述,我們的發現促進了對納米載體在體內行為的理解,並為改善細胞內細菌感染的藥物遞送提供了新的策略。

Fig 1. (A) Schematic illustration of specific entry of glycosylated nanoparticles into macrophages. (B) Confocal microscopy observations of RAW264.7 cells after incubation with free PI, r/40@PI NPs, and b/40@PI NPs, using the same dose of PI, for 1 and 3h. (C) Mean fluorescence intensities of PI in RAW264.7 cells calculated by software Image J after various treatments. (D–I) Fluorescence intensity of TPE (D, F, and H) and PI (E, G, and I) in RAW264.7 cells determined by flow cytometry after incubation with free PI, T-b/40@PI NPs, and T-r/40@PI NPs for 3h using the same dose of PI with or without 30 min pretreatment with a competitive inhibitor (mannosamine or galactosamine hydrochloride, 100 mM). (J and K) Relative geometric mean fluorescence intensities (GMFI) of (J) TPE and (K) PI in RAW264.7 cells after incubation.

Fig 2. (A) Schematic illustration of the experimental design to evaluate the therapeutic effect of the NPs. (B) CFU counts of remaining S. aureus strains in the infected posterior right thigh muscle tissue separated from healthy Balb/c mice and micebefore and after treatment with PBS, free CLA (7.5 mg/kg), and T-r/40@CLANPs (T-r/40 NPs: 20 mg/kg; CLA: 7.5 mg/kg) twice per day for 2 days. (C) Quantitative analysis of bacterial CFUs in the various groups. Inflammation-related expression of (D) TNF-α and (E) IL-6 in S. aureus muscle-infected mice of the various groups.

來源:Biomaterials雜誌

論文鏈接

https://www.sciencedirect.com/science/article/abs/pii/S0142961221006657

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