A fibrinogen-mimicking, activated-platelet-sensitive nanocoacervate enhances thrombus targeting and penetration of tissue plasminogen activator for effective thrombolytic therapy.
Author(s)
Type
Journal Article
Abstract
Development of a fibrinolytic system with long circulation time, high thrombus targeting, efficient thrombus penetration, effective thrombolysis and minimal hemorrhagic risk remains a major challenge. Herein, inspired by fibrinogen binding to activated platelets in thrombosis, we report a fibrinogen-mimicking, activated-platelet-sensitive nanocoacervate to enhance thrombus penetration of tissue plasminogen activator (tPA) for targeted thrombolytic therapy. This biomimetic nanothrombolytic system, denoted as RGD-Chi@tPA, was constructed by "one-pot" coacervation through electrostatic interactions between positively charged arginine-glycine-aspartic acid (RGD)-grafted chitosan (RGD-Chi) and negatively charged tPA. Flow cytometry and confocal laser scanning microscopy measurements showed a targeting of RGD-Chi@tPA to activated platelets. Controlled tPA release triggered by activated platelets at a thrombus site was demonstrated. Its targeted fibrinolytic and thrombolytic activities were measured in vitro models. The pharmacokinetic profiles showed that RGD-Chi@tPA could significantly prolong circulation time compared to free tPA. In a mouse tail thrombus model, RGD-Chi@tPA displayed efficient thrombus targeting and penetration, enabling a complete vascular recanalization as confirmed by the fluorescence imaging, histochemical assay and laser speckle contrast imager. Consequently, RGD-Chi@tPA induced a substantial enhancement in thrombolysis with minimal hemorrhagic risk compared to free tPA. This simple, effective and safe platform holds a great promise for development of thrombolytic nanomedicines. This article is protected by copyright. All rights reserved.
Date Issued
2022-10-05
Date Acceptance
2022-07-21
Citation
Advanced Healthcare Materials, 2022, 11 (19), pp.1-17
ISSN
2192-2640
Publisher
Wiley-VCH Verlag
Start Page
1
End Page
17
Journal / Book Title
Advanced Healthcare Materials
Volume
11
Issue
19
Copyright Statement
© 2022 The Authors. Advanced Healthcare Materials published by Wiley-VCH GmbH
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
License URL
Sponsor
Engineering & Physical Science Research Council (E
Imperial College Healthcare NHS Trust- BRC Funding
Engineering & Physical Science Research Council (EPSRC)
GlaxoSmithKline Services Unlimited
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/35864062
Grant Number
EP/R511547/1
RDB02
EP/R013764/1
PO 6600297747 / Sarah Neagle
Subjects
Fibrinogen-mimicking nanocoacervate
chitosan
targeted thrombolysis
thrombus penetration
tissue plasminogen activator
Publication Status
Published
Coverage Spatial
Germany
Date Publish Online
2022-07-21