Abstract

Several drugs targeting the pathogenesis of aortic aneurysm have shown efficacy in model systems but not in clinical trials, potentially owing to the lack of targeted drug delivery. Here, we designed a novel drug delivery system using nanoparticles to target the disrupted aortic aneurysm micro-structure. We generated poly(ethylene glycol)-shelled nanoparticles incorporating rapamycin that exhibited uniform diameter and long-term stability. When injected intravenously into a rat model in which abdominal aortic aneurysm (AAA) had been induced by infusing elastase, labeled rapamycin nanoparticles specifically accumulated in the AAA. Microscopic analysis revealed that rapamycin nanoparticles were mainly distributed in the media and adventitia where the wall structures were damaged. Co-localization of rapamycin nanoparticles with macrophages was also noted. Rapamycin nanoparticles injected during the process of AAA formation evinced significant suppression of AAA formation and mural inflammation at 7 days after elastase infusion, as compared with rapamycin treatment alone. Correspondingly, the activities of matrix metalloproteinases and the expression of inflammatory cytokines were significantly suppressed by rapamycin nanoparticle treatment. Our findings suggest that the nanoparticle-based delivery system achieves specific delivery of rapamycin to the rat AAA and might contribute to establishing a drug therapy approach targeting aortic aneurysm.

Highlights

  • Aortic aneurysm is a common and lethal disease, which spontaneously expands and carries the risk of rupture [1, 2]

  • The analyses using the Zetasizer revealed that the diameter of the rapamycin nanoparticles was 106 nm with a moderate polydispersity index (PDI) (i.e., 0.170), while that of particles formed solely with PEG-b-PBLG was 42 nm (Fig 1B)

  • We attempted to incorporate rapamycin into nanoparticles composed of PEG-b-PBLG

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Summary

Introduction

Aortic aneurysm is a common and lethal disease, which spontaneously expands and carries the risk of rupture [1, 2]. The current mainstream treatments for aortic aneurysm involve invasive therapies including surgical replacement with a vascular prosthesis and endovascular implantation of stent grafts; few drug therapies have been applied clinically to suppress aortic

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