Event Abstract Back to Event Silica-containing redox nanoparticles improve therapeutic efficacy for peritoneal dialysis Yukio Nagasaki1, Tatsuya Yaguchi1*, Takuma Matsumura1*, Toru Yoshitomi1*, Yutaka Ikeda1*, Atsushi Ueda2 and Aki Hirayama3* 1 University of Tsukuba, Department of Materials Science, Master’s School of Medical Sciences and WPI-MANA Satellite,, Japan 2 University of Tsukuba, Tsukuba University Hospital Hitachi Medical Education and Research Center, Japan 3 Tsukuba University of Technology, Center for Integrative Medicine, Japan Introduction: Although hemodialysis (HD) substitutes for a portion of renal function, there still remain several issues such as (1) the continuous need for hospital attendance, (2) insufficient removal of medium molecular weight uremic toxins; and (3) cardiac overload and vascular damage. These issues increase the patient risk for several serious diseases such as stroke and myocardial infarction. In contrast, peritoneal dialysis (PD) has much potential to provide a high quality of life to patients because of (1) rehabilitation is easy, (2) it maintains renal function, and (3) the risk of stroke and myocardial dysfunction is low. However, the long-term outcome of PD is still poorer than that of HD. Two major reasons for this are (1) the insufficiency of dialysis due to the loss of peritoneal function, which thus increases often changes in dialysate; and (2) the occurrence of encapsulating peritoneal sclerosis (EPS), which is a fatal complication of PD. In order to improve PD efficiency, suppressing damage to peritoneal membrane, new silica-containing redox nanoparticle, siRNP was designed and used as an additive of dialysate. Methods: siRNP was prepared by RNP (see below) coupled with silica-nanoparticles. EPS model rats were prepared by injecting them daily with chlorhexidine gluconate (CH) i.p. for a week. siRNP was administered to the peritoneal cavity of the rats to evaluate protection against CH-induced inflammation. Renal failure mice were prepared by ischemic treatment of both kidneys and confirmed creatinine and blood urea nitrogen (BUN) levels after siRNP administration. Results and Discussion: We have previously developed novel redox nanoparticles (RNPs) containing nitroxide radicals as free radical scavengers. Typical characteristics of RNPs are: 1) Because nitroxide radicals are covalently conjugated to the nanoparticle backbone, they are not leaked to the outside; 2) the sizes of RNPs are ca. 40 nm and thus they are not internalized into healthy cells; and iii) RNPs do not interfere with normal redox reactions inside of cell. These characteristics help RNPs selectively scavenge over-produced ROS. We have so far confirmed the therapeutic effects of RNPs with respect to several disease models such as cerebral and renal ischemia reperfusion injuries, cerebral hemorrhage, cancer, ulcerative colitis, and NASH. The objective of this study was to apply RNPs as one of the components in dialysate to reduce oxidative stress. Porous silica nanoparticles were combined with RNPs to enhance the adsorption capacity of creatinine and other LMW wastes. siRNP thus prepared was confirmed to increase the adsorption capacity of uremic toxins in vivo. The CH-induced dysfunction of peritonitis such as disruption of the mesothelial cell layer and vascularity of the expanded submesothelial compact zone was not observed for the siRNPs treatments. These results show potential for siRNPs to be used as a new multi-functional nanomaterial in peritoneal dialysis. Conclusion: We have designed and developed a siRNP for treatment of EPS caused by peritoneal dialysis, reducing ureic toxins effectively. Our study indicates that the siRNP system is an innovative therapeutic material for the treatment of peritoneal dialysis. A Grant-in-Aid for Scientific Research S (25220203), the Ministry of Education, Culture, Sports, Science and Technology (MEXT) of Japan
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