Micromotor‐Enabled Active Hydrogen and Tobramycin Delivery for Synergistic Sepsis Therapy

Abstract Sepsis is a highly heterogeneous syndrome normally characterized by bacterial infection and dysregulated systemic inflammatory response that leads to multiple organ failure and death. Single anti‐inflammation or anti‐infection treatment exhibits limited survival benefit for severe cases. He...

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Main Authors: Yanzhen Song, Ruotian Zhang, Hanfeng Qin, Wenxin Xu, Jia Sun, Jiamiao Jiang, Yicheng Ye, Junbin Gao, Huaan Li, Weichang Huang, Kun Liu, Yunrui Hu, Fei Peng, Yingfeng Tu
Format: Article
Language:English
Published: Wiley 2023-11-01
Series:Advanced Science
Subjects:
Online Access:https://doi.org/10.1002/advs.202303759
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author Yanzhen Song
Ruotian Zhang
Hanfeng Qin
Wenxin Xu
Jia Sun
Jiamiao Jiang
Yicheng Ye
Junbin Gao
Huaan Li
Weichang Huang
Kun Liu
Yunrui Hu
Fei Peng
Yingfeng Tu
author_facet Yanzhen Song
Ruotian Zhang
Hanfeng Qin
Wenxin Xu
Jia Sun
Jiamiao Jiang
Yicheng Ye
Junbin Gao
Huaan Li
Weichang Huang
Kun Liu
Yunrui Hu
Fei Peng
Yingfeng Tu
author_sort Yanzhen Song
collection DOAJ
description Abstract Sepsis is a highly heterogeneous syndrome normally characterized by bacterial infection and dysregulated systemic inflammatory response that leads to multiple organ failure and death. Single anti‐inflammation or anti‐infection treatment exhibits limited survival benefit for severe cases. Here a biodegradable tobramycin‐loaded magnesium micromotor (Mg‐Tob motor) is successfully developed as a potential hydrogen generator and active antibiotic deliverer for synergistic therapy of sepsis. The peritoneal fluid of septic mouse provides an applicable space for Mg‐water reaction. Hydrogen generated sustainably and controllably from the motor interface propels the motion to achieve active drug delivery along with attenuating hyperinflammation. The developed Mg‐Tob motor demonstrates efficient protection from anti‐inflammatory and antibacterial activity both in vitro and in vivo. Importantly, it prevents multiple organ failure and significantly improves the survival rate up to 87.5% in a high‐grade sepsis model with no survival, whereas only about half of mice survive with the individual therapies. This micromotor displays the superior therapeutic effect of synergistic hydrogen‐chemical therapy against sepsis, thus holding great promise to be an innovative and translational drug delivery system to treat sepsis or other inflammation‐related diseases in the near future.
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spelling doaj.art-39dd96dbf5ef4d57a8dccb3842fc154e2023-11-24T08:40:29ZengWileyAdvanced Science2198-38442023-11-011033n/an/a10.1002/advs.202303759Micromotor‐Enabled Active Hydrogen and Tobramycin Delivery for Synergistic Sepsis TherapyYanzhen Song0Ruotian Zhang1Hanfeng Qin2Wenxin Xu3Jia Sun4Jiamiao Jiang5Yicheng Ye6Junbin Gao7Huaan Li8Weichang Huang9Kun Liu10Yunrui Hu11Fei Peng12Yingfeng Tu13NMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening School of Pharmaceutical Sciences Southern Medical University Guangzhou 510515 ChinaNMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening School of Pharmaceutical Sciences Southern Medical University Guangzhou 510515 ChinaNMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening School of Pharmaceutical Sciences Southern Medical University Guangzhou 510515 ChinaNMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening School of Pharmaceutical Sciences Southern Medical University Guangzhou 510515 ChinaNMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening School of Pharmaceutical Sciences Southern Medical University Guangzhou 510515 ChinaNMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening School of Pharmaceutical Sciences Southern Medical University Guangzhou 510515 ChinaNMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening School of Pharmaceutical Sciences Southern Medical University Guangzhou 510515 ChinaNMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening School of Pharmaceutical Sciences Southern Medical University Guangzhou 510515 ChinaNMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening School of Pharmaceutical Sciences Southern Medical University Guangzhou 510515 ChinaNMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening School of Pharmaceutical Sciences Southern Medical University Guangzhou 510515 ChinaNMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening School of Pharmaceutical Sciences Southern Medical University Guangzhou 510515 ChinaNMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening School of Pharmaceutical Sciences Southern Medical University Guangzhou 510515 ChinaSchool of Materials Science and Engineering Sun Yat‐Sen University Guangzhou 510275 ChinaNMPA Key Laboratory for Research and Evaluation of Drug Metabolism & Guangdong Provincial Key Laboratory of New Drug Screening School of Pharmaceutical Sciences Southern Medical University Guangzhou 510515 ChinaAbstract Sepsis is a highly heterogeneous syndrome normally characterized by bacterial infection and dysregulated systemic inflammatory response that leads to multiple organ failure and death. Single anti‐inflammation or anti‐infection treatment exhibits limited survival benefit for severe cases. Here a biodegradable tobramycin‐loaded magnesium micromotor (Mg‐Tob motor) is successfully developed as a potential hydrogen generator and active antibiotic deliverer for synergistic therapy of sepsis. The peritoneal fluid of septic mouse provides an applicable space for Mg‐water reaction. Hydrogen generated sustainably and controllably from the motor interface propels the motion to achieve active drug delivery along with attenuating hyperinflammation. The developed Mg‐Tob motor demonstrates efficient protection from anti‐inflammatory and antibacterial activity both in vitro and in vivo. Importantly, it prevents multiple organ failure and significantly improves the survival rate up to 87.5% in a high‐grade sepsis model with no survival, whereas only about half of mice survive with the individual therapies. This micromotor displays the superior therapeutic effect of synergistic hydrogen‐chemical therapy against sepsis, thus holding great promise to be an innovative and translational drug delivery system to treat sepsis or other inflammation‐related diseases in the near future.https://doi.org/10.1002/advs.202303759drug deliveryhydrogenmicromotorsepsissynergistic therapy
spellingShingle Yanzhen Song
Ruotian Zhang
Hanfeng Qin
Wenxin Xu
Jia Sun
Jiamiao Jiang
Yicheng Ye
Junbin Gao
Huaan Li
Weichang Huang
Kun Liu
Yunrui Hu
Fei Peng
Yingfeng Tu
Micromotor‐Enabled Active Hydrogen and Tobramycin Delivery for Synergistic Sepsis Therapy
Advanced Science
drug delivery
hydrogen
micromotor
sepsis
synergistic therapy
title Micromotor‐Enabled Active Hydrogen and Tobramycin Delivery for Synergistic Sepsis Therapy
title_full Micromotor‐Enabled Active Hydrogen and Tobramycin Delivery for Synergistic Sepsis Therapy
title_fullStr Micromotor‐Enabled Active Hydrogen and Tobramycin Delivery for Synergistic Sepsis Therapy
title_full_unstemmed Micromotor‐Enabled Active Hydrogen and Tobramycin Delivery for Synergistic Sepsis Therapy
title_short Micromotor‐Enabled Active Hydrogen and Tobramycin Delivery for Synergistic Sepsis Therapy
title_sort micromotor enabled active hydrogen and tobramycin delivery for synergistic sepsis therapy
topic drug delivery
hydrogen
micromotor
sepsis
synergistic therapy
url https://doi.org/10.1002/advs.202303759
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