Telmisartan Loaded Nanofibers Enhance Re-Endothelialization and Inhibit Neointimal Hyperplasia

Stent implantation impairs local endothelial function and may be associated with subsequent adverse cardiovascular events. Telmisartan, an angiotensin II receptor blocker that has unique peroxisome proliferator-activated-receptor-gamma-mediated effects on cardiovascular disease, has been shown to en...

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Main Authors: Chen-Hung Lee, Kuo-Sheng Liu, Julien George Roth, Kuo-Chun Hung, Yen-Wei Liu, Shin-Huei Wang, Chi-Ching Kuo, Shih-Jung Liu
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/13/11/1756
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author Chen-Hung Lee
Kuo-Sheng Liu
Julien George Roth
Kuo-Chun Hung
Yen-Wei Liu
Shin-Huei Wang
Chi-Ching Kuo
Shih-Jung Liu
author_facet Chen-Hung Lee
Kuo-Sheng Liu
Julien George Roth
Kuo-Chun Hung
Yen-Wei Liu
Shin-Huei Wang
Chi-Ching Kuo
Shih-Jung Liu
author_sort Chen-Hung Lee
collection DOAJ
description Stent implantation impairs local endothelial function and may be associated with subsequent adverse cardiovascular events. Telmisartan, an angiotensin II receptor blocker that has unique peroxisome proliferator-activated-receptor-gamma-mediated effects on cardiovascular disease, has been shown to enhance endothelial function and limit neointimal hyperplasia. This study utilized hybrid biodegradable/stent nanofibers to facilitate sustained and local delivery of telmisartan to injured arterial vessels. Telmisartan and poly(<span style="font-variant: small-caps;">d,l</span>)-lactide-<i>co</i>-glycolide (PLGA) (75:25) were dissolved in hexafluoroisopropyl alcohol and electrospun into biodegradable nanofibrous tubes which were coated onto metal stents. By releasing 20% of the loaded telmisartan in 30 days, these hybrid biodegradable/stent telmisartan-loaded nanofibers increased the migration of endothelial progenitor cells in vitro, promoted endothelialization, and reduced intimal hyperplasia. As such, this work provides insights into the use of PLGA nanofibers for treating patients with an increased risk of stent restenosis.
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spelling doaj.art-4db7564bc9ae48a28ddd05095c2194952023-11-23T00:57:07ZengMDPI AGPharmaceutics1999-49232021-10-011311175610.3390/pharmaceutics13111756Telmisartan Loaded Nanofibers Enhance Re-Endothelialization and Inhibit Neointimal HyperplasiaChen-Hung Lee0Kuo-Sheng Liu1Julien George Roth2Kuo-Chun Hung3Yen-Wei Liu4Shin-Huei Wang5Chi-Ching Kuo6Shih-Jung Liu7Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital-Linkou, Chang Gung University College of Medicine, Taoyuan 33305, TaiwanDepartment of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Taoyuan 33305, TaiwanInstitute for Stem Cell Biology & Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USADivision of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital-Linkou, Chang Gung University College of Medicine, Taoyuan 33305, TaiwanDivision of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital-Linkou, Chang Gung University College of Medicine, Taoyuan 33305, TaiwanDivision of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital-Linkou, Chang Gung University College of Medicine, Taoyuan 33305, TaiwanResearch and Development Center of Smart Textile Technology, Institute of Organic and Polymeric Materials, National Taipei University of Technology, Taipei 10608, TaiwanDepartment of Mechanical Engineering, Chang Gung University, Taoyuan 33302, TaiwanStent implantation impairs local endothelial function and may be associated with subsequent adverse cardiovascular events. Telmisartan, an angiotensin II receptor blocker that has unique peroxisome proliferator-activated-receptor-gamma-mediated effects on cardiovascular disease, has been shown to enhance endothelial function and limit neointimal hyperplasia. This study utilized hybrid biodegradable/stent nanofibers to facilitate sustained and local delivery of telmisartan to injured arterial vessels. Telmisartan and poly(<span style="font-variant: small-caps;">d,l</span>)-lactide-<i>co</i>-glycolide (PLGA) (75:25) were dissolved in hexafluoroisopropyl alcohol and electrospun into biodegradable nanofibrous tubes which were coated onto metal stents. By releasing 20% of the loaded telmisartan in 30 days, these hybrid biodegradable/stent telmisartan-loaded nanofibers increased the migration of endothelial progenitor cells in vitro, promoted endothelialization, and reduced intimal hyperplasia. As such, this work provides insights into the use of PLGA nanofibers for treating patients with an increased risk of stent restenosis.https://www.mdpi.com/1999-4923/13/11/1756drug-loaded nanofiberstelmisartanPLGAcontrolled release
spellingShingle Chen-Hung Lee
Kuo-Sheng Liu
Julien George Roth
Kuo-Chun Hung
Yen-Wei Liu
Shin-Huei Wang
Chi-Ching Kuo
Shih-Jung Liu
Telmisartan Loaded Nanofibers Enhance Re-Endothelialization and Inhibit Neointimal Hyperplasia
Pharmaceutics
drug-loaded nanofibers
telmisartan
PLGA
controlled release
title Telmisartan Loaded Nanofibers Enhance Re-Endothelialization and Inhibit Neointimal Hyperplasia
title_full Telmisartan Loaded Nanofibers Enhance Re-Endothelialization and Inhibit Neointimal Hyperplasia
title_fullStr Telmisartan Loaded Nanofibers Enhance Re-Endothelialization and Inhibit Neointimal Hyperplasia
title_full_unstemmed Telmisartan Loaded Nanofibers Enhance Re-Endothelialization and Inhibit Neointimal Hyperplasia
title_short Telmisartan Loaded Nanofibers Enhance Re-Endothelialization and Inhibit Neointimal Hyperplasia
title_sort telmisartan loaded nanofibers enhance re endothelialization and inhibit neointimal hyperplasia
topic drug-loaded nanofibers
telmisartan
PLGA
controlled release
url https://www.mdpi.com/1999-4923/13/11/1756
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