Nanoparticle‐Mediated Simultaneous Targeting of Mitochondrial Injury and Inflammation Attenuates Myocardial Ischemia‐Reperfusion Injury

Background The opening of mitochondrial permeability transition pore and inflammation cooperatively progress myocardial ischemia‐reperfusion (IR) injury, which hampers therapeutic effects of primary reperfusion therapy for acute myocardial infarction. We examined the therapeutic effects of nanoparti...

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Main Authors: Gentaro Ikeda, Tetsuya Matoba, Ayako Ishikita, Kazuhiro Nagaoka, Kaku Nakano, Jun‐ichiro Koga, Hiroyuki Tsutsui, Kensuke Egashira
Format: Article
Language:English
Published: Wiley 2021-06-01
Series:Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
Subjects:
Online Access:https://www.ahajournals.org/doi/10.1161/JAHA.120.019521
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author Gentaro Ikeda
Tetsuya Matoba
Ayako Ishikita
Kazuhiro Nagaoka
Kaku Nakano
Jun‐ichiro Koga
Hiroyuki Tsutsui
Kensuke Egashira
author_facet Gentaro Ikeda
Tetsuya Matoba
Ayako Ishikita
Kazuhiro Nagaoka
Kaku Nakano
Jun‐ichiro Koga
Hiroyuki Tsutsui
Kensuke Egashira
author_sort Gentaro Ikeda
collection DOAJ
description Background The opening of mitochondrial permeability transition pore and inflammation cooperatively progress myocardial ischemia‐reperfusion (IR) injury, which hampers therapeutic effects of primary reperfusion therapy for acute myocardial infarction. We examined the therapeutic effects of nanoparticle‐mediated medicine that simultaneously targets mitochondrial permeability transition pore and inflammation during IR injury. Methods and Results We used mice lacking cyclophilin D (CypD, a key molecule for mitochondrial permeability transition pore opening) and C‐C chemokine receptor 2 and found that CypD contributes to the progression of myocardial IR injury at early time point (30–45 minutes) after reperfusion, whereas C‐C chemokine receptor 2 contributes to IR injury at later time point (45–60 minutes) after reperfusion. Double deficiency of CypD and C‐C chemokine receptor 2 enhanced cardioprotection compared with single deficiency regardless of the durations of ischemia. Deletion of C‐C chemokine receptor 2, but not deletion of CypD, decreased the recruitment of Ly‐6Chigh monocytes after myocardial IR injury. In CypD‐knockout mice, administration of interleukin‐1β blocking antibody reduced the recruitment of these monocytes. Combined administration of polymeric nanoparticles composed of poly‐lactic/glycolic acid and encapsulating nanoparticles containing cyclosporine A or pitavastatin, which inhibit mitochondrial permeability transition pore opening and monocyte‐mediated inflammation, respectively, augmented the cardioprotection as compared with single administration of nanoparticles containing cyclosporine A or pitavastatin after myocardial IR injury. Conclusions Nanoparticle‐mediated simultaneous targeting of mitochondrial injury and inflammation could be a novel therapeutic strategy for the treatment of myocardial IR injury.
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spelling doaj.art-da210d10d67e4303b06574fa0d6e14042022-12-21T21:10:30ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802021-06-01101210.1161/JAHA.120.019521Nanoparticle‐Mediated Simultaneous Targeting of Mitochondrial Injury and Inflammation Attenuates Myocardial Ischemia‐Reperfusion InjuryGentaro Ikeda0Tetsuya Matoba1Ayako Ishikita2Kazuhiro Nagaoka3Kaku Nakano4Jun‐ichiro Koga5Hiroyuki Tsutsui6Kensuke Egashira7Department of Cardiovascular Medicine Kyushu University Graduate School of Medical Sciences Fukuoka JapanDepartment of Cardiovascular Medicine Kyushu University Graduate School of Medical Sciences Fukuoka JapanDepartment of Cardiovascular Medicine Kyushu University Graduate School of Medical Sciences Fukuoka JapanDepartment of Cardiovascular Medicine Kyushu University Graduate School of Medical Sciences Fukuoka JapanDepartment of Cardiovascular Research Development, and Translational Medicine Center for Disruptive Cardiovascular Innovation Kyushu University Fukuoka JapanDepartment of Cardiovascular Medicine Kyushu University Graduate School of Medical Sciences Fukuoka JapanDepartment of Cardiovascular Medicine Kyushu University Graduate School of Medical Sciences Fukuoka JapanDepartment of Cardiovascular Research Development, and Translational Medicine Center for Disruptive Cardiovascular Innovation Kyushu University Fukuoka JapanBackground The opening of mitochondrial permeability transition pore and inflammation cooperatively progress myocardial ischemia‐reperfusion (IR) injury, which hampers therapeutic effects of primary reperfusion therapy for acute myocardial infarction. We examined the therapeutic effects of nanoparticle‐mediated medicine that simultaneously targets mitochondrial permeability transition pore and inflammation during IR injury. Methods and Results We used mice lacking cyclophilin D (CypD, a key molecule for mitochondrial permeability transition pore opening) and C‐C chemokine receptor 2 and found that CypD contributes to the progression of myocardial IR injury at early time point (30–45 minutes) after reperfusion, whereas C‐C chemokine receptor 2 contributes to IR injury at later time point (45–60 minutes) after reperfusion. Double deficiency of CypD and C‐C chemokine receptor 2 enhanced cardioprotection compared with single deficiency regardless of the durations of ischemia. Deletion of C‐C chemokine receptor 2, but not deletion of CypD, decreased the recruitment of Ly‐6Chigh monocytes after myocardial IR injury. In CypD‐knockout mice, administration of interleukin‐1β blocking antibody reduced the recruitment of these monocytes. Combined administration of polymeric nanoparticles composed of poly‐lactic/glycolic acid and encapsulating nanoparticles containing cyclosporine A or pitavastatin, which inhibit mitochondrial permeability transition pore opening and monocyte‐mediated inflammation, respectively, augmented the cardioprotection as compared with single administration of nanoparticles containing cyclosporine A or pitavastatin after myocardial IR injury. Conclusions Nanoparticle‐mediated simultaneous targeting of mitochondrial injury and inflammation could be a novel therapeutic strategy for the treatment of myocardial IR injury.https://www.ahajournals.org/doi/10.1161/JAHA.120.019521cardioprotectiondrug delivery systemischemia‐reperfusion injurynanotechnology
spellingShingle Gentaro Ikeda
Tetsuya Matoba
Ayako Ishikita
Kazuhiro Nagaoka
Kaku Nakano
Jun‐ichiro Koga
Hiroyuki Tsutsui
Kensuke Egashira
Nanoparticle‐Mediated Simultaneous Targeting of Mitochondrial Injury and Inflammation Attenuates Myocardial Ischemia‐Reperfusion Injury
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
cardioprotection
drug delivery system
ischemia‐reperfusion injury
nanotechnology
title Nanoparticle‐Mediated Simultaneous Targeting of Mitochondrial Injury and Inflammation Attenuates Myocardial Ischemia‐Reperfusion Injury
title_full Nanoparticle‐Mediated Simultaneous Targeting of Mitochondrial Injury and Inflammation Attenuates Myocardial Ischemia‐Reperfusion Injury
title_fullStr Nanoparticle‐Mediated Simultaneous Targeting of Mitochondrial Injury and Inflammation Attenuates Myocardial Ischemia‐Reperfusion Injury
title_full_unstemmed Nanoparticle‐Mediated Simultaneous Targeting of Mitochondrial Injury and Inflammation Attenuates Myocardial Ischemia‐Reperfusion Injury
title_short Nanoparticle‐Mediated Simultaneous Targeting of Mitochondrial Injury and Inflammation Attenuates Myocardial Ischemia‐Reperfusion Injury
title_sort nanoparticle mediated simultaneous targeting of mitochondrial injury and inflammation attenuates myocardial ischemia reperfusion injury
topic cardioprotection
drug delivery system
ischemia‐reperfusion injury
nanotechnology
url https://www.ahajournals.org/doi/10.1161/JAHA.120.019521
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