Drug Repositioning of Metformin Encapsulated in PLGA Combined with Photothermal Therapy Ameliorates Rheumatoid Arthritis

Dae Kyu Kim,1,2,* Jun Young Park,3,* Youn Joo Kang,4 Dongwoo Khang2,3,5 1Deparment of Biochemistry, Bowdoin College, Brunswick, ME, 04011, USA; 2Lee Gil Ya Cancer and Diabetes Institute, Gachon University, Incheon, 21999, South Korea; 3Department of Health Sciences and Technology, GA...

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Main Authors: Kim DK, Park JY, Kang YJ, Khang D
Format: Article
Language:English
Published: Dove Medical Press 2023-12-01
Series:International Journal of Nanomedicine
Subjects:
Online Access:https://www.dovepress.com/drug-repositioning-of-metformin-encapsulated-in-plga-combined-with-pho-peer-reviewed-fulltext-article-IJN
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author Kim DK
Park JY
Kang YJ
Khang D
author_facet Kim DK
Park JY
Kang YJ
Khang D
author_sort Kim DK
collection DOAJ
description Dae Kyu Kim,1,2,* Jun Young Park,3,* Youn Joo Kang,4 Dongwoo Khang2,3,5 1Deparment of Biochemistry, Bowdoin College, Brunswick, ME, 04011, USA; 2Lee Gil Ya Cancer and Diabetes Institute, Gachon University, Incheon, 21999, South Korea; 3Department of Health Sciences and Technology, GAIHST, Gachon University, Incheon, 21999, South Korea; 4Department of Rehabilitation Medicine, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, 01830, South Korea; 5Department of Physiology, School of Medicine, Gachon University, Incheon, 21999, South Korea*These authors contributed equally to this workCorrespondence: Dongwoo Khang, Department of Physiology, School of Medicine, Gachon University, Incheon, 21999, South Korea, Tel +82 32 899 6515, Fax +82 32 899 6471, Email dkhang@gachon.ac.kr Youn Joo Kang, Department of Rehabilitation Medicine, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, 01830, South Korea, Tel/Fax + 82-2-970-8315, Email md52516@eulji.ac.krPurpose: Rheumatoid arthritis (RA) is a highly prevalent form of autoimmune disease that affects nearly 1% of the global population by causing severe cartilage damage and inflammation. Despite its prevalence, previous efforts to prevent the perpetuation of RA have been hampered by therapeutics’ cytotoxicity and poor delivery to target cells. The present study exploited drug repositioning and nanotechnology to convert metformin, a widely used antidiabetic agent, into an anti-rheumatoid arthritis drug by designing poly(lactic-co-glycolic acid) (PLGA)-based spheres. Moreover, this study also explored the thermal responsiveness of the IL-22 receptor, a key regulator of Th-17, to incorporate photothermal therapy (PTT) into the nanodrug treatment.Materials and Methods: PLGA nanoparticles were synthesized using the solvent evaporation method, and metformin and indocyanine green (ICG) were encapsulated in PLGA in a dropwise manner. The nanodrug’s in vitro anti-inflammatory properties were examined in J744 and FLS via real-time PCR. PTT was induced by an 808 nm near-infrared (NIR) laser, and the anti-RA effects of the nanodrug with PTT were evaluated in DBA/1 collagen-induced arthritis (CIA) mice models. Further evaluation of anti-RA properties was carried out using flow cytometry, immunofluorescence analysis, and immunohistochemical analysis.Results: The encapsulation of metformin into PLGA allowed the nanodrug to enter the target cells via macropinocytosis and clathrin-mediated endocytosis. Metformin-encapsulated PLGA (PLGA-MET) demonstrated promising anti-inflammatory effects by decreasing the expression of pro-inflammatory cytokines (IL-1β, IL-6, and TNF-α), increasing the expression of anti-inflammatory cytokines (IL-10 and IL-4), and promoting the polarization of M1 to M2 macrophages in J774 cells. The treatment of the nanodrug with PTT exhibited more potent anti-inflammatory effects than free metformin or PLGA-MET in CIA mice models.Conclusion: These results demonstrated that PLGA-encapsulated metformin treatment with PTT can effectively ameliorate inflammation in a spatiotemporal manner. Keywords: rheumatoid arthritis, drug repositioning, nanoparticles, photothermal therapy
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spelling doaj.art-f2b3d3aafc7e45f7a198408025bbb98e2023-12-05T17:06:55ZengDove Medical PressInternational Journal of Nanomedicine1178-20132023-12-01Volume 187267728588767Drug Repositioning of Metformin Encapsulated in PLGA Combined with Photothermal Therapy Ameliorates Rheumatoid ArthritisKim DKPark JYKang YJKhang DDae Kyu Kim,1,2,* Jun Young Park,3,* Youn Joo Kang,4 Dongwoo Khang2,3,5 1Deparment of Biochemistry, Bowdoin College, Brunswick, ME, 04011, USA; 2Lee Gil Ya Cancer and Diabetes Institute, Gachon University, Incheon, 21999, South Korea; 3Department of Health Sciences and Technology, GAIHST, Gachon University, Incheon, 21999, South Korea; 4Department of Rehabilitation Medicine, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, 01830, South Korea; 5Department of Physiology, School of Medicine, Gachon University, Incheon, 21999, South Korea*These authors contributed equally to this workCorrespondence: Dongwoo Khang, Department of Physiology, School of Medicine, Gachon University, Incheon, 21999, South Korea, Tel +82 32 899 6515, Fax +82 32 899 6471, Email dkhang@gachon.ac.kr Youn Joo Kang, Department of Rehabilitation Medicine, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, 01830, South Korea, Tel/Fax + 82-2-970-8315, Email md52516@eulji.ac.krPurpose: Rheumatoid arthritis (RA) is a highly prevalent form of autoimmune disease that affects nearly 1% of the global population by causing severe cartilage damage and inflammation. Despite its prevalence, previous efforts to prevent the perpetuation of RA have been hampered by therapeutics’ cytotoxicity and poor delivery to target cells. The present study exploited drug repositioning and nanotechnology to convert metformin, a widely used antidiabetic agent, into an anti-rheumatoid arthritis drug by designing poly(lactic-co-glycolic acid) (PLGA)-based spheres. Moreover, this study also explored the thermal responsiveness of the IL-22 receptor, a key regulator of Th-17, to incorporate photothermal therapy (PTT) into the nanodrug treatment.Materials and Methods: PLGA nanoparticles were synthesized using the solvent evaporation method, and metformin and indocyanine green (ICG) were encapsulated in PLGA in a dropwise manner. The nanodrug’s in vitro anti-inflammatory properties were examined in J744 and FLS via real-time PCR. PTT was induced by an 808 nm near-infrared (NIR) laser, and the anti-RA effects of the nanodrug with PTT were evaluated in DBA/1 collagen-induced arthritis (CIA) mice models. Further evaluation of anti-RA properties was carried out using flow cytometry, immunofluorescence analysis, and immunohistochemical analysis.Results: The encapsulation of metformin into PLGA allowed the nanodrug to enter the target cells via macropinocytosis and clathrin-mediated endocytosis. Metformin-encapsulated PLGA (PLGA-MET) demonstrated promising anti-inflammatory effects by decreasing the expression of pro-inflammatory cytokines (IL-1β, IL-6, and TNF-α), increasing the expression of anti-inflammatory cytokines (IL-10 and IL-4), and promoting the polarization of M1 to M2 macrophages in J774 cells. The treatment of the nanodrug with PTT exhibited more potent anti-inflammatory effects than free metformin or PLGA-MET in CIA mice models.Conclusion: These results demonstrated that PLGA-encapsulated metformin treatment with PTT can effectively ameliorate inflammation in a spatiotemporal manner. Keywords: rheumatoid arthritis, drug repositioning, nanoparticles, photothermal therapyhttps://www.dovepress.com/drug-repositioning-of-metformin-encapsulated-in-plga-combined-with-pho-peer-reviewed-fulltext-article-IJNrheumatoid arthritisdrug repositioningnanoparticlesphotothermal therapy
spellingShingle Kim DK
Park JY
Kang YJ
Khang D
Drug Repositioning of Metformin Encapsulated in PLGA Combined with Photothermal Therapy Ameliorates Rheumatoid Arthritis
International Journal of Nanomedicine
rheumatoid arthritis
drug repositioning
nanoparticles
photothermal therapy
title Drug Repositioning of Metformin Encapsulated in PLGA Combined with Photothermal Therapy Ameliorates Rheumatoid Arthritis
title_full Drug Repositioning of Metformin Encapsulated in PLGA Combined with Photothermal Therapy Ameliorates Rheumatoid Arthritis
title_fullStr Drug Repositioning of Metformin Encapsulated in PLGA Combined with Photothermal Therapy Ameliorates Rheumatoid Arthritis
title_full_unstemmed Drug Repositioning of Metformin Encapsulated in PLGA Combined with Photothermal Therapy Ameliorates Rheumatoid Arthritis
title_short Drug Repositioning of Metformin Encapsulated in PLGA Combined with Photothermal Therapy Ameliorates Rheumatoid Arthritis
title_sort drug repositioning of metformin encapsulated in plga combined with photothermal therapy ameliorates rheumatoid arthritis
topic rheumatoid arthritis
drug repositioning
nanoparticles
photothermal therapy
url https://www.dovepress.com/drug-repositioning-of-metformin-encapsulated-in-plga-combined-with-pho-peer-reviewed-fulltext-article-IJN
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AT kangyj drugrepositioningofmetforminencapsulatedinplgacombinedwithphotothermaltherapyamelioratesrheumatoidarthritis
AT khangd drugrepositioningofmetforminencapsulatedinplgacombinedwithphotothermaltherapyamelioratesrheumatoidarthritis