Intracisternal administration of tanshinone IIA-loaded nanoparticles leads to reduced tissue injury and functional deficits in a porcine model of ischemic stroke

Autor: Xueyuan Yang, Soo K. Shin, Jin Xie, Kylee J. Duberstein, Madison M. Fagan, Simon R. Platt, Kelly M. Scheulin, Erin E. Kaiser, Holly A. Kinder, Elizabeth S. Waters, Julie Jeon, Franklin D. West, Anil Kumar, Hea Jin Park
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Baic
Baicalin

Tan IIA-NPs
Tan IIA-loaded nanoparticles

ICH
intracerebral hemorrhage

ddH2O
double-distilled water

NP
nanoparticle

NSCs
neural stem cells

MLS
midline shift

T2W
T2Weighted

FA
fractional anisotropy

Lead (electronics)
Stroke
TNF-α
tumor necrosis factor α

ANOVA
analysis of variance

Tan IIA-NPs
Tan IIA PLGA NPs

PLGA-b-PEG-OH
poly (lactide-co-glycolide)-b-poly (ethylene glycol)-maleimide

DLS
dynamic light scattering

Ischemic stroke
General Neuroscience
T2FLAIR
T2 Fluid Attenuated Inversion Recovery

Neural stem cell
TD
transdermal

Tan IIA
Tanshinone IIA

DAMPS
damaged-associated molecular patterns

BBB
blood brain barrier

UGA
University of Georgia

IL-6
interleukin 6

medicine.anatomical_structure
Nanomedicine
Cardiology
PLGA
Poly (lactic-co-glycolic acid)

AU
arbitrary units

LPS
lipopolysaccharide

Edar
Edaravone

RC321-571
Research Paper
Resv
Resveratrol

medicine.medical_specialty
STAIR
Stroke Therapy Academic and Industry Roundtable

DTI
Diffusion Tensor Imaging

Neurosciences. Biological psychiatry. Neuropsychiatry
Tanshinone IIA
CNS
central nervous system

White matter
Piog
Pioglitazone

CSF
cerebral spinal fluid

ROS
reactive oxygen species

Midline shift
PBS
phosphate buffered saline

Internal medicine
SOD
superoxide dismutase

medicine
IM
intramuscular

DWI
Diffusion-Weighted Imaging

WM
white matter

TEM
transmission electron microscopy

MCAO
middle cerebral artery occlusion

Pathological
business.industry
Pig stroke model
Therapeutic effect
T2*
T2Star

PLGA nanoparticle
medicine.disease
PEG–PLGA
polyethyleneglycol–polylactic-co-glycolic acid

FDA
Food and Drug Administration

tPA
Tissue plasminogen activator

Bioavailability
Puer
Puerarin

GM
gray matter

IC
inhibitory concentration

MCA
middle cerebral artery

business
ADC
Apparent Diffusion Coefficient

GABA
γ-aminobutyric acid
Zdroj: IBRO Neuroscience Reports
IBRO Neuroscience Reports, Vol 10, Iss, Pp 18-30 (2021)
ISSN: 2667-2421
Popis: Background The absolute number of new stroke patients is annually increasing and there still remains only a few Food and Drug Administration (FDA) approved treatments with significant limitations available to patients. Tanshinone IIA (Tan IIA) is a promising potential therapeutic for ischemic stroke that has shown success in pre-clinical rodent studies but lead to inconsistent efficacy results in human patients. The physical properties of Tan-IIA, including short half-life and low solubility, suggests that Poly (lactic-co-glycolic acid) (PLGA) nanoparticle-assisted delivery may lead to improve bioavailability and therapeutic efficacy. The objective of this study was to develop Tan IIA-loaded nanoparticles (Tan IIA-NPs) and to evaluate their therapeutic effects on cerebral pathological changes and consequent motor function deficits in a pig ischemic stroke model. Results Tan IIA-NP treated neural stem cells showed a reduction in SOD activity in in vitro assays demonstrating antioxidative effects. Ischemic stroke pigs treated with Tan IIA-NPs showed reduced hemispheric swelling when compared to vehicle only treated pigs (7.85 ± 1.41 vs. 16.83 ± 0.62%), consequent midline shift (MLS) (1.72 ± 0.07 vs. 2.91 ± 0.36 mm), and ischemic lesion volumes (9.54 ± 5.06 vs. 12.01 ± 0.17 cm3) when compared to vehicle-only treated pigs. Treatment also lead to lower reductions in diffusivity (−37.30 ± 3.67 vs. −46.33 ± 0.73%) and white matter integrity (−19.66 ± 5.58 vs. −30.11 ± 1.19%) as well as reduced hemorrhage (0.85 ± 0.15 vs 2.91 ± 0.84 cm3) 24 h post-ischemic stroke. In addition, Tan IIA-NPs led to a reduced percentage of circulating band neutrophils at 12 (7.75 ± 1.93 vs. 14.00 ± 1.73%) and 24 (4.25 ± 0.48 vs 5.75 ± 0.85%) hours post-stroke suggesting a mitigated inflammatory response. Moreover, spatiotemporal gait deficits including cadence, cycle time, step time, swing percent of cycle, stride length, and changes in relative mean pressure were less severe post-stroke in Tan IIA-NP treated pigs relative to control pigs. Conclusion The findings of this proof of concept study strongly suggest that administration of Tan IIA-NPs in the acute phase post-stroke mitigates neural injury likely through limiting free radical formation, thus leading to less severe gait deficits in a translational pig ischemic stroke model. With stroke as one of the leading causes of functional disability in the United States, and gait deficits being a major component, these promising results suggest that acute Tan IIA-NP administration may improve functional outcomes and the quality of life of many future stroke patients.
Highlights • Tanshinone IIA loaded nanoparticles demonstrate antioxidative capabilities in neural stem cell cultures. • Tanshinone IIA loaded nanoparticles leads to reduced lesion volume, midline shift, and white matter damage post-stroke. • Tanshinone IIA loaded nanoparticle treatment leads to marked improvements in spatiotemporal and kinetic gait parameters.
Databáze: OpenAIRE