Key result
Biomimetic astragaloside-IV nanoparticles improve LVEF by ~19% over control in doxorubicin-induced cardiomyopathy.
Why the study?
Dilated cardiomyopathy is the most prevalent cardiomyopathy and is characterized by poor prognosis and high mortality, needing novel therapeutic strategies.
Does AS@MSN/TA/MM improve cardiac function and reduce remodeling in a DOX-induced dilated cardiomyopathy mouse model?
Does AS@MSN/TA/MM improve cardiac function and reduce remodeling in a DOX-induced dilated cardiomyopathy mouse model?
Absolute Event Rate: 88.75% vs 69.99%
p-value: p=<0.001
Biomimetic macrophage-membrane-coated astragaloside-IV-loaded nanoparticles improved cardiac function and reduced fibrosis in a mouse model of doxorubicin-induced dilated cardiomyopathy.
Should not yet change practice; leaves open human translation of macrophage-membrane AS-IV nanoparticles for doxorubicin cardiomyopathy.
Dilated cardiomyopathy (DCM) is currently the most prevalent form of cardiomyopathy; it poses a severe threat to human health and is characterized by poor prognosis and high mortality. In this study, we prepared macrophage-membrane-coated and astragaloside-IV-loaded mesoporous silica nanoparticles (AS@MSN/TA/MM) and assessed their therapeutic effects in vitro and in vivo . The designed AS@MSN/TA/MM were spherical and had an average particle size of approximately 234 nm, a zeta potential of −24.5 mV, a drug loading capacity (LC) of 9.5% ± 0.04%, and an encapsulation efficiency (EE) of 98.9% ± 0.1%. The particles showed remarkable colloidal stability with phosphate-buffered saline or fetal bovine serum in vitro ; they also improved the doxorubicin hydrochloride (DOX)-induced oxidative stress of H9C2 cells and promoted cell proliferation. In the DOX-induced DCM mouse model, AS@MSN/TA/MM ameliorated cardiac dysfunction and hypertrophy, alleviated cardiomyocyte fibrosis, as well as suppressed serum levels of aldosterone, angiotensin II, and suppression of tumorigenicity 2. The present work sheds light on a promising therapeutic strategy for DCM and provides a robust platform for developing advanced astragaloside-IV-based nanotherapeutics.
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Wang et al. (2026) studied Dilated cardiomyopathy (n=40). AS@MSN/TA/MM (Biomimetic astragaloside-IV-loaded mesoporous silica nanoparticles) vs. PBS (control) was evaluated on Left ventricular ejection fraction (LVEF) (p=<0.001). In a doxorubicin-induced dilated cardiomyopathy mouse model, treatment with biomimetic astragaloside-IV-loaded mesoporous silica nanoparticles significantly improved left ventricular ejection fraction compared to PBS control (88.75% vs 69.99%, p<0.001).
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