Key result
VHPK-PLGA@COL significantly decreased atherosclerotic plaque area and enhanced plaque stability in ApoE-/- mice by targeting inflammatory endothelial cells.
Why the study?
Current treatments often fail to adequately curb inflammation-mediated atherosclerotic plaque progression, and colchicine's adverse effects have limited its clinical translation.
Does VHPK-PLGA@COL improve anti-atherosclerotic efficacy and safety compared to free colchicine in ApoE -/- mice?
Does VHPK-PLGA@COL improve anti-atherosclerotic efficacy and safety compared to free colchicine in ApoE -/- mice?
A novel targeted nanoparticle delivery system for colchicine enhances its anti-atherosclerotic efficacy and safety profile in preclinical models.
Preclinical targeted colchicine delivery remains strictly hypothesis-generating and should not yet change practice; leaves open.
Atherosclerosis, a chronic inflammatory disease characterized by arterial plaque formation, is one of the most prominent causes of cardiovascular diseases. However, the current treatments often do not adequately compromise the chronic inflammation-mediated plaque accumulation and the disease progression. Therefore, a new and effective strategy that blocks atherosclerosis-associated inflammation is urgently needed to further reduce the risk. Colchicine, a potent anti-inflammatory medication, has shown great potential in the treatment of atherosclerosis, but its adverse effects have hampered its clinical application. Herein, we developed a novel delivery nanosystem encapsulated with colchicine (VHPK-PLGA@COL), which exhibited improved biosafety and sustained drug release along with the gradual degradation of PLGA and PEG as confirmed both in vitro and in vivo. Surface modification of the nanoparticles with the VHPK peptide ensured its capability to specifically target inflammatory endothelial cells and alleviate atherosclerotic plaque accumulation. In the ApoE - / - atherosclerotic mouse model, both colchicine and VHPK-PLGA@COL treatment significantly decreased the plaque area and enhanced plaque stability by blocking the NF-κB/NLRP3 pathways, while VHPK-PLGA@COL exhibited enhanced therapeutic effects due to its unique ability to target inflammatory endothelial cells without obvious long-term safety concerns. In summary, VHPK-PLGA@COL has the potential to overcome the key translational barriers of colchicine and open new avenues to repurpose this drug for anti-atherosclerotic therapy.
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Tang et al. (2023) studied Atherosclerosis (n=25). VHPK-PLGA@COL vs. Saline, VHPK-PLGA, free colchicine was evaluated on Atherosclerotic plaque area. VHPK-PLGA@COL significantly decreased atherosclerotic plaque area and enhanced plaque stability in ApoE-/- mice by targeting inflammatory endothelial cells.
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