Key result
NP-visnagin cuts infarct size ~50% vs visnagin alone by promoting autophagy and inhibiting apoptosis.
Why the study?
Percutaneous coronary intervention for acute myocardial infarction induces ischemia/reperfusion injury causing cardiac dysfunction and cardiomyocyte death, necessitating effective targeted treatments.
Does NP-visnagin reduce myocardial infarct size and ameliorate cardiac dysfunction in myocardial ischemia/reperfusion injury?
Does NP-visnagin reduce myocardial infarct size and ameliorate cardiac dysfunction in myocardial ischemia/reperfusion injury?
p-value: p=<0.05
Nanoparticle-encapsulated visnagin shows preclinical potential as a targeted therapy to reduce myocardial ischemia/reperfusion injury by promoting autophagy and inhibiting apoptosis.
Hypothesis-generating for nanoparticle-targeted visnagin in ischemia/reperfusion; leaves open translation to human trials.
The main method for the treatment of acute myocardial infarction (AMI) is percutaneous coronary intervention; however percutaneous coronary intervention will induce ischemia/reperfusion (IR) injury, resulting in the loss of cardiac function and cardiomyocyte death. An effective drug to target this condition is necessary. N-isopropylacrylamide and methacrylic acid were used to synthesize drug delivery nanoparticles (NP) containing the natural compound visnagin for IR injury treatment. It was demonstrated that NP containing fluorescein isothiocyanate localized to the site of myocardial IR, and that NP-visnagin treatment induced cardioprotection, reducing the size of the MI and ameliorating cardiac dysfunction through the induction of autophagy and the inhibition of apoptosis. In the future, visnagin may be suitable as a drug for IR injury treatment, and NP may be an effective drug delivery system.
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Fu et al. (2018) studied Myocardial ischemia/reperfusion injury (n=125). NIPAAm-MAA nanoparticle-encapsulated visnagin (NP-visnagin) vs. PBS, empty nanoparticles (5 mg/kg), or visnagin alone (2 mg/kg) was evaluated on Myocardial infarct size and cardiac function (p=<0.05). NIPAAm-MAA nanoparticle-encapsulated visnagin targeted the reperfused myocardium, significantly reducing infarct size by more than 2-fold compared to visnagin alone and ameliorating cardiac dysfunction by promoting autophagy and inhibiting apoptosis.
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