The 5-year mortality rate for heart failure borders on 50%. The main cause is an ischaemic cardiac event where blood supply to the tissue is lost and cell death occurs. Over time, this damage spreads and the heart is no longer able to pump efficiently. Increasing vascularisation of the affected area has been shown to reduce patient symptoms. The growth factors required to do this have short half-lives making development of an efficacious therapy difficult. Herein, the angiogenic growth factor Vascular Endothelial Growth Factor (VEGF) is complexed electrostatically with star-shaped or linear polyglutamic acid (PGA) polypeptides. Optimised PGA-VEGF nanomedicines provide VEGF encapsulation of > 99% and facilitate sustained release of VEGF for up to 28 days in vitro. The star-PGA-VEGF nanomedicines are loaded into a percutaneous delivery compliant hyaluronic acid hydrogel. Sustained release of VEGF from the composite nano-in-gel system is evident for up to 35 days and the released VEGF has comparable bioactivity to free, fresh VEGF when tested on both Matrigel® and scratch assays. The final star-PGA-VEGF nanomedicine-loaded hydrogel is biocompatible and provides sustained release of bioactive VEGF. Therefore, we report the development of novel, self-assembling PGA-VEGF nanomedicines and their incorporation into a hyaluronic acid hydrogel that is compatible with medical devices to enable minimally invasive delivery to the heart. The final star-PGA-VEGF nanomedicine-loaded hydrogel is biocompatible and provides sustained release of bioactive VEGF. This formulation provides the basis for optimal spatiotemporal delivery of an angiogenic growth factor to the ischaemic myocardium.

译文

心力衰竭的5年死亡率与50% 年接壤。主要原因是缺血性心脏事件,其中组织的血液供应丢失并发生细胞死亡。随着时间的流逝,这种伤害会扩散,心脏不再能够有效地泵送。疫区血管化的增加已被证明可以减轻患者的症状。这样做所需的生长因子半衰期短,因此很难开发有效的疗法。在本文中,血管生成生长因子血管内皮生长因子 (VEGF) 与星形或线性聚谷氨酸 (PGA) 多肽静电复合。优化的PGA-VEGF纳米药物提供> 99% 的VEGF包封并促进VEGF在体外持续释放达28天。将star-PGA-VEGF纳米药物加载到经皮递送顺应性透明质酸水凝胶中。从复合纳米凝胶系统中持续释放VEGF长达35天,并且在两种Matrigel上测试时,释放的VEGF具有与游离的新鲜VEGF相当的生物活性®和划痕分析。最终的star-pga-vegf纳米药物负载的水凝胶是生物相容性的,并提供生物活性VEGF的持续释放。因此,我们报告了新型的自组装PGA-VEGF纳米药物的开发,并将其掺入透明质酸水凝胶中,该水凝胶与医疗设备兼容,从而能够微创地输送到心脏。最终的star-pga-vegf纳米药物负载的水凝胶是生物相容性的,并提供生物活性VEGF的持续释放。该配方为将血管生成生长因子最佳时空传递到缺血性心肌提供了基础。

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