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      Berberin sustained-release nanoparticles were enriched in infarcted rat myocardium and resolved inflammation

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          Abstract

          Inflammatory regulation induced by macrophage polarization is essential for cardiac repair after myocardial infarction (MI). Berberin (BBR) is an isoquinoline tetrasystemic alkaloid extracted from plants. This study analyzes the most likely mechanism of BBR in MI treatment determined via network pharmacology, showing that BBR acts mainly through inflammatory responses. Because platelets (PLTs) can be enriched in the infarcted myocardium, PLT membrane-coated polylactic-co-glycolic acid (PLGA) nanoparticles (BBR@PLGA@PLT NPs) are used, which show enrichment in the infarcted myocardium to deliver BBR sustainably. Compared with PLGA nanoparticles, BBR@PLGA@PLT NPs are more enriched in the infarcted myocardium and exhibit less uptake in the liver. On day three after MI, BBR@PLGA@PLT NPs administration significantly increases the number of repaired macrophages and decreases the number of inflammatory macrophages and apoptotic cells in infarcted rat myocardium. On the 28th day after MI, the BBR@PLGA@PLT group exhibits a protective effect on cardiac function, reduced cardiac collagen deposition, improved scar tissue stiffness, and an excellent angiogenesis effect. In addition, BBR@PLGA@PLT group has no significant impact on major organs either histologically or enzymologically. In summary, the therapeutic effect of BBR@PLGA@PLT NPs on MI is presented in detail from the perspective of the resolution of inflammation, and a new solution for MI treatment is proposed.

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          The online version contains supplementary material available at 10.1186/s12951-023-01790-w.

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          Most cited references43

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          Heart Disease and Stroke Statistics—2020 Update

          Circulation
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            The Biological Basis for Cardiac Repair After Myocardial Infarction: From Inflammation to Fibrosis.

            In adult mammals, massive sudden loss of cardiomyocytes after infarction overwhelms the limited regenerative capacity of the myocardium, resulting in the formation of a collagen-based scar. Necrotic cells release danger signals, activating innate immune pathways and triggering an intense inflammatory response. Stimulation of toll-like receptor signaling and complement activation induces expression of proinflammatory cytokines (such as interleukin-1 and tumor necrosis factor-α) and chemokines (such as monocyte chemoattractant protein-1/ chemokine (C-C motif) ligand 2 [CCL2]). Inflammatory signals promote adhesive interactions between leukocytes and endothelial cells, leading to extravasation of neutrophils and monocytes. As infiltrating leukocytes clear the infarct from dead cells, mediators repressing inflammation are released, and anti-inflammatory mononuclear cell subsets predominate. Suppression of the inflammatory response is associated with activation of reparative cells. Fibroblasts proliferate, undergo myofibroblast transdifferentiation, and deposit large amounts of extracellular matrix proteins maintaining the structural integrity of the infarcted ventricle. The renin-angiotensin-aldosterone system and members of the transforming growth factor-β family play an important role in activation of infarct myofibroblasts. Maturation of the scar follows, as a network of cross-linked collagenous matrix is formed and granulation tissue cells become apoptotic. This review discusses the cellular effectors and molecular signals regulating the inflammatory and reparative response after myocardial infarction. Dysregulation of immune pathways, impaired suppression of postinfarction inflammation, perturbed spatial containment of the inflammatory response, and overactive fibrosis may cause adverse remodeling in patients with infarction contributing to the pathogenesis of heart failure. Therapeutic modulation of the inflammatory and reparative response may hold promise for the prevention of postinfarction heart failure.
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              The inflammatory response in myocardial injury, repair, and remodelling.

              Myocardial infarction triggers an intense inflammatory response that is essential for cardiac repair, but which is also implicated in the pathogenesis of postinfarction remodelling and heart failure. Signals in the infarcted myocardium activate toll-like receptor signalling, while complement activation and generation of reactive oxygen species induce cytokine and chemokine upregulation. Leukocytes recruited to the infarcted area, remove dead cells and matrix debris by phagocytosis, while preparing the area for scar formation. Timely repression of the inflammatory response is critical for effective healing, and is followed by activation of myofibroblasts that secrete matrix proteins in the infarcted area. Members of the transforming growth factor β family are critically involved in suppression of inflammation and activation of a profibrotic programme. Translation of these concepts to the clinic requires an understanding of the pathophysiological complexity and heterogeneity of postinfarction remodelling in patients with myocardial infarction. Individuals with an overactive and prolonged postinfarction inflammatory response might exhibit left ventricular dilatation and systolic dysfunction and might benefit from targeted anti-IL-1 or anti-chemokine therapies, whereas patients with an exaggerated fibrogenic reaction can develop heart failure with preserved ejection fraction and might require inhibition of the Smad3 (mothers against decapentaplegic homolog 3) cascade. Biomarker-based approaches are needed to identify patients with distinct pathophysiologic responses and to rationally implement inflammation-modulating strategies.
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                Author and article information

                Contributors
                qin_chunxia@hust.edu.cn
                Journal
                J Nanobiotechnology
                J Nanobiotechnology
                Journal of Nanobiotechnology
                BioMed Central (London )
                1477-3155
                28 January 2023
                28 January 2023
                2023
                : 21
                : 33
                Affiliations
                [1 ]GRID grid.33199.31, ISNI 0000 0004 0368 7223, Department of Nuclear Medicine, Union Hospital, Tongji Medical College, , Huazhong University of Science and Technology, ; No. 1277 Jiefang Ave, Wuhan, 430022 Hubei China
                [2 ]GRID grid.412839.5, ISNI 0000 0004 1771 3250, Hubei Key Laboratory of Molecular Imaging, ; Wuhan, 430022 Hubei China
                [3 ]Department of Nuclear Medicine, The First People’s Hospital of Zigong, Zigong, Sichuan China
                [4 ]GRID grid.33199.31, ISNI 0000 0004 0368 7223, Department of Ultrasound, The Central Hospital of Wuhan, Tongji Medical College, , Huazhong University of Science and Technology, ; Wuhan, Hubei China
                [5 ]GRID grid.24516.34, ISNI 0000000123704535, Department of Nuclear Medicine, Shanghai East Hospital, , Tongji University School of Medicine, ; Shanghai, China
                [6 ]GRID grid.419897.a, ISNI 0000 0004 0369 313X, Key Laboratory of Biological Targeted Therapy, , The Ministry of Education, ; Wuhan, 430022 Hubei China
                Article
                1790
                10.1186/s12951-023-01790-w
                9883926
                36709291
                246aa6d0-3aea-446d-8af2-4910297af927
                © The Author(s) 2023

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 15 December 2022
                : 20 January 2023
                Funding
                Funded by: National Natural Science Foundation of China
                Award ID: 81873906
                Award ID: 82171985
                Award Recipient :
                Funded by: Opening foundation of Hubei Key Laboratory of Molecular Imaging
                Award ID: 02.03.2018-87
                Award Recipient :
                Funded by: Wuhan Young and Middle-aged Medical Backbone Talent Training Project
                Award ID: 02.05.1803004
                Award Recipient :
                Categories
                Research
                Custom metadata
                © The Author(s) 2023

                Biotechnology
                myocardial infarction,inflammation,berberin,nanoparticle,targeted,sustained release
                Biotechnology
                myocardial infarction, inflammation, berberin, nanoparticle, targeted, sustained release

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