Inhalation delivery of dexamethasone with iSEND nanoparticles attenuates the COVID-19 cytokine storm in mice and nonhuman primates

Dexamethasone (DEX) is the first drug to show life-saving efficacy in patients with severe coronavirus disease 2019 (COVID-19), while DEX is associated with serious adverse effects. Here, we report an inhaled, Self-immunoregulatory, Extracellular Nanovesicle-based Delivery (iSEND) system by engineering neutrophil nanovesicles with cholesterols to deliver DEX for enhanced treatment of COVID-19. Relying on surface chemokine and cytokine receptors, the iSEND showed improved targeting to macrophages and neutralized broad-spectrum cytokines. The nanoDEX, made by encapsulating DEX with the iSEND, efficiently promoted the anti-inflammation effect of DEX in an acute pneumonia mouse model and suppressed DEX-induced bone density reduction in an osteoporosis rat model. Relative to an intravenous administration of DEX at 0.1 milligram per kilogram, a 10-fold lower dose of nanoDEX administered by inhalation produced even better effects against lung inflammation and injury in severe acute respiratory syndrome coronavirus 2-challenged nonhuman primates. Our work presents a safe and robust inhalation delivery platform for COVID-19 and other respiratory diseases.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:9

Enthalten in:

Science advances - 9(2023), 24 vom: 16. Juni, Seite eadg3277

Sprache:

Englisch

Beteiligte Personen:

Meng, Qian-Fang [VerfasserIn]
Tai, Wanbo [VerfasserIn]
Tian, Mingyao [VerfasserIn]
Zhuang, Xinyu [VerfasserIn]
Pan, Yuanwei [VerfasserIn]
Lai, Jialin [VerfasserIn]
Xu, Yangtao [VerfasserIn]
Xu, Zhiqiang [VerfasserIn]
Li, Min [VerfasserIn]
Zhao, Guangyu [VerfasserIn]
Yu, Guang-Tao [VerfasserIn]
Yu, Guocan [VerfasserIn]
Chen, Rongchang [VerfasserIn]
Jin, Ningyi [VerfasserIn]
Li, Xiao [VerfasserIn]
Cheng, Gong [VerfasserIn]
Chen, Xiaoyuan [VerfasserIn]
Rao, Lang [VerfasserIn]

Links:

Volltext

Themen:

7S5I7G3JQL
Dexamethasone
Journal Article

Anmerkungen:

Date Completed 16.06.2023

Date Revised 06.07.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1126/sciadv.adg3277

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358167728