PMID- 33376632 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210430 IS - 2164-7844 (Print) IS - 2164-7860 (Electronic) IS - 2164-7844 (Linking) VI - 9 IP - 1 DP - 2020 TI - Immunotherapy for Infarcts: In Vivo Postinfarction Macrophage Modulation Using Intramyocardial Microparticle Delivery of Map4k4 Small Interfering RNA. PG - 258-268 LID - 10.1089/biores.2020.0037 [doi] AB - The myeloid cells infiltrating the heart early after acute myocardial infarction elaborate a secretome that largely orchestrates subsequent ventricular wall repair. Regulating this innate immune response could be a means to improve infarct healing. To pilot this concept, we utilized (beta1,3-d-) glucan-encapsulated small interfering RNA (siRNA)-containing particles (GeRPs), targeting mononuclear phagocytes, delivered to mice as a one-time intramyocardial injection immediately after acute infarction. Findings demonstrated that cardiac macrophages phagocytosed GeRPs in vivo and had little systemic dissemination, thus providing a means to deliver local therapeutics. Acute infarcts were then injected in vivo with phosphate-buffered saline (PBS; vehicle) or GeRPs loaded with siRNA to Map4k4, and excised hearts were examined at 3 and 7 days by quantitative polymerase chain reaction, flow cytometry, and histology. Compared with infarcted PBS-treated hearts, hearts with intrainfarct injections of siRNA-loaded GeRPs exhibited 69-89% reductions in transcripts for Map4k4 (mitogen-activated protein kinase kinase kinase kinase 4), interleukin (IL)-1beta, and tumor necrosis factor alpha at 3 days. Expression of other factors relevant to matrix remodeling-monocyte chemoattractant protein-1 (MCP-1), matrix metalloproteinases, hyaluronan synthases, matricellular proteins, and profibrotic factors transforming growth factor beta (TGF-beta), and connective tissue growth factor (CTGF)-were also decreased. Most effects peaked at 3 days, but, in some instances (Map4k4, IL-1beta, TGF-beta, CTGF, versican, and periostin), suppression persisted to 7 days. Thus, direct intramyocardial GeRP injection could serve as a novel and clinically translatable platform for in vivo RNA delivery to intracardiac macrophages for local and selective immunomodulation of the infarct microenvironment. CI - (c) Jun Luo et al., 2020; Published by Mary Ann Liebert, Inc. FAU - Luo, Jun AU - Luo J AD - Matrix Biology Program, Benaroya Research Institute at Virginia Mason, Seattle, Washington, USA. FAU - Weaver, Matthew S AU - Weaver MS AD - Matrix Biology Program, Benaroya Research Institute at Virginia Mason, Seattle, Washington, USA. FAU - Fitzgibbons, Timothy P AU - Fitzgibbons TP AD - Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA. FAU - Aouadi, Myriam AU - Aouadi M AD - Integrated Cardio Metabolic Center, Department of Medicine, Karolinska Institutet, Huddinge, Sweden. FAU - Czech, Michael P AU - Czech MP AD - Program in Molecular Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA. FAU - Allen, Margaret D AU - Allen MD AD - Matrix Biology Program, Benaroya Research Institute at Virginia Mason, Seattle, Washington, USA. AD - Division of Cardiothoracic Surgery, Department of Surgery, University of Washington, Seattle, Washington, USA. LA - eng GR - R01 DK030898/DK/NIDDK NIH HHS/United States GR - R01 DK103047/DK/NIDDK NIH HHS/United States GR - R37 DK030898/DK/NIDDK NIH HHS/United States PT - Journal Article DEP - 20201202 PL - United States TA - Biores Open Access JT - BioResearch open access JID - 101579333 PMC - PMC7757732 OTO - NOTNLM OT - Map4k4 OT - intramyocardial OT - macrophage OT - microparticle OT - myocardial infarction OT - siRNA COIS- None of the authors have competing financial interests. EDAT- 2020/12/31 06:00 MHDA- 2020/12/31 06:01 PMCR- 2020/12/02 CRDT- 2020/12/30 05:21 PHST- 2020/10/21 00:00 [accepted] PHST- 2020/12/30 05:21 [entrez] PHST- 2020/12/31 06:00 [pubmed] PHST- 2020/12/31 06:01 [medline] PHST- 2020/12/02 00:00 [pmc-release] AID - 10.1089/biores.2020.0037 [pii] AID - 10.1089/biores.2020.0037 [doi] PST - epublish SO - Biores Open Access. 2020 Dec 2;9(1):258-268. doi: 10.1089/biores.2020.0037. eCollection 2020.