PMID- 36748266 OWN - NLM STAT- MEDLINE DCOM- 20230315 LR - 20230315 IS - 2047-4849 (Electronic) IS - 2047-4830 (Linking) VI - 11 IP - 6 DP - 2023 Mar 14 TI - Mannose-mediated nanodelivery of methotrexate to macrophages augments rheumatoid arthritis therapy. PG - 2211-2220 LID - 10.1039/d2bm02072f [doi] AB - Rheumatoid arthritis (RA) is a chronic autoimmune disease that gravely jeopardizes the quality of life of numerous people. Methotrexate (MTX) is a disease-modifying anti-rheumatic drug commonly used in clinics; however, it suffers from slow onset, moderate efficacy, and adverse reactions such as renal dysfunction, myelosuppression, and bone erosion after long-term treatment. Here, we explored macrophage targeted delivery of MTX using mannose-installed chimaeric polymersomes (Man-PMTX) as an advanced treatment for RA. Man-PMTX exhibited high ( approximately 18 wt%) and robust loading of MTX, uniform size of 51-55 nm, minimal hemolytic activity, and glutathione-actuated drug release property. Man-PMTX showed better uptake by activated macrophages than PMTX, and more repolarization of bone marrow-derived macrophages (BMDMs) to anti-inflammatory M2 type macrophages and less secretion of TNF-alpha and IL-1beta compared with free MTX and PMTX. In vivo studies revealed that Man-PMTX showed significantly higher accumulation in inflammatory joints than in healthy joints and effectively treated RA by relieving inflammation, repolarizing macrophages from M1 type to M2 type, and mitigating proinflammatory cytokines. Accordingly, Man-PMTX effectively protected the synovium and bone from damage. Mannose-mediated nanodelivery of methotrexate to macrophages appears to be an attractive strategy to augment rheumatoid arthritis therapy. FAU - Yang, Liang AU - Yang L AD - Biomedical Polymers Laboratory, College of Chemistry, Chemical Engineering and Materials Science, and State Key Laboratory of Radiation Medicine and Protection, Soochow University, Suzhou, 215123, P. R. China. zyzhong@suda.edu.cn. AD - College of Pharmaceutical Sciences, Soochow University, Suzhou, 215123, P. R. China. FAU - Sha, Yongjie AU - Sha Y AD - Biomedical Polymers Laboratory, College of Chemistry, Chemical Engineering and Materials Science, and State Key Laboratory of Radiation Medicine and Protection, Soochow University, Suzhou, 215123, P. R. China. zyzhong@suda.edu.cn. AD - College of Pharmaceutical Sciences, Soochow University, Suzhou, 215123, P. R. China. FAU - Wei, Yuansong AU - Wei Y AD - Institute of Functional Nano & Soft Materials (FUNSOM), Jiangsu Key Laboratory for Carbon-Based Functional Materials & Devices, Collaborative Innovation Center of Suzhou Nano Science & Technology, Soochow University, Suzhou 215123, China. lcyin@suda.edu.cn. FAU - Fang, Hanghang AU - Fang H AD - Biomedical Polymers Laboratory, College of Chemistry, Chemical Engineering and Materials Science, and State Key Laboratory of Radiation Medicine and Protection, Soochow University, Suzhou, 215123, P. R. China. zyzhong@suda.edu.cn. FAU - Jiang, Jingjing AU - Jiang J AD - Biomedical Polymers Laboratory, College of Chemistry, Chemical Engineering and Materials Science, and State Key Laboratory of Radiation Medicine and Protection, Soochow University, Suzhou, 215123, P. R. China. zyzhong@suda.edu.cn. FAU - Yin, Lichen AU - Yin L AUID- ORCID: 0000-0002-4573-0555 AD - Institute of Functional Nano & Soft Materials (FUNSOM), Jiangsu Key Laboratory for Carbon-Based Functional Materials & Devices, Collaborative Innovation Center of Suzhou Nano Science & Technology, Soochow University, Suzhou 215123, China. lcyin@suda.edu.cn. FAU - Zhong, Zhiyuan AU - Zhong Z AUID- ORCID: 0000-0003-4175-4741 AD - Biomedical Polymers Laboratory, College of Chemistry, Chemical Engineering and Materials Science, and State Key Laboratory of Radiation Medicine and Protection, Soochow University, Suzhou, 215123, P. R. China. zyzhong@suda.edu.cn. AD - College of Pharmaceutical Sciences, Soochow University, Suzhou, 215123, P. R. China. FAU - Meng, Fenghua AU - Meng F AUID- ORCID: 0000-0002-8608-7738 AD - Biomedical Polymers Laboratory, College of Chemistry, Chemical Engineering and Materials Science, and State Key Laboratory of Radiation Medicine and Protection, Soochow University, Suzhou, 215123, P. R. China. zyzhong@suda.edu.cn. LA - eng PT - Journal Article DEP - 20230314 PL - England TA - Biomater Sci JT - Biomaterials science JID - 101593571 RN - YL5FZ2Y5U1 (Methotrexate) RN - PHA4727WTP (Mannose) SB - IM MH - Humans MH - *Methotrexate/pharmacology MH - Mannose/pharmacology MH - Quality of Life MH - *Arthritis, Rheumatoid/drug therapy MH - Macrophages EDAT- 2023/02/08 06:00 MHDA- 2023/03/16 06:00 CRDT- 2023/02/07 03:42 PHST- 2023/02/08 06:00 [pubmed] PHST- 2023/03/16 06:00 [medline] PHST- 2023/02/07 03:42 [entrez] AID - 10.1039/d2bm02072f [doi] PST - epublish SO - Biomater Sci. 2023 Mar 14;11(6):2211-2220. doi: 10.1039/d2bm02072f.