PMID- 38164188 OWN - NLM STAT- MEDLINE DCOM- 20240103 LR - 20240306 IS - 1449-2288 (Electronic) IS - 1449-2288 (Linking) VI - 20 IP - 1 DP - 2024 TI - The role of TNC in atherosclerosis and drug development opportunities. PG - 127-136 LID - 10.7150/ijbs.89890 [doi] AB - Tenascin C (TNC), a rich glycoprotein of the extracellular matrix, exhibits a pro-atherosclerosis or anti-atherosclerosis effect depending on its location. TNC, especially its C domain/isoform (TNC-C), is strongly overexpressed in atherosclerotic plaque active areas but virtually undetectable in most normal adult tissues, suggesting that TNC is a promising delivery vector target for atherosclerosis-targeted drugs. Many delivery vectors were investigated by recognizing TNC-C, including G11, G11-iRGD, TN11, PL1, and PL3. F16 and FNLM were also investigated by recognizing TNC-A1 and TNC, respectively. Notably, iRGD was undergoing clinical trials. PL1 not only recognizes TNC-C but also the extra domain-B (EDB) of fibronectin (FN), which is also a promising delivery vector for atherosclerosis-targeted drugs, and several conjugate agents are undergoing clinical trials. The F16-conjugate agent F16IL2 is undergoing clinical trials. Therefore, G11-iRGD, PL1, and F16 have great development value. Furthermore, ATN-RNA and IMA950 were investigated in clinical trials as therapeutic drugs and vaccines by targeting TNC, respectively. Therefore, targeting TNC could greatly improve the success rate of atherosclerosis-targeted drugs and/or specific drug development. This review discussed the role of TNC in atherosclerosis, atherosclerosis-targeted drug delivery vectors, and agent development to provide knowledge for drug development targeting TNC. CI - (c) The author(s). FAU - Chen, Wujun AU - Chen W AD - Cancer Institute, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao Cancer Institute, Qingdao, Shandong, 266071, China. FAU - Wang, Yanhong AU - Wang Y AD - Cancer Institute, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao Cancer Institute, Qingdao, Shandong, 266071, China. FAU - Ren, Chunling AU - Ren C AD - Department of Pharmacy, Women's and Children's Hospital Afliated to Qingdao University, Qingdao Women's and Children's Hospital, Qingdao, Shandong, 266000, China. FAU - Yu, Sha AU - Yu S AD - Obstetrical Department, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, 266003, China. FAU - Wang, Chao AU - Wang C AD - Cancer Institute, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao Cancer Institute, Qingdao, Shandong, 266071, China. FAU - Xing, Jiyao AU - Xing J AD - Cancer Institute, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao Cancer Institute, Qingdao, Shandong, 266071, China. FAU - Xu, Jiazhen AU - Xu J AD - Cancer Institute, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao Cancer Institute, Qingdao, Shandong, 266071, China. FAU - Yan, Saisai AU - Yan S AD - Cancer Institute, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao Cancer Institute, Qingdao, Shandong, 266071, China. FAU - Zhang, Tingting AU - Zhang T AD - Cancer Institute, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao Cancer Institute, Qingdao, Shandong, 266071, China. FAU - Li, Qian AU - Li Q AD - Cancer Institute, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao Cancer Institute, Qingdao, Shandong, 266071, China. FAU - Peng, Xiaojin AU - Peng X AD - Cancer Institute, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao Cancer Institute, Qingdao, Shandong, 266071, China. FAU - Shao, Yingchun AU - Shao Y AD - Cancer Institute, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao Cancer Institute, Qingdao, Shandong, 266071, China. FAU - Zhang, Renshuai AU - Zhang R AD - Cancer Institute, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao Cancer Institute, Qingdao, Shandong, 266071, China. FAU - Zhang, Daijun AU - Zhang D AD - Cancer Institute, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao Cancer Institute, Qingdao, Shandong, 266071, China. AD - Qingdao Medical College, Qingdao University, Qingdao, Shandong, 266071, China. FAU - Xing, Dongming AU - Xing D AD - Cancer Institute, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao Cancer Institute, Qingdao, Shandong, 266071, China. AD - School of Life Sciences, Tsinghua University, Beijing, 100084, China. LA - eng PT - Journal Article PT - Review DEP - 20240101 PL - Australia TA - Int J Biol Sci JT - International journal of biological sciences JID - 101235568 RN - 0 (Tenascin) RN - 0 (Protein Isoforms) SB - IM MH - Adult MH - Humans MH - Tenascin/genetics MH - *Atherosclerosis/drug therapy MH - Extracellular Matrix MH - *Plaque, Atherosclerotic/drug therapy MH - Protein Isoforms PMC - PMC10750296 OTO - NOTNLM OT - ATN-RNA OT - F16 OT - G11-iRGD OT - PL1 OT - TNC OT - atherosclerosis OT - drug development COIS- Competing Interests: The authors have declared that no competing interest exists. EDAT- 2024/01/02 11:46 MHDA- 2024/01/03 09:41 PMCR- 2024/01/01 CRDT- 2024/01/02 03:37 PHST- 2023/09/06 00:00 [received] PHST- 2023/10/23 00:00 [accepted] PHST- 2024/01/03 09:41 [medline] PHST- 2024/01/02 11:46 [pubmed] PHST- 2024/01/02 03:37 [entrez] PHST- 2024/01/01 00:00 [pmc-release] AID - ijbsv20p0127 [pii] AID - 10.7150/ijbs.89890 [doi] PST - epublish SO - Int J Biol Sci. 2024 Jan 1;20(1):127-136. doi: 10.7150/ijbs.89890. eCollection 2024.