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Myocardial protection by nanomaterials formulated with CHIR99021 and FGF1
Chengming Fan, … , Wuqiang Zhu, Jianyi Zhang
Chengming Fan, … , Wuqiang Zhu, Jianyi Zhang
Published May 26, 2020
Citation Information: JCI Insight. 2020;5(12):e132796. https://doi.org/10.1172/jci.insight.132796.
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Research Article Cardiology Therapeutics

Myocardial protection by nanomaterials formulated with CHIR99021 and FGF1

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Abstract

The mortality of patients suffering from acute myocardial infarction is linearly related to the infarct size. As regeneration of cardiomyocytes from cardiac progenitor cells is minimal in the mammalian adult heart, we have explored a new therapeutic approach, which leverages the capacity of nanomaterials to release chemicals over time to promote myocardial protection and infarct size reduction. Initial screening identified 2 chemicals, FGF1 and CHIR99021 (a Wnt1 agonist/GSK-3β antagonist), which synergistically enhance cardiomyocyte cell cycle in vitro. Poly-lactic-co-glycolic acid nanoparticles (NPs) formulated with CHIR99021 and FGF1 (CHIR + FGF1-NPs) provided an effective slow-release system for up to 4 weeks. Intramyocardial injection of CHIR + FGF1-NPs enabled myocardial protection via reducing infarct size by 20%–30% in mouse or pig models of postinfarction left ventricular (LV) remodeling. This LV structural improvement was accompanied by preservation of cardiac contractile function. Further investigation revealed that CHIR + FGF1-NPs resulted in a reduction of cardiomyocyte apoptosis and increase of angiogenesis. Thus, using a combination of chemicals and an NP-based prolonged-release system that works synergistically, this study demonstrates a potentially novel therapy for LV infarct size reduction in hearts with acute myocardial infarction.

Authors

Chengming Fan, Yasin Oduk, Meng Zhao, Xi Lou, Yawen Tang, Danielle Pretorius, Mani T. Valarmathi, Gregory P. Walcott, Jinfu Yang, Philippe Menasche, Prasanna Krishnamurthy, Wuqiang Zhu, Jianyi Zhang

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Figure 1

CHIR99021 and/or FGF1 NP treatment: assessment of cardiac function and infarct size in a mouse model of MI.

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CHIR99021 and/or FGF1 NP treatment: assessment of cardiac function and i...
Mice that were treated with intramyocardial injections of different NPs, including CHIR + FGF1-NPs, CHIR-NPs, FGF1-NPs, and empty NPs (nonloaded); MI-only control mice; and sham-operated control mice were subjected to echocardiographic assessments of left ventricular (LV) function (A). Ejection fraction (EF) (B), fractional shortening (FS) (C), end-systolic diameter of the left ventricle (D), and end-diastolic diameter of the left ventricle (E) were assessed before MI induction (pre-S) and on post-MI day 28 (post-S). On day 28 after MI, CHIR + FGF1-NP treatment groups presented significantly greater EF and FS compared with other treatment as well as control groups (B and C) and significantly lower values of systolic/diastolic diameters of the left ventricle. Data are given as means ± SEM. There were 10–12 animals per group. Statistical analysis: 2-way ANOVA with Dunn’s multiple comparisons test. *P < 0.01 vs. sham; †P < 0.01 vs. MI; ‡P < 0.05 vs. empty NPs; §P < 0.05 vs. CHIR-NPs, ||P < 0.01 vs. FGF1-NPs. Sirius Red/Fast Green histochemical staining revealing areas of infarcted (red, nonviable) and noninfarcted (green, viable) zones in post-MI day 28 ventricular tissue sections (F). The infarct size was quantified as the ratio of the scar area to the total surface area of the left ventricle and expressed as a percentage, for day 28 samples (G). At day 28, the CHIR + FGF1-NP treatment group showed significant reduction in infarct size compared with other NP treatment groups or the untreated control MI animals. Scale bar: 1 mm (panels in F). Data are given as means ± SEM. There were 10–12 animals per group. Statistical analysis: 1-way ANOVA with Dunn’s multiple comparisons test. *P < 0.01 vs. MI; †P < 0.01 vs. empty NP; ‡P < 0.01 vs. CHIR-NP; §P < 0.01 vs. FGF1-NP.

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