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Title: Shear-sensitive nanocapsule drug release for site-specific inhibition of occlusive thrombus formation.
Austin Authors: Molloy, C P;Yao, Y;Kammoun, H;Bonnard, T;Hoefer, T;Alt, K;Tovar-Lopez, F;Rosengarten, G;Ramsland, Paul A ;van der Meer, A D;van den Berg, A;Murphy, A J;Hagemeyer, C E;Peter, K;Westein, E
Affiliation: Atherothrombosis and Vascular Biology, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia
Haematopoiesis and Leukocyte Biology, Baker Heart & Diabetes Institute, Melbourne, Victoria, Australia
Nano Biotechnology Laboratory, Australian Centre for Blood Diseases, Monash University, Melbourne, Victoria, Australia
School of Engineering, RMIT University, Melbourne, Victoria, Australia
School of Science, RMIT University, Bundoora, Victoria, Australia
Centre for Biomedical Research, Burnet Institute, Melbourne, Victoria, Australia
Department of Surgery, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australia
Department of Immunology, Monash University, Melbourne, Victoria, Australia
MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, Enschede, the Netherlands
Issue Date: May-2017 2017-04-09
Publication information: Journal of thrombosis and haemostasis : JTH 2017; 15(5): 972-982
Abstract: Essentials Vessel stenosis due to large thrombus formation increases local shear 1-2 orders of magnitude. High shear at stenotic sites was exploited to trigger eptifibatide release from nanocapsules. Local delivery of eptifibatide prevented vessel occlusion without increased tail bleeding times. Local nanocapsule delivery of eptifibatide may be safer than systemic antiplatelet therapies. Background Myocardial infarction and stroke remain the leading causes of mortality and morbidity. The major limitation of current antiplatelet therapy is that the effective concentrations are limited because of bleeding complications. Targeted delivery of antiplatelet drug to sites of thrombosis would overcome these limitations. Objectives Here, we have exploited a key biomechanical feature specific to thrombosis, i.e. significantly increased blood shear stress resulting from a reduction in the lumen of the vessel, to achieve site-directed delivery of the clinically used antiplatelet agent eptifibatide by using shear-sensitive phosphatidylcholine (PC)-based nanocapsules. Methods PC-based nanocapsules (2.8 × 1012 ) with high-dose encapsulated eptifibatide were introduced into microfluidic blood perfusion assays and into in vivo models of thrombosis and tail bleeding. Results Shear-triggered nanocapsule delivery of eptifibatide inhibited in vitro thrombus formation selectively under stenotic and high shear flow conditions above a shear rate of 1000 s-1 while leaving thrombus formation under physiologic shear rates unaffected. Thrombosis was effectively prevented in in vivo models of vessel wall damage. Importantly, mice infused with shear-sensitive antiplatelet nanocapsules did not show prolonged bleeding times. Conclusions Targeted delivery of eptifibatide by shear-sensitive nanocapsules offers site-specific antiplatelet potential, and may form a basis for developing more potent and safer antiplatelet drugs.
DOI: 10.1111/jth.13666
PubMed URL: 28267256
Type: Journal Article
Subjects: antiplatelet drugs
drug delivery systems
Appears in Collections:Journal articles

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