1. Local therapeutic efficacy with reduced systemic side effects by rapamycin-loaded subcapsular microspheres
- Author
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Falke, Lucas L, van Vuuren, Stefan H, Kazazi-Hyseni, Filis, Ramazani, Farshad, Nguyen, Tri Q, Veldhuis, Gert J, Maarseveen, Erik M, Zandstra, Jurjen, Zuidema, Johan, Duque, Luisa F, Steendam, Rob, Popa, Eliane R, Kok, Robbert Jan, Goldschmeding, Roel, Sub Drug delivery, Sub General Pharmaceutics, Pharmaceutics, Restoring Organ Function by Means of Regenerative Medicine (REGENERATE), Nanotechnology and Biophysics in Medicine (NANOBIOMED), Sub Drug delivery, Sub General Pharmaceutics, and Pharmaceutics
- Subjects
Microsphere ,Subcapsular delivery ,Pathology ,T-Lymphocytes ,Anti-Inflammatory Agents ,PROGRESSION ,Pharmacology ,Fibrosis ,Chronic kidney disease ,Tissue Distribution ,Myofibroblasts ,Non-U.S. Gov't ,Kidney ,IMMUNOSUPPRESSION ,Research Support, Non-U.S. Gov't ,TOR Serine-Threonine Kinases ,IN-VIVO CHARACTERIZATION ,Microspheres ,Treatment Outcome ,medicine.anatomical_structure ,Mechanics of Materials ,mTOR ,Female ,Myofibroblast ,Infiltration (medical) ,Ureteral Obstruction ,medicine.medical_specialty ,Biophysics ,Capsules ,Bioengineering ,Research Support ,Biomaterials ,KIDNEY ,medicine ,Renal fibrosis ,Journal Article ,INJURY ,Animals ,RENAL FIBROSIS ,Rapamycin ,MTOR INHIBITION ,PI3K/AKT/mTOR pathway ,Sirolimus ,business.industry ,TRANSPLANTATION ,medicine.disease ,Rats, Inbred F344 ,Transplantation ,Gene Expression Regulation ,DELIVERY-SYSTEM ,CELLS ,Microscopy, Electron, Scanning ,Ceramics and Composites ,business ,Kidney disease - Abstract
Kidney injury triggers fibrosis, the final common pathway of chronic kidney disease (CKD). The increase of CKD prevalence worldwide urgently calls for new therapies. Available systemic treatment such as rapamycin are associated with serious side effects. To study the potential of local antifibrotic therapy, we administered rapamycin-loaded microspheres under the kidney capsule of ureter-obstructed rats and assessed the local antifibrotic effects and systemic side effects of rapamycin. After 7 days, microsphere depots were easily identifiable under the kidney capsule. Both systemic and local rapamycin treatment reduced intrarenal mTOR activity, myofibroblast accumulation, expression of fibrotic genes, and T-lymphocyte infiltration. Upon local treatment, inhibition of mTOR activity and reduction of myofibroblast accumulation were limited to the immediate vicinity of the subcapsular pocket, while reduction of T-cell infiltration was widespread. In contrast to systemically administered rapamycin, local treatment did not induce off target effects such as weight loss. Thus subcapsular delivery of rapamycin-loaded microspheres successfully inhibited local fibrotic response in UUO with less systemic effects. Therapeutic effect of released rapamycin was most prominent in close vicinity to the implanted microspheres. (C) 2014 Elsevier Ltd. All rights reserved.
- Published
- 2015
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