哮喘是一种影响肺和呼吸道的慢性和异质性疾病。特别是,中性粒细胞亚型的哮喘被描述为持续性的,更严重,和皮质类固醇抗性。越来越多的证据表明,不可分型的流感嗜血杆菌(NTHi)感染有助于中性粒细胞性哮喘的发展,加重临床症状,增加相关医疗负担。在这项工作中,精氨酸接枝壳聚糖(CS-Arg)与三(2-羧乙基)膦(TCEP)离子交联,和高效的抗菌剂,聚-ε-1-赖氨酸(ε-PLL),结合制备ε-PLL/CS-Arg/TCEP(ECAT)复合纳米凝胶。结果表明,ECAT纳米凝胶对NTHi的增殖表现出高度有效的抑制作用,金黄色葡萄球菌(S。金黄色葡萄球菌)和大肠杆菌(E.大肠杆菌)。此外,ECAT纳米凝胶在体外能有效抑制粘蛋白聚集体的形成,这表明纳米凝胶可能具有破坏呼吸道疾病粘蛋白的潜力。此外,在卵清蛋白(OVA)/NTHi诱导的中性粒细胞性哮喘的Balb/c小鼠模型中,通过暴露于ECAT纳米凝胶的塔式雾化给药,有效降低了肺泡灌洗液中嗜中性粒细胞的数量和血液中炎症细胞的百分比,和逆转气道高反应性(AHR)和减少中性粒细胞哮喘小鼠的炎症。总之,ECAT纳米凝胶的构建是一种可行的抗感染和抗炎治疗策略,在临床治疗中性粒细胞性哮喘方面表现出很强的潜力。
Asthma is a chronic and heterogeneous disease affecting the lungs and respiratory tract. In particular, the neutrophil subtype of asthma was described as persistent, more severe, and corticosteroid-resistant. Growing evidence suggested that nontypeable Haemophilus influenzae (NTHi) infection contributes to the development of neutrophilic asthma, exacerbating clinical symptoms and increasing the associated medical burden. In this work, arginine-grafted chitosan (CS-Arg) was ionically cross-linked with tris(2-carboxyethyl) phosphine (TCEP), and a highly-efficient antimicrobial agent, poly-ε-L-Lysine (ε-PLL), was incorporated to prepare ε-PLL/CS-Arg/TCEP (ECAT) composite
nanogels. The results showed that ECAT
nanogels exhibited highly effective inhibition against the proliferation of NTHi, Staphylococcus aureus (S. aureus) and Escherichia coli (E. coli). In addition, ECAT
nanogels could effectively inhibit the formation of mucins aggregates in vitro, suggesting that the nanogel might have the potential to destroy mucin in respiratory disease. Furthermore, in the ovalbumin (OVA)/NTHi-induced Balb/c mice model of neutrophilic asthma, the number of neutrophils in the alveolar lavage fluid and the percentage of inflammatory cells in the blood were effectively reduced by exposure to tower nebulized administration of ECAT
nanogels, and reversing airway hyperresponsiveness (AHR) and reducing inflammation in neutrophilic asthma mice. In conclusion, the construction of ECAT
nanogels was a feasible anti-infective and anti-inflammatory therapeutic strategy, which demonstrated strong potential in the clinical treatment of neutrophilic asthma.