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RESEARCH ARTICLE
www.afm-journal.de
Enhanced Targeted Repair of Vascular Injury by
Apoptotic-Cell-Mimicking Nanovesicles Engineered with
P-Selectin Binding Peptide
Ruixin Zhang, Shunshun Yan, Shichun Li, Yu Shi, Yueyue Yang, Junwu Liu, Zixuan Dong,
Ting Wang, Jingxin Yue, Quhan Cheng, Ye Wan, Su Zhang, Shanshan Kang, Deling Kong,*
Kai Wang,* and Xiaoling Fu*
Modulating inflammation is crucial for repairing vascular injury. Phagocytosis
of apoptotic cells represents an effective mechanism for attenuating
inflammation and improving regeneration during natural healing. However,
strategies for repairing vascular injuries using biomaterials derived from
apoptotic cells are still undeveloped. Herein, apoptotic body-mimetic
nanovesicles (ApoNVs) derived from rat adipose-derived mesenchymal stem
cells (rASCs) are prepared using a one-step extrusion method. ApoNVs inherit
the unique anti-inflammatory and pro-regenerative properties of the parental
apoptotic rASCs, as evidenced by enhanced M2 polarization of macrophages
and promoted endothelial cell proliferation and migration following treatment
with ApoNVs. Moreover, ApoNVs enhance the contractile phenotype of
vascular smooth muscle cells through the mediation of ApoNVs-induced
repolarized macrophages. After engineering ApoNVs with P-selectin binding
peptide (ApoNVs-PBP), their ability to target injured artery increased nearly
sevenfold compared to unmodified ApoNVs. In a rat wire-mediated femoral
artery injury model, ApoNVs-PBP effectively suppress inflammation and
significantly reduce blood flow velocity and neointimal hyperplasia at the
injury site. ApoNVs exhibit similar therapeutic effects, though to a lesser
extent. This study provides strong evidence validating the targeted delivery of
ApoNVs as an innovative approach for repairing vascular injury and highlights
their potential in treating other inflammatory diseases.
R. Zhang, Y. Shi, Y. Yang, J. Liu, J. Yue, Q. Cheng, Y. Wan, S. Zhang,
S. Kang, D. Kong, K. Wang
State Key Laboratory of Medicinal Chemical Biology
Key Laboratory of Bioactive Materials for the Ministry of Education
College of Life Sciences
Nankai University
Tianjin , P. R. China
E-mail: kongdeling@nankai.edu.cn;@nankai.edu.cn
S. Yan, S. Li, Z. Dong, X. Fu
School of Biomedical Sciences and Engineering
South China University of Technology
Guangzhou International Campus
Guangzhou , P. R. China
E-mail: msxlfu@scut.edu.cn
The ORCID identification number(s) for the author(s) of this article
can be found under https://doi.org/./adfm.
DOI: 10.1002/adfm.202405574
1. Introduction
Cardiovascular disease remains the lead-
ing cause of death worldwide, with approx-
imately . million deaths attributed to
it in .[]It is estimated that around
. million people suer from coro-
nary heart disease, and both the preva-
lence and severity of the disease continue
to rise.[]Late-stage coronary heart dis-
ease can lead to coronary artery occlu-
sion, and treatment options usually in-
volve percutaneous coronary intervention
(PCI)[]with vascular injury as an almost
inevitable consequence.[]Vascular injury
caused by PCI further triggers a series
of cellular and molecular events that in-
crease the risk of thrombus formation,
restenosis, and even reemergence of arterial
occlusion.[]Research has shown that the
restenosis rate is approximately –%,[]
significantly aecting the clinical safety
and eectiveness of PCI.[]Without timely
and eective interventions, thrombosis and
restenosis can progress to secondary my-
ocardial infarction or stroke.[]Drug-eluting
T. Wa ng
Tianjin Key Laboratory of Urban Transport Emission Research
College of Environmental Science and Engineering
Nankai University
Tianjin , P. R. China
X. Fu
National Engineering Research Center for Tissue Restoration and
Reconstruction and Innovation Center for Tissue Restoration and
Reconstruction
Guangzhou , P. R. China
X. Fu
Laboratory of Biomedical Engineering of Guangdong Province
South China University of Technology
Guangzhou , P. R. China
Adv. Funct. Mater. 2024,34, © Wiley-VCH GmbH
2405574 (1 of 22)