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Efficacy and safety assessment of a TRAF6-targeted nanoimmunotherapy in atherosclerotic mice and non-human primates.


ABSTRACT: Macrophage accumulation in atherosclerosis is directly linked to the destabilization and rupture of plaque, causing acute atherothrombotic events. Circulating monocytes enter the plaque and differentiate into macrophages, where they are activated by CD4+ T lymphocytes through CD40-CD40 ligand signalling. Here, we report the development and multiparametric evaluation of a nanoimmunotherapy that moderates CD40-CD40 ligand signalling in monocytes and macrophages by blocking the interaction between CD40 and tumour necrosis factor receptor-associated factor 6 (TRAF6). We evaluated the biodistribution characteristics of the nanoimmunotherapy in apolipoprotein E-deficient (Apoe-/-) mice and in non-human primates by in vivo positron-emission tomography imaging. In Apoe-/- mice, a 1-week nanoimmunotherapy treatment regimen achieved significant anti-inflammatory effects, which was due to the impaired migration capacity of monocytes, as established by a transcriptome analysis. The rapid reduction of plaque inflammation by the TRAF6-targeted nanoimmunotherapy and its favourable toxicity profiles in both mice and non-human primates highlights the translational potential of this strategy for the treatment of atherosclerosis.

SUBMITTER: Lameijer M 

PROVIDER: S-EPMC6447057 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature

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Efficacy and safety assessment of a TRAF6-targeted nanoimmunotherapy in atherosclerotic mice and non-human primates.

Lameijer Marnix M   Binderup Tina T   van Leent Mandy M T MMT   Senders Max L ML   Fay Francois F   Malkus Joost J   Sanchez-Gaytan Brenda L BL   Teunissen Abraham J P AJP   Karakatsanis Nicolas N   Robson Philip P   Zhou Xianxiao X   Ye Yuxiang Y   Wojtkiewicz Gregory G   Tang Jun J   Seijkens Tom T P TTP   Kroon Jeffrey J   Stroes Erik S G ESG   Kjaer Andreas A   Ochando Jordi J   Reiner Thomas T   Pérez-Medina Carlos C   Calcagno Claudia C   Fisher Edward A EA   Zhang Bin B   Temel Ryan E RE   Swirski Filip K FK   Nahrendorf Matthias M   Fayad Zahi A ZA   Lutgens Esther E   Mulder Willem J M WJM   Duivenvoorden Raphaël R  

Nature biomedical engineering 20180416 5


Macrophage accumulation in atherosclerosis is directly linked to the destabilization and rupture of plaque, causing acute atherothrombotic events. Circulating monocytes enter the plaque and differentiate into macrophages, where they are activated by CD4<sup>+</sup> T lymphocytes through CD40-CD40 ligand signalling. Here, we report the development and multiparametric evaluation of a nanoimmunotherapy that moderates CD40-CD40 ligand signalling in monocytes and macrophages by blocking the interacti  ...[more]

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