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A Supramolecular Nanocarrier for Delivery of Amiodarone Anti-Arrhythmic Therapy to the Heart
Journal article   Open access   Peer reviewed

A Supramolecular Nanocarrier for Delivery of Amiodarone Anti-Arrhythmic Therapy to the Heart

Maaz S Ahmed, Christopher B Rodell, Maarten Hulsmans, Rainer H Kohler, Aaron D Aguirre, Matthias Nahrendorf and Ralph Weissleder
Bioconjugate chemistry, v 30(3), pp 733-740
20 Mar 2019
PMID: 30615425
url
https://europepmc.org/articles/pmc6483069View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Amiodarone - administration & dosage Amiodarone - pharmacokinetics Amiodarone - therapeutic use Animals Anti-Arrhythmia Agents - administration & dosage Anti-Arrhythmia Agents - pharmacokinetics Anti-Arrhythmia Agents - therapeutic use beta-Cyclodextrins - pharmacokinetics Drug Carriers Heart - drug effects Mice Mice, Inbred C57BL Microscopy, Fluorescence RAW 264.7 Cells Tissue Distribution
Amiodarone is an effective antiarrhythmic drug used to treat and prevent different types of cardiac arrhythmias. However, amiodarone can have considerable side effects resulting from accumulation in off-target tissues. Cardiac macrophages are highly prevalent tissue-resident immune cells with importance in homeostatic functions, including immune response and modulation of cardiac conduction. We hypothesized that amiodarone could be more efficiently delivered to the heart via cardiac macrophages, an important step toward reducing overall dose and off-target tissue accumulation. Toward this goal, we synthesized a nanoparticle drug carrier composed of l-lysine cross-linked succinyl-β-cyclodextrin that demonstrates amiodarone binding through supramolecular host-guest interaction as well as a high macrophage affinity. Biodistribution analyses at the organ and single-cell level demonstrate accumulation of nanoparticles in the heart resulting from rapid uptake by cardiac macrophages. Nanoparticle assisted delivery of amiodarone resulted in a 250% enhancement in the selective delivery of the drug to cardiac tissue in part due to a concomitant decrease of pulmonary accumulation, the main source of off-target toxicity.

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Web of Science research areas
Biochemical Research Methods
Biochemistry & Molecular Biology
Chemistry, Multidisciplinary
Chemistry, Organic
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