4.7 Article

Polysalicylic Acid Polymer Microparticle Decoys Therapeutically Treat Acute Respiratory Distress Syndrome

Journal

ADVANCED HEALTHCARE MATERIALS
Volume 11, Issue 7, Pages -

Publisher

WILEY
DOI: 10.1002/adhm.202101534

Keywords

inflammation; lung injury; microparticles; neutrophils; phagocytosis

Funding

  1. National Science Foundation Graduate Research Fellowship Program
  2. NIH [R01 HL145709]

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A technology using Poly-Aspirin (Poly-A) polymer microparticles has been developed to intervene in acute respiratory distress syndrome (ARDS), reducing neutrophil-mediated lung injury and inflammation, and enhancing survival rates.
Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) remain problematic due to high mortality rates and lack of effective treatments. Neutrophilic injury contributes to mortality in ALI/ARDS. Here, technology for rapid ARDS intervention is developed and evaluated, where intravenous salicylic acid-based polymer microparticles, i.e., Poly-Aspirin (Poly-A), interfere with neutrophils in blood, reducing lung neutrophil infiltration and injury in vivo in mouse models of ALI/ARDS. Importantly, Poly-A particles reduce multiple inflammatory cytokines in the airway and bacterial load in the bloodstream in a live bacteria lung infection model of ARDS, drastically improving survival. It is observed that phagocytosis of the Poly-A microparticles, with salicylic acid in the polymer backbone, alters the neutrophil surface expression of adhesion molecules, potentially contributing to their added therapeutic benefits. Given the proven safety profile of the microparticle degradation products-salicylic acid and adipic acid-it is anticipated that the Poly-A particles represent a therapeutic strategy in ARDS with a rare opportunity for rapid clinical translation.

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