Although
poly(aspartic acid) (PASP), a strong calcium chelating
agent, may be potentially effective in inhibition of vascular calcification,
its direct administration may lead to side effects. In this study,
we employed polysuccinimide, a precursor of PASP, to prepare targeted
polysuccinimide-based nanoparticles (PSI NPs) that not only acted
as a prodrug but also functioned as a carrier of additional therapeutics
to provide powerful synergistic vascular anticalcification effect.
This paper shows that chemically modified PSI-NPs can serve as effective
nanocarriers for loading of hydrophobic drugs, in addition to anticalcification
and antireactive oxygen species (anti-ROS) activities. Curcumin (Cur),
with high loading efficiency, was encapsulated into the NPs. The NPs
were stable for 16 h in physiological conditions and then slowly dissolved/hydrolyzed
to release the therapeutic PASP and the encapsulated drug. The drug
release profile was found to be in good agreement with the NP dissolution
profile such that complete release occurred after 48 h at physiological
conditions. However, under acidic conditions, the NPs were stable,
and Cur cumulative release reached only 30% after 1 week. Though highly
effective in the prevention of calcium deposition, PSI NPs could not
prevent the osteogenic trans-differentiation of vascular smooth muscle
cells (VSMCs). The presence of Cur addressed this problem. It not
only further reduced ROS level in macrophages but also prevented osteogenic
differentiation of VSMCs in vitro. The NPs were examined in vivo in a rat model of vascular calcification induced
by kidney failure through an adenine diet. The inclusion of Cur and
PSI NPs combined the therapeutic effects of both. Cur-loaded NPs significantly
reduced calcium deposition in the aorta without adversely affecting
bone integrity or noticeable side effects/toxicity as examined by
organ histological and serum biochemistry analyses.