During liver fibrogenesis, liver sinusoidal capillarization
and
extracellular matrix (ECM) deposition construct dual pathological
barriers to drug delivery. Upon capillarization, the vanished fenestrae
in liver sinusoidal endothelial cells (LSECs) significantly hinder
substance exchange between blood and liver cells, while excessive
ECM further hinders the delivery of nanocarriers to activated hepatic
stellate cells (HSCs). Herein, an efficient nanodrug delivery system
was constructed to sequentially break through the capillarized LSEC
barrier and the deposited ECM barrier. For the first barrier, LSEC-targeting
and fenestrae-repairing nanoparticles (named HA-NPs/SMV) were designed
on the basis of the modification with hyaluronic acid and the loading
of simvastatin (SMV). For the second barrier, collagenase I and vitamin
A codecorated nanoparticles with collagen-ablating and HSC-targeting
functions (named CV-NPs/siCol1α1) were prepared to deliver siCol1α1
with the goal of inhibiting collagen generation and HSC activation.
Our in vivo results showed that upon encountering
the capillarized LSEC barrier, HA-NPs/SMV rapidly released SMV and
exerted a fenestrae-repairing function, which allowed more CV-NPs/siCol1α1
to enter the space of Disse to degrade deposited collagen and finally
to achieve higher accumulation in activated HSCs. Scanning electronic
microscopy images showed the recovery of liver sinusoids, and analysis
of liver tissue sections demonstrated that HA-NPs/SMV and CV-NPs/siCol1α1
had a synergetic effect. Our pathological barrier-normalization strategy
provides an antifibrotic therapeutic regimen.