2014
DOI: 10.1021/nn501129q
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Self-Titrating Anticoagulant Nanocomplexes That Restore Homeostatic Regulation of the Coagulation Cascade

Abstract: Antithrombotic therapy is a critical portion of the treatment regime for a number of life-threatening conditions, including cardiovascular disease, stroke, and cancer; yet, proper clinical management of anticoagulation remains a challenge because existing agents increase the propensity for bleeding in patients. Here, we describe the development of a bioresponsive peptide–polysaccharide nanocomplex that utilizes a negative feedback mechanism to self-titrate the release of anticoagulant in response to varying le… Show more

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Cited by 36 publications
(30 citation statements)
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References 66 publications
(109 reference statements)
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“…One example of the use of this is the incorporation of an MMP-cleavable peptide (GGRMSMPV) into a hyaluronic acid hydrogel that was used to deliver a recombinant tissue inhibitor of MMPs in a porcine model of myocardial infarction 113 . In addition to MMP-responsive hydrogels, there exist other cleavage systems that respond to biomolecules present in the body, such as glucose-responsive hydrogels for insulin delivery 114,115 and thrombin-responsive hydrogels to regulate blood coagulation 116,117 . Degradation can also be triggered in real time with externally provided cues.…”
Section: Mesh Size Controls Diffusion and Releasementioning
confidence: 99%
“…One example of the use of this is the incorporation of an MMP-cleavable peptide (GGRMSMPV) into a hyaluronic acid hydrogel that was used to deliver a recombinant tissue inhibitor of MMPs in a porcine model of myocardial infarction 113 . In addition to MMP-responsive hydrogels, there exist other cleavage systems that respond to biomolecules present in the body, such as glucose-responsive hydrogels for insulin delivery 114,115 and thrombin-responsive hydrogels to regulate blood coagulation 116,117 . Degradation can also be triggered in real time with externally provided cues.…”
Section: Mesh Size Controls Diffusion and Releasementioning
confidence: 99%
“…For each of the three PEGylated compounds, we used a 5 kDa PEG chain, a length widely used in the literature 22 and successfully applied to several nanoparticle systems in our group. 23, 24 We were also interested in determining whether it is beneficial to display the targeting moiety on the distal end of the PEG chain, as such a modification could potentially improve cell-targeting functionality.…”
Section: Resultsmentioning
confidence: 99%
“…Such triggering can be from internal stimuli such as pH, enzyme action, temperature, and shear forces or external stimuli such as focused ultrasound, NIR irradiation, and magnetic impulses. 135,136,201,202,219,[316][317][318][319][320][321][322][323][324][325][326][327][328] These unique "triggered release" approaches continue to add exciting refinements and attributes in the area of vascular nanomedicine, which can be leveraged to enhance delivery efficiency and release kinetics and therapeutic effects site selectively in various vascular pathologies.…”
Section: Current State-of-the-art In Vascular Nanomedicine Systems Anmentioning
confidence: 99%