uPAR-Guided Dendrimer Gel Nanoparticles Reprogram Inflammation to Stabilize Atherosclerotic Plaques. ACS Appl Mater Interfaces 2026 Jul 08;18(26):36455-36469
Date
06/24/2026Pubmed ID
42340987Pubmed Central ID
PMC13352503DOI
10.1021/acsami.5c26233Scopus ID
2-s2.0-105044248260 (requires institutional sign-in at Scopus site)Abstract
Atherosclerosis is characterized by lipid deposition, chronic inflammation, and apoptosis within the arterial wall, leading to plaque progression and instability. Current lipid-lowering therapies fail to fully address residual cardiovascular risk driven by local inflammation and cell death. Here, we report the development of uPA-functionalized, rapamycin-encapsulated dendrimer nanoparticles (G5PM-uPA/RA) that preferentially accumulate in urokinase plasminogen activator receptor (uPAR)-enriched atherosclerotic plaque, including macrophage- and apoptosis-rich lesion microenvironments. G5PM-uPA/RA was constructed by cross-linking reaction-enabled flash nanoprecipitation in a custom-made multi-inlet vortex mixer, followed by thiol-maleimide conjugation of uPA for uPAR-guided targeting. The nanoparticles demonstrated uniform morphology, favorable stability, and efficient rapamycin loading. In vitro, G5PM-uPA/RA exhibited enhanced macrophage uptake (1.3-fold than nontargeted form), sustained intracellular drug retention (2.2-fold than free drug), and effective suppression of inflammatory cytokine TNF-α release (-10%). In vivo biodistribution studies in Ldlr-/- mice confirmed accumulation of G5PM-uPA/RA in aortic lesions. Four weeks of G5PM-uPA/RA treatment in Ldlr-/- mice led to significant reduction in plaque burden (-52% in whole aorta, -41% in aortic root), necrotic core size (-68%), proinflammatory cytokines (-59% for TNF-α, -57% for IL-6), and apoptosis (-61%), while promoting fibrous cap thickening (+60%). Importantly, systemic toxicity was not observed. Collectively, these findings demonstrate that G5PM-uPA/RA offers an effective and safe strategy for inflammation modulation and plaque stabilization, providing a promising nanomedicine platform for atherosclerosis therapy.
Author List
Chuang HY, Kou H, Huang YW, Yang HAuthor
Hsin-Yin Chuang Postdoctoral Researcher in the Biomedical Engineering department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AnimalsApoptosis
Atherosclerosis
Dendrimers
Gels
Humans
Inflammation
Macrophages
Male
Mice
Mice, Inbred C57BL
Nanoparticles
Plaque, Atherosclerotic
Sirolimus









