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Peer-reviewedCC BY-NCInternational journal of nanomedicine

Microenvironment-Triggered Sequentially Targeted Micelles for Dual Regulation of Macrophages and Fibroblast-Like Synoviocytes via ROS-Responsive Rg1 Release and HAP-1-Mediated Celastrol Delivery in Rheumatoid Arthritis Therapy.

  1. 1College of Pharmacy, Liaoning University of Traditional Chinese Medicine, Dalian, 116600, People's Republic of China.
  2. 2Department of Pharmacy, Affiliated Zhongshan Hospital of Dalian University, Dalian, 116001, People's Republic of China.

Abstract

Introduction

Excessive proliferation of invasive fibroblast-like synoviocytes (FLS) and persistent synovial inflammation inevitably drive the pathological progression of rheumatoid arthritis (RA). A drug delivery system enabling dual regulation of macrophages and FLS is highly desirable for RA treatment.Methods

We fabricated microenvironment-triggered sequentially targeted micelles (HAP@CMR) co-loaded with ginsenoside Rg1 (Rg1) and celastrol (Cel) for dual regulation of macrophages and FLS. Rg1 was conjugated to the micelle surface via a ROS-responsive linker. Within the ROS-overexpressing joint microenvironment, ROS-triggered cleavage of the Rg1 shell unmasked the HAP-1 targeting peptide to facilitate FLS endocytosis alongside selective Rg1 release, which suppressed macrophage-mediated inflammation. Cel was selectively internalized by FLS through the exposed HAP-1 peptide to inhibit FLS proliferation.Results

In vitro, HAP@CMR repolarized macrophages from the pro-inflammatory M1 phenotype to the anti-inflammatory M2 phenotype, suppressed inflammatory cytokine secretion, and exerted potent inhibitory effects on the proliferation, migration, and invasion of FLS. In a rat collagen-induced arthritis (CIA) model, administration of HAP@CMR led to the most pronounced reduction in paw swelling among all drug-treated groups. Further histological, X-ray, and micro-CT assessments confirmed that this treatment effectively alleviated synovial inflammation, attenuated cartilage erosion, and inhibited bone destruction.Conclusion

This novel nanoplatform promotes FLS apoptosis while mitigating local inflammatory responses, providing a promising therapeutic strategy for RA.

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BibTeX
@article{zhang2026microenvironmenttriggered,
  title = {{Microenvironment-Triggered Sequentially Targeted Micelles for Dual Regulation of Macrophages and Fibroblast-Like Synoviocytes via ROS-Responsive Rg1 Release and HAP-1-Mediated Celastrol Delivery in Rheumatoid Arthritis Therapy.}},
  author = {Yani Zhang and Ruibo Guo and Ying Zheng and Ge Zhang and Yifei Gao and Ziyan Hua and Bangyun Liu and Xuetao Li and Yuanyuan Wang and Liang Kong},
  journal = {International journal of nanomedicine},
  year = {2026},
  month = oct,
  doi = {10.2147/ijn.s644123},
  url = {https://europepmc.org/article/MED/42960261},
  note = {CC BY-NC},
}
RIS
TY  - JOUR
TI  - Microenvironment-Triggered Sequentially Targeted Micelles for Dual Regulation of Macrophages and Fibroblast-Like Synoviocytes via ROS-Responsive Rg1 Release and HAP-1-Mediated Celastrol Delivery in Rheumatoid Arthritis Therapy.
AU  - Yani Zhang
AU  - Ruibo Guo
AU  - Ying Zheng
AU  - Ge Zhang
AU  - Yifei Gao
AU  - Ziyan Hua
AU  - Bangyun Liu
AU  - Xuetao Li
AU  - Yuanyuan Wang
AU  - Liang Kong
PY  - 2026
DA  - 2026/10/25
JO  - International journal of nanomedicine
DO  - 10.2147/ijn.s644123
UR  - https://europepmc.org/article/MED/42960261
AB  - Introduction  Excessive proliferation of invasive fibroblast-like synoviocytes (FLS) and persistent synovial inflammation inevitably drive the pathological progression of rheumatoid arthritis (RA). A drug delivery system enabling dual regulation of macrophages and FLS is highly desirable for RA treatment.Methods  We fabricated microenvironment-triggered sequentially targeted micelles (HAP@CMR) co-loaded with ginsenoside Rg1 (Rg1) and celastrol (Cel) for dual regulation of macrophages and FLS. Rg1 was conjugated to the micelle surface via a ROS-responsive linker. Within the ROS-overexpressing joint microenvironment, ROS-triggered cleavage of the Rg1 shell unmasked the HAP-1 targeting peptide to facilitate FLS endocytosis alongside selective Rg1 release, which suppressed macrophage-mediated inflammation. Cel was selectively internalized by FLS through the exposed HAP-1 peptide to inhibit FLS proliferation.Results  In vitro, HAP@CMR repolarized macrophages from the pro-inflammatory M1 phenotype to the anti-inflammatory M2 phenotype, suppressed inflammatory cytokine secretion, and exerted potent inhibitory effects on the proliferation, migration, and invasion of FLS. In a rat collagen-induced arthritis (CIA) model, administration of HAP@CMR led to the most pronounced reduction in paw swelling among all drug-treated groups. Further histological, X-ray, and micro-CT assessments confirmed that this treatment effectively alleviated synovial inflammation, attenuated cartilage erosion, and inhibited bone destruction.Conclusion  This novel nanoplatform promotes FLS apoptosis while mitigating local inflammatory responses, providing a promising therapeutic strategy for RA.
SN  - 1176-9114
SN  - 1178-2013
ER  -