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Current Strategies and Potential Prospects for Nanoparticle-Mediated Treatment of Diabetic Nephropathy

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Pages 2653-2673 | Published online: 31 Aug 2022

Figures & data

Table 1 Examples of Preclinical Studies About Different Nanoplatform in the Treatment of DN

Figure 1 Generalized map of kidney-targeted drug transport based on KLPPR lipid nanoparticles.

Notes: (A). KLPPR composed of a negatively charged KTP-modified lipid layer and a positively charged rhein -loaded polycaprolactone-polyethyleneimine nanocore by electrostatic interaction. (B) Application of the two-step nanoscale cascade concept: (1) control the size of KLPPR in the range of 30–80 nm to ensure transport across the glomerular filtration membrane to the kidney; (2) KTP-modified membrane fusion promotes uptake and internalization by renal cells and increases the renal retention of KLPPR. Reproduced from Wang G, Li Q, Chen D et al, Kidney-targeted rhein-loaded liponanoparticles for diabetic nephropathy therapy via size control and enhancement of renal cellular uptake. Theranostics. 2019;9(21):6191–6208Citation4.
Abbreviations: KTP, kidney-targeting peptide; KLPPR, kidney-targeted RH-loaded liponano particles with a yolk-shell structure composed by PCL-PEI-based cores and KTP-modified lipid layers.
Figure 1 Generalized map of kidney-targeted drug transport based on KLPPR lipid nanoparticles.

Figure 2 Schematic diagram of the pathway by which C-Mn3O4 NPs maintain redox homeostasis by counteracting H2O2 distress.

Notes: Adapted from Adhikari A, Mondal S, Chatterjee T et al, Redox nanomedicine ameliorates chronic kidney disease (CKD) by mitochondrial reconditioning in mice. Commun Biol. 2021;4(1): Article 1013Citation77.
Abbreviation: C- Mn3O4 NPs, citrate functionalized Mn3O4 nanoparticles.
Figure 2 Schematic diagram of the pathway by which C-Mn3O4 NPs maintain redox homeostasis by counteracting H2O2 distress.

Figure 3 The diagram illustrates the possible potential pathways of action of PPE-AuNP in reversing STZ-induced DN.

Notes: Reproduced from Manna K, Mishra S, Saha M et al. Amelioration of diabetic nephropathy using pomegranate peel extract-stabilized gold nanoparticles: assessment of NF-kappaB and Nrf2 signaling system. Int J Nanomedicine. 2019;14:1753–1777Citation95.
Abbreviations: AuNP, gold nanoparticle; PPE, pomegranate peel extract; STZ, streptozotocin; DN, Diabetic nephropathy.
Figure 3 The diagram illustrates the possible potential pathways of action of PPE-AuNP in reversing STZ-induced DN.

Figure 4 Schematic diagram of treatment principle. Nanoparticle (NP)-assisted cinaciguat (CCG) delivery to intracellular Apo-/Fe3+-sGC of target mesangial cells.

Notes: After a sequential and thereby highly cell-selective mesangial NP uptake, CCG is released into the cytosol due to endolysosomal degradation of the NP. Here, CCG binds and thus activates both oxidized and heme-free sGC, leading to an increased production of 30.50-cyclic guanosine monophosphate (cGMP) and a protein kinase 1 α (PKG1-α) mediated inhibition of transforming growth factor β (TGF-β)-induced pathological remodeling. Adapted from Fleischmann D, Harloff M, Figueroa SM, Schlossmann J, Goepferich A. Targeted Delivery of Soluble Guanylate Cyclase (sGC) Activator Cinaciguat to Renal Mesangial Cells via Virus-Mimetic Nanoparticles Potentiates Anti-Fibrotic Effects by cGMP-Mediated Suppression of the TGF-beta Pathway. Int J Mol Sci. 2021;22(5):2557Citation124.
Abbreviation: sGC, the soluble form of guanylate cyclase.
Figure 4 Schematic diagram of treatment principle. Nanoparticle (NP)-assisted cinaciguat (CCG) delivery to intracellular Apo-/Fe3+-sGC of target mesangial cells.