心臓治癒を促進する薬剤放出パッチを開発(New patch could help heal heart)

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2025-11-04 マサチューセッツ工科大学(MIT)

MITの研究チームは、心臓発作後の組織修復と血管再生を促すプログラム可能な薬剤送達パッチを開発した。パッチは複数の薬剤を異なる時点で放出するよう設計され、ラット実験で心筋損傷を50%減少させ、心機能を著しく改善した。パッチにはPLGAマイクロカプセルが埋め込まれ、1〜14日間で順次分解し、細胞死抑制因子Neuregulin-1、血管新生促進因子VEGF、瘢痕形成抑制剤GW788388を段階的に放出する。素材は生体適合性高分子アルギン酸とPEGDAで構成され、体内で徐々に分解される。研究成果はCell Biomaterials誌に掲載され、心臓再生医療の新戦略として期待される。

<関連情報>

TIMED: 微粒子カプセル化と送達による時間的介入 – 心筋梗塞後治療のためのプログラム放出システム TIMED: Temporal intervention with microparticle encapsulation and delivery—A programmed release system for post-myocardial infarction therapy

Erika Yan Wang ∙ Elizabeth A. Calle ∙ Binbin Ying ∙ … ∙ Yi Liu ∙ Robert Langer ∙ Ana Jaklenec
Cell Biomaterials  Published:November 4, 2025
DOI:https://doi.org/10.1016/j.celbio.2025.100249

心臓治癒を促進する薬剤放出パッチを開発(New patch could help heal heart)

The bigger picture

Myocardial infarction (MI) remains one of the most pressing global health problems, leaving millions of patients with long-term cardiac dysfunction despite advances in acute surgical care. A major challenge is that the biological response to MI unfolds in distinct phases, yet most current therapies deliver drugs in a single burst, poorly aligned with these dynamic needs. This work introduces TIMED (temporal intervention with microparticle encapsulation and delivery), an implantable polymeric system. By combining spatially patterned microparticles within a hydrogel patch, TIMED achieves a programmable multi-phasic release profile. The system demonstrated strong mechanical performance and biocompatibility for surgical handling and long-term implantation and maintained stability during storage, showing potential for off-the-shelf clinical use.

First validated in human stem cell-derived cardiac tissues, our sequential treatment regimen delivered by TIMED enhanced survival and vascularization, while limiting fibrosis and supporting the biological logic of timed dosing. In a rodent MI model, TIMED treatment improved survival, reduced cardiac injury markers and infarct size, and restored heart function beyond what was achieved with equivalent dosing delivered by conventional intravenous therapy. These findings establish the first cardiac implantable polymeric platform with a programmable release profile, enabling advanced multi-dosing localized therapy. Beyond the demonstrated treatment regimen, the TIMED platform’s precise control over drug combinations and release timing provides a framework for sequential treatment across broad therapeutic contexts.

Highlights

  • Programmable multi-phasic release via microparticles in a hydrogel patch
  • Strong mechanics, biocompatibility, and storage stability for clinical use
  • TIMED improves survival, restores function, and reduces injury in vitro and in vivo
  • Modular, localized sequential therapy adaptable to broad clinical contexts

Summary

Myocardial infarction (MI) is a major global health challenge. Surgical interventions address the acute phase but often fail to support long-term recovery. Sequential post-operative drug delivery offers promise but is constrained by release methods. Here, we developed TIMED (temporal intervention with microparticle encapsulation and delivery), a polymeric device enabling programmed sequential release through spatially patterned microparticles in a tough hydrogel matrix. TIMED demonstrated excellent mechanical performance and biocompatibility for long-term implantation and retained strong stability after storage. A sequential dosing regimen aligned with the innate post-MI response was first validated in hiPSC-derived cardiac tissues, where it enhanced cell viability and vascularization while reducing collagen deposition. In vivo, delivery via the TIMED improved survival, reduced injury markers and infarct size, and enhanced cardiac output, outperforming equivalent i.v. dosing. This work establishes a first-of-its-kind cardiac implantable polymeric platform with modular sequential release and provides a framework for programmed multi-dosing across diverse applications.

医療・健康
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