Delivery of imatinib-incorporated nanoparticles into lungs suppresses the development of monocrotaline-induced pulmonary arterial hypertension

Int Heart J. 2015 May 13;56(3):354-9. doi: 10.1536/ihj.14-338. Epub 2015 Apr 23.

Abstract

Platelet-derived growth factor (PDGF) is implicated in the pathogenesis of pulmonary arterial hypertension (PAH). Imatinib, a PDGF-receptor tyrosine kinase inhibitor, improved hemodynamics, but serious side effects and drug discontinuation are common when treating PAH. A drug delivery system using nanoparticles (NPs) enables the reduction of side effects while maintaining the effects of the drug. We examined the efficacy of imatinib-incorporated NPs (Ima-NPs) in a rat model and in human PAH-pulmonary arterial smooth muscle cells (PASMCs). Rats received a single intratracheal administration of PBS, FITC-NPs, or Ima-NPs immediately after monocrotaline injection. Three weeks after monocrotaline injection, intratracheal administration of Ima-NPs suppressed the development of pulmonary hypertension, small pulmonary artery remodeling, and right ventricular hypertrophy in the rat model of monocrotaline-induced PAH. We also examined the effects of imatinib and Ima-NPs on PDGF-induced proliferation of human PAH-PASMCs by (3)H-thymidine incorporation. Imatinib and Ima-NPs significantly inhibited proliferation after 24 hours of treatment. Ima-NPs significantly inhibited proliferation compared with imatinib at 24 hours after removal of these drugs. Delivery of Ima-NPs into lungs suppressed the development of MCT-induced PAH by sustained antiproliferative effects on PAS-MCs.

MeSH terms

  • Animals
  • Benzamides / administration & dosage*
  • Benzamides / therapeutic use
  • Cells, Cultured
  • Disease Models, Animal
  • Humans
  • Hypertension, Pulmonary / chemically induced
  • Hypertension, Pulmonary / prevention & control*
  • Imatinib Mesylate
  • Male
  • Monocrotaline
  • Muscle, Smooth, Vascular / cytology
  • Myocytes, Smooth Muscle / drug effects
  • Nanoparticles*
  • Piperazines / administration & dosage*
  • Piperazines / therapeutic use
  • Pyrimidines / administration & dosage*
  • Pyrimidines / therapeutic use
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Platelet-Derived Growth Factor / antagonists & inhibitors*

Substances

  • Benzamides
  • Piperazines
  • Pyrimidines
  • Monocrotaline
  • Imatinib Mesylate
  • PDGF receptor tyrosine kinase
  • Receptors, Platelet-Derived Growth Factor