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Tuned Cationic Dendronized Polymer: Molecular Scavenger for Rheumatoid Arthritis Treatment
Author(s) -
Peng Bo,
Liang Huiyi,
Li Yuyan,
Dong Cong,
Shen Jun,
Mao HaiQuan,
Leong Kam W.,
Chen Yongming,
Liu Lixin
Publication year - 2019
Publication title -
angewandte chemie international edition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.831
H-Index - 550
eISSN - 1521-3773
pISSN - 1433-7851
DOI - 10.1002/anie.201813362
Subject(s) - cationic polymerization , rheumatoid arthritis , nucleic acid , chemistry , inflammation , arthritis , innate immune system , scavenger receptor , receptor , biochemistry , medicine , immunology , polymer chemistry , lipoprotein , cholesterol
Cell‐free deoxyribonucleic acid (cfDNA) released from either dead or damaged cells serves as a key autoantigen in rheumatoid arthritis (RA). They can be recognized by nucleic acid (NA) sensors such as the toll‐like receptor (TLR), leading to activation of the innate immune system and chronic inflammation. Developed here is a cationic molecular scavenger, by screening cationic dendronized polymers, which eliminates cfDNA and inhibits TLR recognition and nucleic‐acid‐induced inflammation. The structure–property study demonstrates that toxicity, NA binding capacity, and biodistribution could be balanced to achieve maximum therapeutic effect by exquisite control of the molecular structure. In addition, the optimized cationic polymer effectively inhibited joint swelling, synovial hyperplasia, and bone destruction in collagen‐induced arthritis (CIA) rat models. The results offer support for synthetic polymers offering new paradigm in autoimmune disease treatment.

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