!!! DISCUSSION GROUP RULES !!!

1. You must be a registered website user in order to post and comment. Guests may read only.
2. Be kind and helpful, not rude and cynical.
3. Don't advertise or promote anything. You will be banned from the group.
4. Report problems to the moderators. THANK YOU!

Nanoparticle antibody decoys - on the horizon!!!

More
9 years 3 months ago #55985 by Rob16
This is groundbreaking:

On a recent road trip my mind wandered to the possibility of a treatment for ITP based on the idea of tricking antiplatelet antibodies into attacking decoy particles instead platelets. This would require creating particles that have receptors that mimic the antibody receptor sites (antigens) on platelets. These receptors would act as a sponge to soak up most of the antiplatelet antibodies before they have a chance to attack platelets, overwhelming the autoimmune response to platelets.

So, I am excited to have stumbled on a newly-released article about research being done based on this principle! The promise is huge, in that the errant antibodies themselves are being directly targeted. In addition, one can easily imagine that the model could be expanded to devise treatments for other autoimmune disorders.

www.sciencedirect.com/science/article/pii/S0142961216305397
Nanoparticles camouflaged in platelet membrane coating as an antibody decoy for the treatment of immune thrombocytopenia
Xiaoli Weia, Jie Gaoa, et al
Department of NanoEngineering and Moores Cancer Center, University of California, San Diego, La Jolla, CA 92093, USA
Department of Pharmaceutics, School of Pharmacy, Fudan University, Key Laboratory of Smart Drug Delivery (Fudan University), Ministry of Education, Shanghai 201203, PR China
dx.doi.org/10.1016/j.biomaterials.2016.10.003

Abstract
Immune thrombocytopenia purpura (ITP) is characterized by the production of pathological autoantibodies that cause reduction in platelet counts. The disease can have serious medical consequences, leading to uncontrolled bleeding that can be fatal. Current widely used therapies for the treatment of ITP are nonspecific and can, at times, result in complications that are more burdensome than the disease itself.

In the present study, the use of platelet membrane-coated nanoparticles (PNPs) as a platform for the specific clearance of anti-platelet antibodies is explored. The nanoparticles, whose outer layer displays the full complement of native platelet surface proteins, act as decoys that strongly bind pathological anti-platelet antibodies in order to minimize disease burden.

Here, we study the antibody binding properties of PNPs and assess the ability of the nanoparticles to neutralize antibody activity both in vitro and in vivo. Ultimately, we leverage the neutralization capacity of PNPs to therapeutically treat a murine model of antibody-induced thrombocytopenia and demonstrate considerable efficacy as shown in a bleeding time assay.

PNPs represent a promising platform for the specific treatment of antibody-mediated immune thrombocytopenia by acting as an alternative target for anti-platelet antibodies, thus preserving circulating platelets with the potential of leaving broader immune function intact.

Keywords :
Autoimmune disease; Platelet membrane-coated nanoparticle; Biomimetic nanoparticle; Nanosponge; Antibody decoy

The following user(s) said Thank You: Hal9000

Please Log in or Create an account to join the conversation.

More
9 years 3 months ago - 9 years 3 months ago #55987 by Rob16
A news story linked by ananta four years ago might better explain the concept:

vitals.nbcnews.com/_news/2012/11/18/15246299-new-approach-could-treat-ms-other-autoimmune-diseases?lite#__utma=238145375.589638447.1347653232.1353180510.1353351001.64&__utmb=238145375.4.10.1353351001&__utmc=238145375&__utmx=-&__utmz=238145375.1353351001.64.23.utmcsr=nbcnews.com|utmccn=%28referral%29|utmcmd=referral|utmcct=/&__utmv=238145375.|8=Earned%20By=msnbc|world%20news=1^12=Landing%20Content=Mixed=1^13=Landing%20Hostname=www.msnbc.msn.com=1^30=Visit%20Type%20to%20Content=Internal%20to%20Mixed=1&__utmk=262424911
New approach could treat MS, other autoimmune diseases
Sunday Nov 18, 2012 10:18 AM

So, for some this is old news, except that it is now being studied with ITP, and they are making real progress.

Also, in this older article it sounds like they are anticipating a cure, whereas the newer article seems to be anticipating a treatment. I am struggling to understand why there is a difference.
The following user(s) said Thank You: Hal9000

Please Log in or Create an account to join the conversation.

More
9 years 3 months ago #55990 by tamar
Interesting....this is how WinRho, works, you know, except that it binds to RBCs.
The following user(s) said Thank You: Rob16

Please Log in or Create an account to join the conversation.

More
9 years 3 months ago #55991 by Rob16
Yes, in fact I had just been explaining the WinRho mechanism to Ellen when I thought of this approach.

There is a slight difference, if I understand it correctly, between the mechanism described in the newer study, and the mechanism of WinRho. With WinRho, erythrocytes are tagged for destruction by macrophages, overwhelming the supply of macrophages as they destroy RBCs instead of platelets. With nanoparticle antibody decoys, the nanoparticles are tagged with platelet antigens, overwhelming the supply of antiplatelet antibodies, as opposed to overwhelming the macrophages.

Your comment has helped me to understand how the mechanism of the older study and the mechanism of the newer study are different. The strategy of the older study is to overwhelm macrophages (specifically, T-cells) in a manner analogous to that of WinRho, whereas the new study's strategy is to overwhelm the supply of antibodies.

Thanks, Tamar, for helping me figure this out. I hope I have figured it out correctly!

Please Log in or Create an account to join the conversation.

  • mrsb04
  • Offline
  • ITP since 2014. Retired nurse. My belief is empower patients to be involved as much as possible in their care. Read, read, read & ALWAYS question medics about the evidence base they use.
More
9 years 3 months ago #55993 by mrsb04
Sounds a great idea to me plants of abstracts available on line but can't find open access to any full length article unfortunately

Please Log in or Create an account to join the conversation.

  • Hal9000
  • Offline
  • Give me all your platelets and nobody gets hurt
More
9 years 3 months ago #55997 by Hal9000
These look to be two fantastic new ideas. I've read through it twice now. Let me see if I understand in terms of eventual treatments.

For the article about decoys. One might (self) inject oneself with decoys every day / few days?

For the article about re-educating T (memory) cells. They would draw one's blood, coat the platelets with a PLG like substance which is specially formulated (for you?), then re-infuse back. On re-education of T cells one would at least go into remission, or be cured, as with Rituxin but without the dangers.

Please Log in or Create an account to join the conversation.

More
9 years 3 months ago #56000 by Rob16
All good questions, Hal9000.

I think that the PLG nanoparticles would be coated with bits of platelet membrane, rather than the reverse. Otherwise, your assumptions seem reasonable, but I don't know if they are correct. Some of those answers might be behind the paywall, if anyone here has access.

Also, I do not understand the process of "re-educating" a T-cell. (The language makes me think of the "re-education camps" in PR China) Wikipedia lists many different kinds of T cells, all of which function differently, and the article does not distinguish between them. But would it not be the Treg cells, rather than the memory T-cells that would need to be re-educated to tolerate platelet antigens?

Can anyone clarify all this?
The following user(s) said Thank You: Hal9000

Please Log in or Create an account to join the conversation.

You’re not alone. We have answers! Contact PDSA to connect with life altering information, resources and referrals. 440.746.9003 (877.528.3538 toll-free) or PDSA@PDSA.org.

Platelet Disorder Support Association

Platelet Disorder Support Association
8751 Brecksville Road Suite 150
Cleveland, OH 44141
440.746.9003  |  pdsa@pdsa.org
The Platelet Disorder Support Association is a 501(c)3 organization and donations are tax deductible to the fullest extent allowed by law.

IMPORTANT!

The Platelet Disorder Support Association does not provide medical advice or endorse any medication, vitamins or herbs. The information contained herein is not intended nor implied to be a substitute for professional medical advice and is provided for educational purposes only. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment, discontinuing an existing treatment and to discuss any questions you may have regarding your unique medical condition.