Oral pH sensitive GNS@ab nanoprobes for targeted therapy of Helicobacter pylori without disturbance gut microbiome

Nanomedicine. 2019 Aug:20:102019. doi: 10.1016/j.nano.2019.102019. Epub 2019 May 22.

Abstract

How to eradicate Helicobacter pylori (H. pylori) in vivo with antibiotic resistance owns tremendous clinical requirement. Herein, gold nanostars were conjugated with acid-sensitive cis-aconitic anhydride modified anti-H. pylori polyclonal antibodies, resultant pH sensitive gold nanostars@H. pylori-antibodies nanoprobes (GNS@Ab) were employed for the theranostics of H. pylori in vivo. Photoacoustic imaging confirmed that prepared GNS@Ab could target actively H. pylori in the stomach. GNS@Ab nanoprobes could kill H. pylori in vivo in model animals under NIR laser irradiation, all GNS@Ab nanoprobes could be excreted out of gut within 7 days after oral administration. Gastric local lesion caused by H. pylori restored to normal status within one month. GNS@Ab nanoprobes within therapeutic doses did not damage intestinal bacteria imbalance. Forty clinical specimens of H. pylori with antibiotic resistance were verified validity of GNS@Ab nanoprobes. Prepared oral pH-sensitive GNS@Ab nanoprobes own clinical translational potential in the theranostics of H. pylori in near future.

Keywords: Antibiotic resistance; Gold nanostars; Gut microbiome; Helicobacter pylori; Numerical simulation; Photoacoustic imaging; Photothermal therapy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Animals
  • Antibodies / pharmacology*
  • Cell Death / drug effects
  • Elastic Modulus
  • Female
  • Gastrointestinal Microbiome* / drug effects
  • Gold / chemistry*
  • Helicobacter pylori / drug effects
  • Helicobacter pylori / physiology*
  • Humans
  • Hydrogen-Ion Concentration
  • Hyperthermia, Induced
  • Metal Nanoparticles / chemistry*
  • Metal Nanoparticles / ultrastructure
  • Mice, Inbred BALB C
  • Photoacoustic Techniques
  • Phototherapy
  • Phylogeny
  • Polyethylene Glycols / chemistry
  • Stomach / microbiology
  • Tissue Distribution / drug effects

Substances

  • Antibodies
  • Polyethylene Glycols
  • Gold