Breaking the fibrinolytic speed limit with microwheel co-delivery of tissue plasminogen activator and plasminogen

Abstract

Fibrinolysis is the enzymatic degradation of fibrin, the biopolymer that gives blood clots their mechanical integrity. To reestablish blood flow in vessels occluded by clots, tissue plasminogen activator (tPA) can be used; however, its efficacy is limited by transport to and into a clot and by the depletion of its substrate, plasminogen. To overcome these rate limitations, we design a platform to co-deliver tPA and plasminogen based on microwheels (wheels), wheel-like assemblies of superparamagnetic colloidal beads that roll along surfaces at high speeds and carry therapeutic payloads in applied magnetic fields. By experimentally measuring fibrinolysis of plasma clots at varying concentrations of tPA and plasminogen, the biochemical speed limit was first determined. These data, in conjunction with measurements of wheel translation, activity of immobilized tPA on beads, and plasminogen release kinetics from magnetic mesoporous silica nanoparticles (mMSN), were used in a mathematical model to identify the optimal tPA:plasminogen ratio and guide the coupling of plasminogen-loaded mMSN to tPA functionalized superparamagnetic beads. Once coupled, particle-bead assemblies form into a co-delivery vehicle that rolls to plasma clot interfaces and lyses them at rates comparable to the biochemical speed limit. With the addition of mechanical action provided by rotating wheels to penetrate clots, this barrier was exceeded by rates 40-fold higher lysis by 50 nM tPA. This co-delivery of an immobilized enzyme and its substrate via a microbot capable of mechanical work has the potential to target and rapidly lyse clots that are inaccessible by mechanical thrombectomy devices or recalcitrant to systemic tPA delivery.