ORCID Identifier(s)

0000-0002-7038-1422

Graduation Semester and Year

Summer 2026

Language

English

Document Type

Dissertation

Degree Name

Doctor of Philosophy in Biomedical Engineering

Department

Bioengineering

First Advisor

Dr. Kytai T. Nguyen

Second Advisor

Dr. Juhyun Lee

Third Advisor

Dr. Tam Nguyen

Fourth Advisor

Dr. Liping Tang

Fifth Advisor

Dr. Pan Zui

Abstract

Peripheral artery disease (PAD) restricts blood flow in the arteries, causing limb ischemia and high morbidity. Current treatments include invasive surgical revascularization or medications that mainly relieve symptoms without addressing the underlying cause. However, many older patients with PAD are not suitable candidates for surgery, highlighting the need for alternative therapies. To address this, we developed cyclo(1,12)-PenITDGEATDSGC (cLABL) targeted multifunctional nanoparticles (MNPs) loaded with erythropoietin and its plasmid for localized, ICAM-1-targeted delivery to ischemic tissue (cLABL/E/cE MNPs). These MNPs also enable fluorescent and photoacoustic imaging to track nanoparticles biodistribution. The ~240 nm theranostic cLABL/E/cE MNPs nearly doubled cellular uptake in vitro and showed 1.5-fold higher localization at 2 hours and 3.6-fold higher at 7 days post-injection in PAD mice. They enabled fluorescence and photoacoustic imaging for biodistribution tracking in vitro and in vivo. The cLABL/E/cE NPs outperformed single-loaded formulations, increasing proliferation by 27%, migration by 20%, and tube formation by over twofold. In PAD mice, the cLABL/E/cE MNPs restored blood perfusion significantly higher than free treatment, while saline and blank controls showed no improvement. Histology confirmed at least 2.5-fold reductions in inflammation, adipocyte infiltration, and fibrosis, along with 2-fold greater neovascularization. The MNPs were safe across different cells lines and red blood cells, as well as other organs in the PAD model, showing no differences in toxicity across groups. Overall, our targeted cLABL/E/cE MNPs prevented apoptosis, enhanced angiogenesis, restored perfusion, and enabled real-time imaging, offering a promising alternative therapy for PAD.

Keywords

Peripheral artery disease, Nanoparticles, Erythropoietin, Gene delivery, Protein delivery, cLABL, Theranostics, Photoacoustic imaging, Fluorescence imaging

Disciplines

Biomedical Engineering and Bioengineering | Biotechnology | Nanoscience and Nanotechnology

License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Available for download on Wednesday, August 09, 2028

Share

COinS