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Open AccessDOI: 10.1007/s40843-026-4212-xOriginal Research

Inhalable ROS-Responsive Liposomes for Orchestrating Microenvironment Remodeling and Epithelial Regeneration in Pulmonary Fibrosis

Key Laboratory of Biomedical Polymers of Ministry of Education, Department of Chemistry, Wuhan University

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Inhalable ROS-Responsive Liposomes for Orchestrating Microenvironment Remodeling and Epithelial Regeneration in Pulmonary Fibrosis
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Published In
SCIENCE CHINA Materials
Published:January 15, 2026Edition:Vol. 32, Issue 1 • pp. 100-112Citation:Jia-Min Xie et al. (2026), SCIENCE CHINA Materials
Impact Factor3.5 (Q2 Scopus)
Source Journal中国科学: 材料

Key Takeaways & Executive Findings

  • • • The SAB/GC-1@Lip-cRGD liposomes reduced the proportion of CD206+ M2 macrophages from 27.4% (model group) to 6.2% (treated group), a 77.4% reduction, demonstrating potent immunomodulatory effects that are critical for halting fibrosis progression. • • Treatment with SAB/GC-1@Lip-cRGD significantly decreased levels of pro-inflammatory cytokines (TNF-α, IL-1β, IL-6) and the pro-fibrotic cytokine TGF-β1 in both bronchoalveolar lavage fluid and lung homogenates, confirming effective suppression of the inflammatory and fibrotic cascade. • • The ROS-responsive liposomal system enables targeted delivery and controlled release of therapeutic agents specifically within the high-ROS fibrotic microenvironment, enhancing drug accumulation at fibrotic lesions while minimizing systemic toxicity—a key advantage over conventional systemic therapies. • • The combination of SAB (antioxidant) and GC-1 (TRβ agonist) synergistically remodels the fibrotic niche and promotes epithelial regeneration, leading to significant collagen depletion and restoration of alveolar integrity, as evidenced by superior anti-fibrotic efficacy compared to single-drug or non-targeted formulations.

Abstract

Idiopathic pulmonary fibrosis (IPF) is a lethal interstitial lung disease with limited therapeutic options. Current treatments, such as nintedanib and pirfenidone, target downstream fibrosis but fail to address the upstream drivers, including persistent alveolar epithelial injury and abnormal repair. This study presents an inhalable, reactive oxygen species (ROS)-responsive liposomal system (SAB/GC-1@Lip-cRGD) that co-delivers the antioxidant salvianolic acid B (SAB) and the thyroid hormone receptor β (TRβ) agonist Sobetirome (GC-1). The liposomes are surface-modified with cRGD peptides for targeted delivery to fibrotic lesions and possess a negative surface charge to enhance mucus penetration. In the high-ROS fibrotic microenvironment, the liposomes destabilize, releasing SAB and GC-1. SAB scavenges ROS to remodel the fibrotic niche, while GC-1 reactivates TRβ signaling, driving the differentiation of stalled Krt8+ transitional epithelial cells into functional alveolar type I (AT1) cells. In a mouse model of pulmonary fibrosis, SAB/GC-1@Lip-cRGD significantly reduced pro-inflammatory cytokines (TNF-α, IL-1β, IL-6) and TGF-β1 in bronchoalveolar lavage fluid and lung homogenates. The proportion of CD206+ M2 macrophages decreased from 27.4% in the model group to 6.2% after treatment, indicating potent anti-inflammatory and anti-fibrotic effects. This synergistic strategy of microenvironment remodeling and epithelial regeneration achieved robust collagen depletion, restoration of alveolar integrity, and recovery of pulmonary function, outperforming single-drug or non-targeted formulations. The work provides a generalized paradigm for integrating microenvironment regulation with regenerative repair in pulmonary diseases.

1. Introduction

Idiopathic pulmonary fibrosis (IPF) remains a fatal interstitial lung disease with a median survival of only 3–5 years post-diagnosis. The current standard of care, nintedanib and pirfenidone, offers modest benefits by slowing disease progression but fails to reverse established fibrosis or address the root cause: persistent alveolar epithelial injury and aberrant repair. These drugs also exhibit significant systemic side effects, including gastrointestinal disturbances and hepatotoxicity, limiting their long-term use. The pathological hallmark of IPF is the accumulation of pro-fibrotic Krt8+ transitional epithelial cells, which arise from stalled differentiation of alveolar type II (AT2) cells into functional type I (AT1) cells. This regenerative failure is exacerbated by a hostile microenvironment characterized by chronic oxidative stress, which further impairs epithelial repair and fuels fibroblast activation.

To overcome these therapeutic bottlenecks, we engineered an inhalable, ROS-responsive liposomal platform (SAB/GC-1@Lip-cRGD) that co-delivers the antioxidant salvianolic acid B (SAB) and the thyroid hormone receptor β (TRβ) agonist Sobetirome (GC-1). The system is designed to exploit the elevated ROS levels in fibrotic lungs for triggered drug release, ensuring localized and controlled delivery. Surface modification with cRGD peptides enables targeted accumulation in fibrotic lesions, while the negative surface charge facilitates mucus penetration. This dual-action strategy simultaneously remodels the oxidative microenvironment and reactivates the regenerative program, offering a paradigm shift from merely halting fibrosis to actively restoring lung architecture and function.

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Cite This Research Paper
Jia-Min Xie, Rui-Qi Zhao, Xin-Chen Deng, Wei-Qin Yao, Jia-Hao Liu, Wei-Hai Chen, Xian-Zheng Zhang (2026). Inhalable ROS-Responsive Liposomes for Orchestrating Microenvironment Remodeling and Epithelial Regeneration in Pulmonary Fibrosis. SCIENCE CHINA Materials. https://doi.org/10.1007/s40843-026-4212-x
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Frequently Asked Questions

What is the mechanism of ROS-triggered drug release from the liposomes, and how does this ensure specificity to fibrotic tissue?

The liposomes are formulated with a ROS-responsive lipid matrix that undergoes structural destabilization in the presence of elevated reactive oxygen species, which are characteristic of the fibrotic microenvironment. This triggers rapid release of the encapsulated drugs (SAB and GC-1) specifically at the disease site, minimizing off-target effects. The specificity is further enhanced by surface modification with cRGD peptides, which bind to integrins overexpressed on activated fibroblasts and epithelial cells in fibrotic lesions.

How does the combination of SAB and GC-1 achieve synergistic anti-fibrotic effects compared to monotherapy?

SAB acts as a potent antioxidant, scavenging ROS and reducing oxidative stress, which is a key driver of epithelial injury and fibroblast activation. GC-1, a TRβ agonist, reactivates the thyroid hormone signaling pathway, promoting the differentiation of stalled Krt8+ transitional cells into functional AT1 cells. This dual action addresses both the microenvironment and the regenerative deficit, leading to a more comprehensive reversal of fibrosis. In vivo, the combination significantly reduced M2 macrophage proportion (from 27.4% to 6.2%) and decreased pro-inflammatory and pro-fibrotic cytokines, outperforming single-drug treatments.

What are the scalability and manufacturing challenges for this nebulized liposomal system?

The liposomes are synthesized via a thin-film hydration method, which is a well-established and scalable technique. However, challenges include maintaining batch-to-batch consistency in particle size, drug loading, and ROS-responsiveness. The incorporation of cRGD peptides and the need for nebulization require careful optimization to ensure stability and aerosol performance. Nevertheless, the method is amenable to industrial scale-up with appropriate quality control measures.

How does the negative surface charge of the liposomes contribute to mucus penetration and drug accumulation?

The negative surface charge reduces electrostatic interactions with negatively charged mucin fibers in the airway mucus, facilitating faster diffusion through the mucus layer. This enhances the delivery of the liposomes to the underlying epithelial cells and fibrotic lesions, as demonstrated by increased drug accumulation at the target site. This property is critical for effective inhalation therapy, as mucus is a major barrier to drug delivery in respiratory diseases.

What is the biosafety profile of SAB/GC-1@Lip-cRGD, and are there any potential long-term toxicity concerns?

The study reports excellent biosafety, with no significant systemic toxicity observed in treated mice. The targeted delivery and ROS-responsive release minimize exposure to healthy tissues. However, long-term toxicity studies are necessary to assess chronic effects, particularly the potential for accumulation of liposomal components or metabolites. The use of biocompatible and biodegradable lipids reduces this risk, but further preclinical and clinical evaluations are required.

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