RT Journal Article SR Electronic T1 Self-regulated hirudin delivery for anticoagulant therapy JF Science Advances JO Sci Adv FD American Association for the Advancement of Science SP eabc0382 DO 10.1126/sciadv.abc0382 VO 6 IS 41 A1 Xu, Xiao A1 Huang, Xuechao A1 Zhang, Ying A1 Shen, Shiyang A1 Feng, Zhizi A1 Dong, He A1 Zhang, Can A1 Mo, Ran YR 2020 UL http://advances.sciencemag.org/content/6/41/eabc0382.abstract AB Pathological coagulation, a disorder of blood clotting regulation, induces a number of cardiovascular diseases. A safe and efficient system for the delivery of anticoagulants to mimic the physiological negative feedback mechanism by responding to the coagulation signal changes holds the promise and potential for anticoagulant therapy. Here, we exploit a “closed-loop” controlled release strategy for the delivery of recombinant hirudin, an anticoagulant agent that uses a self-regulated nanoscale polymeric gel. The cross-linked nanogel network increases the stability and bioavailability of hirudin and reduces its clearance in vivo. Equipped with the clot-targeted ligand, the engineered nanogels promote the accumulation of hirudin in the fibrous clots and adaptively release the encapsulated hirudin upon the thrombin variation during the pathological proceeding of thrombus for potentiating anticoagulant activity and alleviating adverse effects. We show that this formulation efficiently prevents and inhibits the clot formation on the mouse models of pulmonary embolism and thrombosis.