Cerasome delivery system for targeting activated CD44 molecule, preparation method and use thereof

Abstract

A cerasome delivery system for targeting activated cd44 molecule, a preparation method and use thereof: a surface of a cerasome is partially modified by a targeting ligand, the targeting ligand being a ligand which may specifically bind to an activated cd44 molecule. The cerasome delivery system may be used for the diagnosis, prevention and treatment of vulnerable plaque or diseases associated with vulnerable plaque.

Claims

1. A cerasome delivery system for targeting an activated CD44 molecule, and wherein the cerasome delivery system comprises a cerasome vesicle, which is a closed vesicle formed by a lipid bilayer having an inner hydrophilic cavity, and wherein the surface of the vesicle has an inorganic polysiloxane reticulate structure, and wherein the lipid bilayer is formed by components including: a cerasome monomer molecule CL1 set forth by formula (I): ##STR00005## a distearoylphosphatidylethanolamine (DSPE) molecule, and distearoylphosphatidylcholine (DSPC), in a weight ratio of 5:2.5:1.5, wherein the DSPE molecule is coupled through the amino group thereof directly to a targeting ligand by an amide bond on the surface of the cerasome vesicle, and the targeting ligand is capable of specifically binding to the activated CD44 molecule.

2. The cerasome delivery system of claim 1, wherein the cerasome delivery system is for targeting a vulnerable plaque, and the targeting ligand is capable of specifically binding to a CD44 molecule on a cell surface at the vulnerable plaque.

3. The cerasome delivery system of claim 1, wherein the particle size of the cerasome vesicle is in the range of 50 nm-400 nm.

4. The cerasome delivery system of claim 1, wherein the targeting ligand is selected from glycosaminoglycan (G.A.G.), collagen, laminin, fibronectin, selectin, osteopontin (O.P.N.), and monoclonal antibodies HI44a, HI313, A3D8, H90, and IM7; or is selected from a hyaluronic acid or a hyaluronic acid derivative capable of specifically binding to a CD44 molecule on a cell surface at the vulnerable plaque.

5. The cerasome delivery system of claim 1, wherein the targeting ligand has a molecular weight of 10,000-400,000 Da.

6. The cerasome delivery system of claim 1, wherein the cerasome is loaded with a substance for diagnosing, preventing, and/or treating the vulnerable plaque or a disease associated with the vulnerable plaque.

7. The cerasome delivery system of claim 6, wherein the substance is selected from one or more of statins, fibrates, antiplatelet drugs, PCSK9 inhibitors, anticoagulant drugs, angiotensin converting enzyme inhibitors (ACEI), calcium ion antagonists, M.M.P.s inhibitors, β receptor blockers, pharmaceutically acceptable salts thereof, and active structure fragments thereof.

8. The cerasome delivery system of claim 7, wherein the substance for preventing and/or treating the vulnerable plaque or a disease associated with the vulnerable plaque is selected from one or more of lovastatin, atorvastatin, rosuvastatin, simvastatin, fluvastatin, pitavastatin, pravastatin, bezafibrate, ciprofibrate, clofibrate, gemfibrozil, fenofibrate, probucol, anti-PCSK9 antibodies, antisense RNAi oligonucleotides, nucleic acids, adnectin and the effective fragments or pharmaceutically acceptable salts thereof, one or more of pharmaceutically acceptable salts thereof, and active structure fragments thereof.

9. A medicament, comprising the cerasome delivery system of claim 1, and one or more pharmaceutically acceptable carriers.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

(1) To fully understand the content of the present disclosure, the present disclosure is further described in detail below by referring to the specific examples and the accompanying drawings, wherein:

(2) FIG. 1 is a schematic diagram for constructing the cerasome delivery system of the present disclosure for targeting a vulnerable plaque.

(3) FIG. 2 shows the infrared spectrum of HA-CL1, including the infrared spectrum of CL1 loaded with rosuvastatin before (black, the lower line) and after (red, the upper line) binding to HA.

(4) FIG. 3 is a graph showing the change in particle size of the cerasome delivery system of the present disclosure and the liposome delivery system as a control after being stored at 4° C. for 90 days.

(5) FIG. 4 is a graph showing the change in the encapsulation rate of the drug of the cerasome delivery system of the present disclosure and the liposome delivery system as a control after being stored at 4° C. for 90 days.

(6) FIG. 5 is a graph showing the change in cumulative drug release rate of the cerasome delivery system of the present disclosure and the liposome delivery system as a control.

(7) FIG. 6 is a graph showing the change in cumulative drug release rate for three cerasome delivery system of the present disclosure.

(8) FIG. 7 shows images of the nuclear magnetic resonance imaging of a mouse atherosclerotic vulnerable plaque model constructed in Example 4.

(9) FIG. 8 is a graph showing the percentage of drug exposure in mice carotid plaque after administering the cerasome delivery system of the present disclosure and the liposome delivery system as a control.

(10) FIG. 9 is a graph showing the determination results (expressed as semi-quantitative integration) of CD44 content on the surface of endothelial cells of normal arterial vessel walls and on the surface of endothelial cells at arterial vulnerable plaques in mice model.

(11) FIG. 10 is a graph showing the determination results (expressed as binding force integration) of the binding force of CD44 on the surface of endothelial cells of normal arterial vessel walls and on the surface of endothelial cells at arterial vulnerable plaques to HA in mice model.

(12) FIG. 11 is a graph showing the determination results (expressed as binding force integration) of the binding force of CD44 on the surface of endothelial cells of normal arterial vessel walls and on the surface of endothelial cells at arterial vulnerable plaques to various ligands/antibodies in mice model.

(13) FIG. 12 is a graph showing the determination results (expressed as binding force integration) of the binding force of CD44 on the surface of macrophages outside and inside arterial vulnerable plaques to HA in mice model.

(14) FIG. 13 is a graph showing the determination results (expressed as binding force integration) of the binding force of CD44 on the surface of macrophages outside and inside arterial vulnerable plaques to various ligands/antibodies in mice model.

(15) FIG. 14 is a graph showing the in vivo therapeutic effect (expressed as percentage of plaque progression) of the cerasome delivery system of the present disclosure on carotid vulnerable plaques in mice model.

(16) FIG. 15 is a graph showing the in vivo tracing effect (expressed as CT values) of the cerasome delivery system of the present disclosure on carotid vulnerable plaques in mice model.

(17) FIG. 16 shows the in vivo CT tracing of the cerasome-HA-iodixanol delivery system for arterial vulnerable plaques.

(18) FIG. 17 shows the in vivo MRI tracing of the cerasome-HA-gadoterate meglumine delivery system for arterial vulnerable plaques.

(19) FIG. 18 shows the in vivo MRI tracing of various CD44 monoclonal antibodies-cerasome-gadoterate meglumine delivery system for arterial vulnerable plaques.

(20) FIG. 19 shows the in vivo MRI tracing of various CD44 ligands-cerasome-gadodiamide delivery system for arterial vulnerable plaques.

DETAILED DESCRIPTION OF EMBODIMENTS

(21) In order to further understand the present disclosure, the specific embodiments of the present disclosure are described in detail below with reference to the Examples. It is to be understood, however, that the descriptions are only intended to further illustrate the features and advantages of the present disclosure and are not intended to limit the claims of the present disclosure in any way.

Example 1: Three cerasome monomers used in the present disclosure

(22) Cerasome monomers C1, C2 and C3 used in the cerasome delivery system of the present disclosure are known, which can be obtained according to the preparation methods as described in the reference documents.

(23) The cerasome monomer C1: N,N-dicetyl-N.sup.a-(6-((3-triethoxysilyl)propyl dimethylammonio)hexanoyl)alaninamide bromide; for the preparation thereof, see Nature Protocols, 2006, 1(3), 1227-1234

(24) ##STR00002##

(25) The cerasome monomer C2: N,N-dicetyl-N′-(3-triethoxysilylpropyl) succinamide; for the preparation thereof, see J. Am, Chem. Soc., 2002, 124, 7892-7893

(26) ##STR00003##

(27) The cerasome monomer C3: N,N-dicetyl-N′-[(3-triethoxysilyl)propyl]urea; for the preparation thereof, see Thin Solid Films, 2003, 438-439, 20-26

(28) ##STR00004##

Example 2: Preparation of Delivery System

(29) 1. Preparation of Cerasome Delivery Systems HA-CL1@R, HA-CL2@R and HA-CL3@R which are Loaded with a Therapeutic Agent

(30) In this example, cerasome delivery systems HA-CL1@R, HA-CL2@R and HA-CL3@R, which are loaded with a therapeutic agent, are prepared by the thin-film dispersion method. The surfaces of the cerasome vesicles of the above three cerasome delivery systems are partially modified by the targeting ligand hyaluronic acid (abbreviated as “HA”) and are loaded with rosuvastatin (represented by the abbreviation “R”), a substance for the prevention and/or treatment of the vulnerable plaque or a disease associated with the vulnerable plaque, and the only difference is that the cerasome monomer molecules used in the preparation of the three cerasome delivery systems are the cerasome monomers C1, C2 and C3 as described in Example 1, respectively.

(31) The method for the preparation of the HA-CL1@R, HA-CL2@R and HA-CL3@R specifically comprises the following steps:

(32) (1) Preparation of Cerasome Vesicle Suspension:

(33) 6 mg of C1 (5 mg of C2 or 4 mg of C3), 2 mg of 1,2-dioleoyloxypropyl-N,N,N-trimethylammonium bromide (DOTAP) and 2 mg of distearoylphosphatidylethanolamine (DSPE) were weighed and dissolved with 10 mL of chloroform in a round bottom flask. The organic solvent was completely removed by means of rotary evaporation (55° C. water bath, 90 r/min, 30 min) to form a thin-film on the wall of the flask. 10 mL rosuvastatin aqueous solution was added (at a concentration of 2 mg/mL), and the flask was placed in a constant-temperature water bath kettle at 50° C. to fully hydrate the thin-film for 30 min, so as to form a crude cerasome vesicle suspension. The crude cerasome vesicle suspension was ultrasonicated in a ultrasound bath for 10 min, then the suspension was further ultrasonicated for 5 min (amplitude 20, interval 3 s) with a probe-type ultrasonicator to obtain a stable system formed by the complete dispersion of cerasome vesicles, that is, a refined cerasome vesicle suspension. The unencapsulated rosuvastatin in the refined cerasome vesicle suspension was removed by a dialysis bag. Then the cerasome vesicle suspension was allowed to stand for at least 24 hours to promote the cerasome monomer molecules to form an inherently rigid inorganic polysiloxane network on the surface of the cerasome.

(34) (2) Activation and Coupling of Hyaluronic Acid (“HA”):

(35) 1 g of HA (having a molecular weight of about 100 KDa) was completely dissolved in ultrapure water, and 0.1 g of 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride (EDC.Math.HCl) and 0.12 g of N-hydroxysulfosuccinimide (sulfo-NHS) coupling agent were added to activate the carboxyl group. After the solution was stirred at room temperature for 1 hour, acetone was added to precipitate the activated HA. The precipitation was filtered, washed with ethanol and dried in vacuo to give the activated HA. The same was formulated to a 0.1 mg mL.sup.−1 aqueous solution, and 0.2 mL of the solution was transferred and dissolved in the cerasome vesicle suspension obtained in the above step (1), for coupling the activated carboxyl group in the activated HA to the amino group of the DSPE molecule incorporated in the lipid bilayer of the cerasome vesicle via forming amide bonds, to obtain three cerasome delivery systems HA-CL1@R, HA-CL2@R and HA-CL3@R, which were loaded with a therapeutic agent.

(36) The coupling of HA to CL is confirmed by infrared characterization. The sample used for infrared characterization is a HA-CL1@R sample, which is loaded with rosuvastatin, and is prepared by the following steps: 6 mg of C1 and 1 mg of DSPE were weighed and dissolved with 10 mL of chloroform in a round bottom flask. The organic solvent was completely removed by means of rotary evaporation (55° C. water bath, 90 r/min, 30 min) to form a thin-film on the wall of the flask. 10 mL rosuvastatin aqueous solution was added (at a concentration of 2 mg/mL), and the flask was placed in a constant-temperature water bath kettle at 50° C. to fully hydrate the thin-film for 30 min. The same was ultrasonicated in a ultrasound bath for 10 min, and then further ultrasonicated for 5 min (amplitude 20, interval 3 s) with a probe-type ultrasonicator to obtain the cerasome vesicle. The cerasome vesicle was allowed to stand for at least 24 hours to promote the cerasome monomer molecules to form an inherently rigid inorganic polysiloxane network on the surface of the cerasome. 0.1 g of HA (having a molecular weight of about 100 KDa) was sufficiently dissolved in ultrapure water, 10 mg of EDC.Math.HCl and 12 mg of sulfo-NHS coupling agent were added to activate the carboxyl group. After the solution was stirred at room temperature for 1 hour, acetone was added to precipitate the activated HA. The precipitation was filtered, washed with ethanol and dried in vacuo to give the activated HA. The same was formulated to a 0.1 mg mL.sup.−1 aqueous solution, and 0.2 mL of the solution is transferred and dissolved in the cerasome vesicle suspension obtained in the above step (1), for coupling the activated carboxyl group in the activated HA and the amino group of the DSPE molecule incorporated in the lipid bilayer of the cerasome vesicle via forming amide bonds, to obtain a targeting cerasome HA-CL1@R1. After 24 hours from the start of the coupling reaction, HA-CL1@R was separated by high speed centrifugation at 12,000 rpm. The same was used for infrared spectra characterization after vacuum drying. As shown in FIG. 2, the absorption peak at 1100 nm demonstrates the presence of cerasome, and the absorption peaks at 1700 nm and 2910 nm indicate successful coupling of cerasome to HA.

(37) 2. Preparation of Cerasome Delivery Systems HA-CL1@LMHA, HA-CL2@LMHA and HA-CL3@LMHA which are Loaded with a Small-Molecular Hyaluronic Acid

(38) In this example, cerasome delivery systems HACL1@LMHA, HA-CL2@LMHA and HA-CL3@LMHA, which are loaded with a small-molecular hyaluronic acid, are prepared by the thin-film dispersion method. The surfaces of the cerasome vesicles of the above three cerasome delivery systems are partially modified by the targeting ligand hyaluronic acid (abbreviated as “HA”) and are loaded with a small-molecular hyaluronic acid having a molecular weight of about 3411 Da (with a molecular formula of (C.sub.14H.sub.21NO.sub.11).sub.n, n=9, hereinafter represented by the abbreviation “LMHA”). The only difference is that the cerasome monomer molecules used in the preparation of the three cerasome delivery systems are the cerasome monomers C1, C2 and C3 as described in Example 1, respectively.

(39) The specific preparation method for the HA-CL1@LMHA, HA-CL2@LMHA and HA-CL3@LMHA is the same as that for the cerasome delivery systems HA-CL1@R, HA-CL2@R and HA-CL3@R which are loaded with a therapeutic agent, as described in the above point 1, and the only differences are that in step (1), the 10 mL of rosuvastatin aqueous solution (at a concentration of 2 mg/mL) was replaced with 10 mL aqueous solution of a small-molecular hyaluronic acid having a molecular weight of 3411 Da (at a concentration of 0.5 mg/mL), and the unencapsulated small-molecular hyaluronic acid in the refined cerasome vesicle suspension was removed with a dialysis bag.

(40) 3. Preparation of Cerasome Delivery Systems HA-CL1@R+LMHA, HA-CL2@R+LMHA and HA-CL3@R+LMHA which are Loaded with a Therapeutic Agent and a Small-Molecular Hyaluronic Acid

(41) In this example, cerasome delivery systems HA-CL1@R+LMHA, HA-CL2@R+LMHA and HA-CL3@R+LMHA, which are loaded with a therapeutic agent, rosuvastatin, and a small-molecular hyaluronic acid concurrently, are prepared by the thin-film dispersion method. The surfaces of the cerasome vesicles of the above three cerasome delivery systems are partially modified by the targeting ligand hyaluronic acid (abbreviated as “HA”), and are loaded with a therapeutic agent, rosuvastatin (represented by the abbreviation “R”) and a small-molecular hyaluronic acid having a molecular weight of about 3411 Da concurrently. The only difference is that the cerasome monomer molecules used in the preparation of the three cerasome delivery systems are the cerasome monomers C1, C2 and C3 as described in Example 1, respectively.

(42) The specific preparation method for the HA-CL1@R+LMHA, HA-CL2@R+LMHA and HA-CL3@R+LMHA is substantially the same as the preparation method described in the above point 1 for the cerasome delivery systems HA-CL1@R, HA-CL2@R and HACL3@R which are loaded with a therapeutic agent. The only differences are that in step (1), the 10 mL of rosuvastatin aqueous solution (at a concentration of 2 mg/mL) was added simultaneously with 10 mL aqueous solution of a small-molecular hyaluronic acid having a molecular weight of 3411 Da (at a concentration of 0.5 mg/mL), and the unencapsulated rosuvastatin and small-molecular hyaluronic acid in the refined cerasome vesicle suspension were removed with a dialysis bag.

(43) 4. Preparation of Cerasome Delivery Systems HA-CL1@S, HA-CL2@S and HA-CL3@S which are Loaded with a CD44 Activator

(44) In this example, cerasome delivery systems HA-CL1@S, HA-CL2@S and HA-CL3@S, which are loaded with a CD44 activator, are prepared by the thin-film dispersion method. The surfaces of the cerasome vesicles of the above three cerasome delivery systems are partially modified by the targeting ligand hyaluronic acid (abbreviated as “HA”), and are loaded with a CD44 activator-CD44 antibody mAb (represented by the abbreviation “S”). The only difference is that the cerasome monomer molecules used in the preparation of the three cerasome delivery systems are the cerasome monomers C1, C2 and C3 as described in Example 1, respectively.

(45) The specific preparation method for the HA-CL1@S, HA-CL2@S and HA-CL3@S is the same as the preparation method described in the above point 1 for the cerasome delivery systems HA-CL1@R, HA-CL2@R and HA-CL3@R which are loaded with a therapeutic agent. The only differences are that in step (1), the 10 mL of rosuvastatin aqueous solution (at a concentration of 2 mg/mL) was replaced with 10 mL of CD44 antibody mAb aqueous solution (at a concentration of 0.7 mg/mL), and the unencapsulated CD44 antibody mAb in the refined cerasome vesicle suspension was separated and removed with dextran gel column G-100.

(46) Similarly, the preparation can also be carried out using CD44 activator LPS, and similar results were obtained.

(47) 5. Preparation of Cerasome Delivery Systems HA-CL1@R+S, HA-CL2@R+S and HA-CL3@R+S which are Loaded with a Therapeutic Agent and a CD44 Activator

(48) In this example, cerasome delivery systems HA-CL1@R+S, HA-CL2@R+S and HA-CL3@R+S, which are loaded with a therapeutic agent and a CD44 activator, are prepared by the thin-film dispersion method. The surfaces of the cerasome vesicles of the above three cerasome delivery systems are partially modified by the targeting ligand hyaluronic acid (abbreviated as “HA”), and are loaded with a therapeutic agent, rosuvastatin (represented by the abbreviation “R”) and a CD44 activator-CD44 antibody mAb (represented by the abbreviation “S”) concurrently. The only difference is that the cerasome monomer molecules used in the preparation of the three cerasome delivery systems are the cerasome monomers C1, C2 and C3 as described in Example 1, respectively.

(49) The specific preparation method for the HA-CL1@R+S, HA-CL2@R+S and HA-CL3@R+S is substantially the same as the preparation method described in the above point 1 for the cerasome delivery systems HA-CL1@R, HA-CL2@R and HA-CL3@R which are loaded with a therapeutic agent. The only differences are that in step (1), the 10 mL of rosuvastatin aqueous solution (at a concentration of 2 mg/mL) was used with 10 mL of CD44 antibody mAb aqueous solution (at a concentration of 0.7 mg/mL) concurrently, and the unencapsulated rosuvastatin and CD44 antibody mAb in the refined cerasome vesicle suspension were removed with dextran gel column G-100.

(50) Similarly, the preparation can also be carried out using the CD44 activator LPS, and similar results were obtained.

(51) 6. Preparation of Cerasome Delivery Systems HA-CL1@T, HA-CL2@T and HA-CL3@T which are Loaded with a Tracer

(52) In this example, cerasome delivery systems HA-CL1@T, HA-CL2@T and HA-CL3@T, which are loaded with a tracer, are prepared by the thin-film dispersion method. The surfaces of the cerasome vesicles of the above three cerasome delivery systems are partially modified by the targeting ligand hyaluronic acid (abbreviated as “HA”), and are loaded with an MRI tracer gadopentetic acid (represented by the abbreviation “T”). The only difference is that the cerasome monomer molecules used in the preparation of the three cerasome delivery systems are the cerasome monomers C1, C2 and C3 as described in Example 1, respectively.

(53) The specific preparation method for the HA-CL1@T, HA-CL2@T and HA-CL3@T is the same as the preparation method described in the above point 1 for the cerasome delivery systems HA-CL1@R, HA-CL2@R and HA-CL3@R which are loaded with a therapeutic agent. The only differences are that in step (1), the 10 mL of rosuvastatin aqueous solution (at a concentration of 2 mg/mL) was replaced with 10 mL of gadopentetic acid aqueous solution (at a concentration of 3 mg/mL), and the unencapsulated gadopentetic acid in the refined cerasome vesicle suspension was removed with a dialysis bag.

(54) Similarly, the preparation can also be carried out using the tracer gadoterate meglumine or gadodiamide, and similar results were obtained.

(55) 7a. Preparation of Cerasome Delivery Systems HA-CL1@AuNPs, HA-CL2@AuNPs and HA-CL3@AuNPs which are Loaded with a Tracer

(56) In this example, cerasome delivery systems HA-CL1@AuNPs, HA-CL2@AuNPs and HA-CL3@AuNPs, which are loaded with a tracer, are prepared by the thin-film dispersion method. The surfaces of the cerasome vesicles of the above three cerasome delivery systems are partially modified by the targeting ligand hyaluronic acid (abbreviated as “HA”), and are loaded with a CT tracer, nanogold (represented by the abbreviation “AuNPs”). The only difference is that the cerasome monomer molecules used in the preparation of the three cerasome delivery systems are the cerasome monomers C1, C2 and C3 as described in Example 1, respectively.

(57) The specific preparation method for the HA-CL1@AuNPs, HA-CL2@AuNPs and HA-CL3@AuNPs is the same as the preparation method described in the above point 1 for the cerasome delivery systems HA-CL1@R, HA-CL2@R and HA-CL3@R which are loaded with a therapeutic agent. The only differences are that in step (1), the 10 mL of rosuvastatin aqueous solution (at a concentration of 2 mg/mL) was replaced with 10 mL of nanogold solution (at a concentration of 1 mg/mL), and the unencapsulated nanogold in the refined cerasome vesicle suspension was removed with dextran gel column G-100.

(58) 7b. Preparation of Cerasome Delivery Systems HA-CL1@Iodixanol, HA-CL2@Iodixanol and HA-CL3@Iodianol which are Loaded with a Tracer

(59) In this example, cerasome delivery systems HA-CL1@I, HA-CL2@I and HA-CL3@I, which are loaded with a tracer, are prepared by the thin-film dispersion method.

(60) The surfaces of the cerasome vesicles of the above three cerasome delivery systems are partially modified by the targeting ligand hyaluronic acid (abbreviated as “HA”), and are loaded with a CT tracer, iodixanol or iopromide (represented by the abbreviation “I”). The only difference is that the cerasome monomer molecules used in the preparation of the three cerasome delivery systems are the cerasome monomers C1, C2 and C3 as described in Example 1, respectively.

(61) The specific preparation method for the HA-CL1@I, HA-CL2@I and HA-CL3@I is the same as the preparation method described in the above point 1 for the cerasome delivery systems HA-CL1@R, HA-CL2@R and HA-CL3@R which are loaded with a therapeutic agent. The only differences are that in step (1), the 10 mL of rosuvastatin aqueous solution (at a concentration of 2 mg/mL) was replaced with 10 mL of iodixanol or iopromide solution (at a concentration of 1 μg/mL), and the unencapsulated iodixanol or iopromide in the refined cerasome vesicle suspension was removed with dextran gel column.

(62) 8a. Preparation of Cerasome Delivery Systems HA-CL1@AuNPs+S, HA-CL2@AuNPs+S and HA-CL3@AuNPs+S which are Loaded with a Tracer and a CD44 Activator

(63) In this example, cerasome delivery systems HA-CL1@AuNPs+S, HA-CL2@AuNPs+S and HA-CL3@AuNPs+S, which are loaded with a tracer and a CD44 activator concurrently, are prepared by the thin-film dispersion method. The surfaces of the cerasome vesicles of the above three cerasome delivery systems are partially modified by the targeting ligand hyaluronic acid (abbreviated as “HA”), and are loaded with a CT tracer, nanogold (represented by the abbreviation “AuNPs”) and a CD44 activator-CD44 antibody mAb (represented by the abbreviation “S”) concurrently. The only difference is that the cerasome monomer molecules used in the preparation of the three cerasome delivery systems are the cerasome monomers C1, C2 and C3 as described in Example 1, respectively.

(64) The specific preparation method for the HA-CL1@AuNPS+S, HA-CL2@AuNPS+S and HA-CL3@AuNPS+S is substantially the same as the preparation method described in the above point 1 for the cerasome delivery systems HA-CL1@R, HA-CL2@R and HACL3@R which are loaded with a therapeutic agent. The only differences are that in step (1), the 10 mL of nanogold solution (at a concentration of 1 mg/mL) was used with 10 mL of an CD44 antibody mAb aqueous solution (at a concentration of 0.7 mg/mL) concurrently, and the unencapsulated nanogold and CD44 antibody mAb in the refined cerasome vesicle suspension were removed with dextran gel column G-100.

(65) 8b. Preparation of Cerasome Delivery Systems HA-CL1@I+S, HA-CL2@I+S and HA-CL3@I+S which are Loaded with a Tracer and a CD44 Activator

(66) In this example, cerasome delivery systems HA-CL1@I+S, HA-CL2@I+S and HA-CL3@I+S, which are loaded with a tracer and a CD44 activator concurrently, are prepared by the thin-film dispersion method. The surfaces of the cerasome vesicles of the above three cerasome delivery systems are partially modified by the targeting ligand hyaluronic acid (abbreviated as “HA”), and are loaded with a CT tracer, iodixanol or iopromide (represented by the abbreviation “I”) and a CD44 activator-LPS (represented by the abbreviation “S”) concurrently. The only difference is that the cerasome monomer molecules used in the preparation of the three cerasome delivery systems are the cerasome monomers C1, C2 and C3 as described in Example 1, respectively.

(67) The specific preparation method for the HA-CL1@I+S, HA-CL2@I+S and HA-CL3@I+S is substantially the same as the preparation method described in the above point 1 for the cerasome delivery systems HA-CL1@R, HA-CL2@R and HA-CL3@R which are loaded with a therapeutic agent. The only differences are that in step (1), the 10 mL of iodixanol or iopromide aqueous solution (at a concentration of 1 μg/mL) was used with the 10 mL of LPS aqueous solution (at a concentration of 0.7 mg/mL) concurrently, and the unencapsulated iodixanol or iopromide and LPS in the refined cerasome vesicle suspension were removed with dextran gel column G-200.

(68) 9. Preparation of Cerasome Delivery Systems HA-CL1@R+LMHA+T+S, HA-CL2@R+LMHA+T+S and HA-CL3@R+LMHA+T+S which are Loaded with a Therapeutic Agent, a Small-Molecular Hyaluronic Acid, a Tracer and a CD44 Activator

(69) In this example, cerasome delivery systems HA-CL1@R+LMHA+T+S, HA-CL2@R+LMHA+T+S and HA-CL3@R+LMHA+T+S, which are loaded with a therapeutic agent, rosuvastatin, a small-molecular hyaluronic acid, a tracer gadopentetic acid and a CD44 activator concurrently, are prepared by the thin-film dispersion method. The surfaces of the cerasome vesicles of the above three cerasome delivery systems are partially modified by the targeting ligand hyaluronic acid (abbreviated as “HA”), and are loaded with a therapeutic agent, rosuvastatin (represented by the abbreviation “R”), a small-molecular hyaluronic acid having a molecular weight of about 3411 Da, an MRI tracer gadopentetic acid (represented by the abbreviation “T”) and a CD44 activator—CD44 antibody mAb (represented by the abbreviation “S”) concurrently. The only difference is that the cerasome monomer molecules used in the preparation of the three cerasome delivery systems are the cerasome monomers C1, C2 and C3 as described in Example 1, respectively.

(70) The specific preparation method for the HA-CL1@R+LMHA+T+S, HA-CL2@R+LMHA+T+S and HA-CL3@R+LMHA+T+S is substantially the same as the preparation method described in the above point 1 for the cerasome delivery systems HA-CL1@R, HA-CL2@R and HA-CL3@R which are loaded with a therapeutic agent. The only differences are that in step (1), the 10 mL of rosuvastatin aqueous solution (at a concentration of 2 mg/mL), the 10 mL aqueous solution of small-molecular hyaluronic acid having a molecular weight of 3411 Da (at a concentration of 0.5 mg/mL), the 10 mL of gadopentetic acid aqueous solution (at a concentration of 3.0 mg/mL), and the 10 mL of CD44 antibody mAb aqueous solution (at a concentration of 0.7 mg/mL) were used concurrently, and the unencapsulated rosuvastatin, small-molecular hyaluronic acid, gadopentetic acid and CD44 antibody mAb in the refined cerasome vesicle suspension were removed with dextran gel column G-100.

(71) Similarly, the preparation can also be carried out using the CD44 activator LPS, and the tracer gadoterate meglumine, and similar results were obtained.

(72) 10. Preparation of Blank Cerasome Delivery Systems HA-CL1, HA-CL2, and HA-CL3 (as Comparative Examples)

(73) In this example, blank cerasome delivery systems HA-CL1, HA-CL2, and HA-CL3 are prepared by the thin-film dispersion method. The surfaces of the cerasome vesicles of the above three cerasome delivery systems are partially modified by the targeting ligand hyaluronic acid (abbreviated as “HA”) but are not loaded with any substance for diagnosing, preventing, and/or treating the vulnerable plaque or a disease associated with the vulnerable plaque, and the only difference is that the cerasome monomer molecules used in the preparation of the three cerasome delivery systems are the cerasome monomers C1, C2 and C3 as described in Example 1, respectively.

(74) The specific preparation method for the HA-CL1, HA-CL2, and HA-CL3 is substantially the same as the preparation method described in the above point 1 for the cerasome delivery systems HA-CL1@R, HA-CL2@R and HA-CL3@R which are loaded with a therapeutic agent. The only differences are that in step (1), the 10 mL of rosuvastatin aqueous solution (at a concentration of 2 mg/mL) was replaced with pure water and the step of removing unencapsulated material by means of dialysis was omitted.

(75) 11. Preparation of Non-Targeting Cerasome Delivery Systems CL1@R, CL2@R and CL3@R which are Loaded with a Therapeutic Agent (as Comparative Examples)

(76) In this example, non-targeting cerasome delivery systems CL1@R, CL2@R and CL3@R, which are loaded with a therapeutic agent, are prepared by the thin-film dispersion method. The surfaces of the cerasome vesicles of the above three cerasome delivery systems are not modified by the targeting ligand hyaluronic acid (abbreviated as “HA”) but are loaded with rosuvastatin (represented by the abbreviation “R”), a substance for the prevention and/or treatment of the vulnerable plaque or a disease associated with the vulnerable plaque. The only difference is that the cerasome monomer molecules used in the preparation of the three cerasome delivery systems are the cerasome monomers C1, C2 and C3 as described in Example 1, respectively.

(77) The specific preparation method for the CL1@R, CL2@R and CL3@R is substantially the same as the preparation method described in the above point 1 for the cerasome delivery systems HA-CL1@R, HA-CL2@R and HA-CL3@R which are loaded with a therapeutic agent. The only difference is that step (2) was omitted.

(78) 12a. Preparation of Non-Targeting Cerasome Delivery Systems CL1@AuNPs, CL2@AuNPs and CL3@AuNPs which are Loaded with a Tracer (as Comparative Examples)

(79) In this example, non-targeting cerasome delivery systems CL1@AuNPS, CL2@AuNPS and CL3@AuNPS, which are loaded with a tracer, are prepared by the thin-film dispersion method. The surfaces of the cerasome vesicles of the above three cerasome delivery systems are not modified by the targeting ligand hyaluronic acid (abbreviated as “HA”), but are loaded with a CT tracer, nanogold (represented by the abbreviation “AuNPs”). The only difference is that the cerasome monomer molecules used in the preparation of the three cerasome delivery systems are the cerasome monomers C1, C2 and C3 as described in Example 1, respectively.

(80) The specific preparation method for the CL1@AuNPS, CL2@AuNPS and CL3@AuNPS is substantially the same as the preparation method described in the above point 7 for the cerasome delivery systems HA-CL1@AuNPs, HA-CL2@AuNPs and HA-CL3@AuNPs which are loaded with a tracer. The only difference is that step (2) was omitted.

(81) 12b. Preparation of Non-Targeting Cerasome Delivery Systems CL1@1, CL2@I and CL3@I which are Loaded with a Tracer (as Comparative Examples)

(82) In this example, non-targeting cerasome delivery systems CL1@I, CL2@I and CL3@I, which are loaded with a tracer, are prepared by the thin-film dispersion method. The surfaces of the cerasome vesicles of the above three cerasome delivery systems are not modified by the targeting ligand hyaluronic acid (abbreviated as “HA”), but are loaded with a CT tracer, iodixanol (represented by the abbreviation “I”). The only difference is that the cerasome monomer molecules used in the preparation of the three cerasome delivery systems are the cerasome monomers C1, C2 and C3 as described in Example 1, respectively.

(83) The specific preparation method for the CL1@I, CL2@I and CL3@I is substantially the same as the preparation method described in the above point 7 for the cerasome delivery systems HA-CL1@I, HA-CL2@I and HA-CL3@I which are loaded with a tracer. The only difference is that step (2) was omitted.

(84) 13. Preparation of Liposome Delivery System HA-PL@R which is Loaded with a Therapeutic Agent (as a Comparative Example)

(85) In this example, liposome delivery system HA-PL@R, which is loaded with a therapeutic agent, is prepared by the thin-film dispersion method. The surface of the liposome vesicle of the liposome delivery system HA-PL@R is partially modified by the targeting ligand hyaluronic acid (abbreviated as “HA”) and is loaded with rosuvastatin (represented by the abbreviation “R”), a substance for the prevention and/or treatment of the vulnerable plaque or a disease associated with the vulnerable plaque.

(86) The specific preparation method for HA-PL@R is as follows:

(87) (1) Preparation of Liposome Vesicle Suspension:

(88) 4 mg of distearoylphosphatidylcholine (DSPC), 1 mg of cholesterol and 1 mg of distearylphosphatidylethanolamine (DSPE) (with a mass ratio of 4:1:1) was weighed and dissolved with 10 mL of chloroform. The organic solvent was removed by means of slow rotary evaporation (65° C. water bath, 90 r/min, 30 min) to form a thin-film on the wall of the flask. 10 mL of rosuvastatin aqueous solution (at a concentration of 2.0 mg/mL) was added to the round bottom flask, and the flask was placed in a constant-temperature water bath kettle at 50° C. to fully hydrate the thin-film, so as to form the crude liposome vesicle suspension. The crude liposome vesicle suspension was ultrasonicataed in the ultrasound bath, and the same was finally ultrasonicated for 3 min (amplitude 20, interval 3 s) with a probe-type ultrasonicator to obtain a disperse system formed by the completely dispersion of liposome vesicles, that is, the refined liposome vesicle suspension. The unencapsulated rosuvastatin in the refined liposome vesicle suspension was removed with a dialysis bag.

(89) (2) Activation and Coupling of Hyaluronic Acid (“HA”):

(90) 1 g of HA (having a molecular weight of about 100 KDa) was completely dissolved in ultrapure water, and 0.1 g of 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride (EDC.Math.HCl) and 0.12 g of N-hydroxysulfosuccinimide (sulfo-NHS) coupling agent were added to activate the carboxyl group. After the solution was stirred at room temperature for 1 hour, anhydrous ethanol was added to precipitate the activated HA. The precipitation was filtered, washed with ethanol and dried in vacuo to give the activated HA. The same was formulated to 0.1 mg mL.sup.−1 aqueous solution, and 0.2 mL of the solution was transferred and dissolved in the liposome vesicle suspension obtained in the above step (1), for coupling the activated carboxyl group in the activated HA to the amino group of the DSPE molecule incorporated in the lipid bilayer of the liposome vesicle via forming amide bonds, to obtain the liposome delivery system HA-PL@R loaded with a therapeutic agent.

(91) 14a. Preparation of Liposome Delivery System HA-PL@T which is Loaded with a Tracer (as a Comparative Example)

(92) In this example, liposome delivery system HA-PL@T, which is loaded with a tracer, is prepared by the thin-film dispersion method. The surface of the liposome vesicle of the liposome delivery system HA-PL@T is partially modified by the targeting ligand hyaluronic acid (abbreviated as “HA”), and is loaded with an MRI tracer, gadopentetic acid (represented by the abbreviation “T”).

(93) The specific preparation method for the HA-PL@T is substantially the same as the preparation method described in the above point 13 for the liposome delivery systems HA-PL@R which is loaded with a therapeutic agent. The only differences are that in step (1), the 10 mL of rosuvastatin aqueous solution (at a concentration of 2.0 mg/mL) was replaced with 10 mL of gadopentetic acid (as a tracer) aqueous solution (at a concentration of 3.0 mg/mL), and the unencapsulated gadopentetic acid (as a tracer) in the refined liposome vesicle suspension was removed with dialysis bag.

(94) Similarly, the preparation can also be carried out using the tracer gadoterate meglumine, and similar results were obtained.

Example 3: Investigation of Properties of Cerasome Delivery System of the Present Disclosure

(95) In this example, the cerasome delivery systems loaded with the therapeutic agent, HA-CL1@R, HA-CL2@R and HA-CL3@R, which are prepared in Example 2, are taken as examples to prove that the cerasome delivery system of the present disclosure has stable and controllable properties and is therefore suitable for the diagnosis, prevention and treatment of the vulnerable plaque or a disease associated with the vulnerable plaque. Meanwhile, for the convenience of comparison, a liposome delivery system loaded with the therapeutic agent, HA-PL@R (as a comparative example), which is-prepared in Example 2, is also used in the present example.

(96) 1. Method for the Determination of Drug Concentration:

(97) Rosuvastatin has a strong ultraviolet absorption property, and thus its content can be determined with the HPLC-UV method (using Waters 2487, Waters Corporation, U.S.A.) by using with the ultraviolet absorption property of rosuvastatin. A standard quantitative equation was established with various concentrations of rosuvastatin solution (X) versus the peak area of the HPLC chromatographic peak (Y).

(98) 2. Determination of Hydrodynamic Size:

(99) The hydrodynamic sizes of the cerasome delivery systems HA-CL1@R, HA-CL2@R and HA-CL3@R of the present disclosure and the liposome delivery system HA-PL@R as a comparative example were measured by a laser particle analyzer (BI-Zeta Plus/90 Plus, Brookhaven Instruments Corporation, U.S.A.), and the specific results are shown in Table 1.

(100) 3. Determination of Encapsulation Rate:

(101) 1.0 mL of cerasome vesicle suspension was taken, and the suspension was allowed to form a strong acidic environment by adding excess amount of HCl. The suspension was further ultrasonicated to accelerate the release of the drug from the cerasome vesicle. The drug content in the resulting liquid was measured by HPLC (Waters 2487, Waters Corporation, U.S.A.), and the encapsulation rate was calculated in accordance with Equation 1.

(102) $\begin{array}{cc}\mathrm{Encapsulation}\mathrm{rate}\left(\%\right)=\frac{M_{\mathrm{encapsulated}\mathrm{drug}\mathrm{amount}}}{M_{\mathrm{added}\mathrm{drug}\mathrm{amount}}}\times 100\%& \mathrm{Equation}1\end{array}$
4. Determination of Drug-Loading Rate:

(103) The method for determining the drug-loading rate is similar to that for determining the encapsulation rate, except that the calculation method is slightly different. Cerasome vesicle suspension was taken, and the suspension was allowed to form a strong acidic environment by adding excess amount of HCl. The suspension was further ultrasonicated to accelerate the release of the drug from the cerasome vesicle. The drug content in the resulting liquid was measured by HPLC (Waters 2487, Waters Corporation, U.S.A.), and the drug-loading rate was calculated in accordance with Equation 2.

(104) $\begin{array}{cc}\mathrm{Drug}\text{-}\mathrm{loading}\mathrm{rate}\left(\%\right)=\frac{M_{\mathrm{encapsulated}\mathrm{drug}\mathrm{amount}}}{M_{\mathrm{added}\mathrm{lipid}\mathrm{mass}}}\times 100\%& \mathrm{Equation}2\end{array}$

(105) TABLE-US-00001 TABLE 1 List of various properties Hydro- Drug Drug- Surface dynamic Encapsulation loading potential Name Size (nm) rate (%) rate (%) (mV) HA-CL1@R 210 ± 12 85.5 ± 4.7 4.96 ± 0.34  −2.9 ± 1.8 HA-CL2@R 202 ± 18 84.3 ± 4.2 4.93 ± 0.34 −31.6 ± 1.2 HA-CL3@R 193 ± 16 81.7 ± 3.8 4.93 ± 0.34 −33.2 ± 1.5 HA-PL@R 183 ± 13 83.8 ± 5.3 4.93 ± 0.34 −26.3 ± 1.7 Note: The above data are expressed in the form of “average + standard deviation” of the results of 5 determinations in parallel.
5. Investigation of Long-Term Stability

(106) The cerasome delivery systems HA-CL1@R, HA-CL2@R and HA-CL3@R of the present disclosure and the liposome delivery system HA-PL@R as a control were stored at 4° C., and sampled at different time points. The changes in the hydrodynamic sizes thereof were detected by a laser particle analyzer (BI-Zeta Plus/90 Plus, Brookhaven Instruments Corporation, U.S.A.), and the results are shown in FIG. 3. It can be seen that the particle size of the liposome delivery system HA-PL@R is significantly increased with the storage time. This is very likely due to the fact that the liposome vesicles are not stable, and easily aggregated or fused. Moreover, due to the poor stability, liposome vesicles are easily cleared by the reticuloendothelial system in the body, resulting in a short half-life and limitations when applied to humans.

(107) In contrast, the average hydrodynamic sizes of HA-CL1@R, HA-CL2@R, and HA-CL3@R remain almost unchanged after 90 days of storage, and no delamination, flocculation or other similar phenomenon is observed throughout the test period. The average hydrodynamic size of HA-PL@R increases from 183 nm to about 2 μm, and from the appearance, obvious precipitation appears after 10 days of storage. After 90 days of storage, HA-PL@R is in the form of flocculent precipitation, unable to re-disperse. It can be seen that the cerasome delivery systems of the present disclosure, HA-CL1@R, HA-CL2@R and HA-CL3@R, have better storage stability than the liposome delivery system HA-PL@R. Thus, they have potential for application as a long-circulating, targeted drug delivery system.

(108) 6. Investigation of Long-Term Encapsulation Rate

(109) The cerasome delivery systems HA-CL1@R, HA-CL2@R and HA-CL3@R of the present disclosure and the liposome delivery system HA-PL@R as a control were stored at 4° C., and sampled at different time points, and the free drug was removed by ultrafiltration and centrifugation to detect changes in the encapsulation rate thereof, and the results are shown in FIG. 4.

(110) As shown in the figure, there is no significant change in the drug content in the cerasome delivery systems HA-CL1@R, HA-CL2@R and HA-CL3@R after 90 days of standing. In contrast, the drug content in the liposome delivery system HA-PL@R drops dramatically to around 30%. This indicates that the release rate of the encapsulated drug is closely related to the nature of the lipid bilayer. The inorganic polysiloxane network on the surface of the cerasome vesicle effectively protects the internal lipid bilayer structure and decreases the permeability of the lipid bilayer, so that the drug is not easily leaked. In contrast, liposome vesicles have poor stability due to lack of the protective effect of inorganic polysiloxane network on their surface, so that the drug is easily leaked.

(111) The data above clearly demonstrates that the long-term storage stability of the cerasome delivery system of the present disclosure is excellent, and the particle size does not change much after storage for three months at 4° C. with low leakage rate of the drug.

(112) 7. Study on In Vitro Drug Release Performance

(113) 2 mL of the cerasome delivery system of the present disclosure HA-CL1@R and 2 mL of the liposome delivery system HAPL@R as a control were placed in a dialysis bag and sealed. The dialysis bag was then placed in 50 mL of release medium (PBS solution, pH=7.4) and incubated at 37° C. for 120 h. 2 mL of the release liquid was taken at different time points and the same volume of PBS solution was replenished. The drug content in the release liquid was detected by HPLC (Waters 2487, Waters Corporation, U.S.A.), and the cumulative drug release rate was calculated according to Equation 3.

(114) $\begin{array}{cc}\mathrm{CRP}\left(\%\right)=\frac{V_r\underset{1}{\overset{n-1}{.Math.}}{C}_i+V_0{C}_n}{M_{\mathrm{drug}}}\times 100\%& \mathrm{Equation}3\end{array}$

(115) The meaning of each parameter in Equation 3 is as follows:

(116) CRP: cumulative drug release rate

(117) Ve: displacement volume of the release liquid, Ve being 2 mL herein

(118) V0: volume of the release liquid in the release system, V0 being 50 mL herein

(119) Ci: concentration of drug in the release liquid at the i.sup.th replacement and sampling, in μg/mL

(120) M Drug: total mass of drug in the cerasome or liposome delivery system, in μg

(121) n: number of times for replacement of the release liquid

(122) Cn: drug concentration in the release system measured after the n.sup.th replacement of the release liquid.

(123) In vitro release is an important index for evaluating the nanoparticle delivery systems. FIG. 5 is a graph showing the change in cumulative drug release rate of the cerasome delivery system of the present disclosure HA-CL1@R and the liposome delivery system HA-PL@R as a control. As shown in the figure, the liposome delivery system HA-PL@R almost releases 100% of the drug within 30 h. The cerasome delivery system HA-CL1@R releases faster in the first 3 hours, about 15% within 3 hours. After that, the drug release rate gradually slows down, and only 59.5% of the drug is released after 120 hours. The faster drug release rate in the early stage may be caused by the release behavior of a drug that is partially adsorbed or precipitated on the surface of the cerasome vesicle which can be rapidly dissolved and diffused into the release medium. The drug release in the later stage is mainly the release of the drug encapsulated in the cerasome vesicle, which is characterized by sustained and slow release behavior. The results of the in vitro release test show that the release of the drug from the cerasome vesicle can be effectively retarded because the surface of the cerasome vesicle is covered by the inorganic polysiloxane network, and the void between the lipid bilayers is reduced, and thus the density of the lipid bilayer is increased. The results of the in vitro release test indicate that cerasome vesicles as drug carriers have slow and sustained release properties.

(124) In addition, similar studies have found that the in vitro drug release properties of the cerasome delivery systems of the present disclosure HA-CL1@R, HA-CL2@R and HA-CL3@R are similar, wherein HA-CL3@R has the fastest drug release speed (see FIG. 6). This indicates that the three cerasome delivery systems of the present disclosure HA-CL1@R, HA-CL2@R and HA-CL3@R have similar drug release mechanisms and properties.

Example 4: Study on In Vivo Release Stability of Cerasome Delivery System of the Present Disclosure

(125) In this example, the cerasome delivery systems, HA-CL1@R and HA-CL2@R which are loaded with rosuvastatin and prepared in Example 2, are used as an example to prove that the cerasome delivery system of the present disclosure is capable of remaining relatively stable at vulnerable plaques as compared to liposome delivery systems, thereby achieving the effect of sustained release of the drug over a prolonged period of time. Meanwhile, for convenience of comparison, the liposome delivery system, HA-PL@R which is loaded with rosuvastatin and prepared in Example 2, is also used in this example as a comparative example.

(126) Experimental Method:

(127) SPF-grade ApoE−/− mice (18 mice, 10 weeks old, weight 20 f 1 g) are taken as experimental animals. The mice were fed with an adaptive high-fat diet (fat 10% (w/w), cholesterol 2% (w/w), sodium cholate 0.5% (w/w), and the rest being normal feed for mice) for 4 weeks, and then anaesthetized by intraperitoneal injection of 1% sodium pentobarbital (prepared by adding 1 mg of sodium pentobarbital to 100 ml of normal saline) at a dose of 40 mg/kg. Then, the mice were fixed on the surgical plate in the supine position, disinfected around the neck with 75% (v/v) alcohol, the neck skin was cut longitudinally, the anterior cervical gland was bluntly separated, and the beating left common carotid artery can be observed on the left side of the trachea. The common carotid artery was carefully separate to the bifurcation. A silicone cannula with a length of 2.5 mm and an inner size of 0.3 mm was placed on the outer periphery of the left common carotid artery. The proximal and distal segments of the cannula were narrowed and fixed by filaments. Local tightening causes rapid blood flow in the proximal end with increased shear force, and thus damage to the intima of the blood vessel. The carotid artery was repositioned and the neck skin was intermittently sutured. All operations were performed under a 10×stereomicroscope. After awakened from the surgery, the mice were returned to the cage, where the ambient temperature was maintained at 20-25° C., and the light was kept under a 12 h/12 h light/dark cycle. At the 4th week after the surgery, lipopolysaccharide (LPS) (1 mg/kg in 0.2 ml phosphate buffered saline, Sigma, U.S.A.) was injected intraperitoneally twice a week for 10 weeks to induce chronic inflammation. At the 8th week after the surgery, mice were placed in a 50 ml syringe (sufficient vents reserved) to trigger restrictive mental stress, 6 hours/day, 5 days per week for a total of 6 weeks. The mouse model of atherosclerotic vulnerable plaque was completed at the 14th week after the surgery. FIGS. 7(a) and 7(b) show images of the nuclear magnetic resonance imaging of the mouse atherosclerotic vulnerable plaque model. It can be seen from the part at which the arrow points that the left carotid plaque has been formed, suggesting successful modeling, and the right carotid can be used as a normal arterial vessel wall for comparison.

(128) The mice were randomly divided into three groups with 6 mice per group, depending on the targeted delivery system used, i.e., the cerasome delivery system group 1 (using the cerasome delivery system, HA-CL1@R loaded with rosuvastatin and prepared in Example 2), the cerasome delivery system group 2 (using the cerasome delivery system, HA-CL2@R loaded with rosuvastatin and prepared in Example 2) and the liposome delivery system group (using the liposome delivery system, HA-PL@R loaded with rosuvastatin and prepared in Example 2, as a comparative example).

(129) On the day of the experiment, HA-CL1@R, HA-CL2@R and HA-PL@R were administered via intravenous injection at a single dose of 5 mg of rosuvastatin per kg body weight for the above three groups of mice, respectively. The percentage of drug exposure at the arterial vulnerable plaque (which reflects changes in the concentration of rosuvastatin at the vulnerable plaque after injection of the experimental drug over time) was determined by liquid chromatography-mass spectrometry:

(130) (1) Preparation of Standard Solution

(131) 0.0141 g of rosuvastatin was accurately weighed, placed in a 25 mL volumetric flask, dissolved with methanol and diluted to the mark, shaken and formulated as a stock solution of rosuvastatin reference substance at a concentration of 56.4 μg/mL. The stock solution of rosuvastatin reference substance was diluted with methanol to a series of standard solutions of 10, 1, 0.5, 0.125, 0.05, 0.025, 0.01, 0.002, 0.0004 μg/mL, which were stored at 4° C. for further experiments.

(132) (2) Preparation of Internal Standard Solution

(133) 0.0038 g of acetaminophen was accurately weighed, placed in a 25 mL volumetric flask, dissolved with methanol and diluted to the mark, shaken and formulated as a stock solution of acetaminophen at a concentration of 0.152 mg/mL. The stock solution of acetaminophen was diluted with methanol to a 15.2 ng/mL internal standard solution, which was stored at 4° C. for further experiments.

(134) (3) Pretreatment of Carotid Sample

(135) The animals were sacrificed before the administration and 2 h, 4 h, 8 h, 12 h, 24 h, 48 h, 72 h, and 168 h (seven days) after administration (one mouse at each time point). The carotid plaques were quickly removed and placed in normal saline, the surface water was absorbed by filter paper, 1 cm sample was cut from each plaque, the wet weight was weighed, 1 ml of normal saline was added and homogenized to prepare a homogenate.

(136) 1 ml of the homogenate was taken, 20 μL of methanol, 100 μL of the internal standard solution at a concentration of 15.2 ng/mL, 100 μL of 10% (v/v) formic acid aqueous solution, and 5 mL of ethyl acetate were added, mixed uniformly, and centrifuged at 14,000 rpm for 10 min. 4 ml of organic solution in the organic layer was taken and dried with nitrogen. Then, the same was dissolved in 200 μL of mobile phase (0.1% (v/v) formic acid aqueous solution and acetonitrile (40:60, v/v)), the solution was centrifuged at 14000 rpm for 10 min, and the supernatant was taken and transferred to a sample bottle for testing.

(137) (4) Preparation of Samples for Standard Curve

(138) 10 μL of the serial concentrations of rosuvastatin solutions were taken and 500 μL of blank plasma was added, vortexed and mixed uniformly, and formulated as rosuvastatin simulated drug-containing plasma samples at concentrations of 200, 20, 10, 2.5, 1, 0.5, 0.2, 0.04, and 0.008 ng/mL, respectively. A standard curve was established following operations according to the plasma treatment (50 μL of the internal standard solution at a concentration of 15.2 ng/mL, 50 μL of 10% (v/v) formic acid aqueous solution, and 2.5 mL of ethyl acetate were added and mixed uniformly, the solution was centrifuged at 14,000 rpm for 10 min. 2 ml of organic solution in the organic layer was taken, the same was dried with nitrogen, then dissolved in 100 μL of mobile phase, and the same was centrifuged at 14,000 rpm for 10 min. The supernatant was taken and transferred to a sample bottle for testing). The linear regression was performed by weighted least squares method with the ratio of the rosuvastatin peak area to the internal standard peak area as the ordinate (y) and the blood concentration as the abscissa (x).

(139) (5) Liquid Chromatography-Mass Spectrometry

(140) The liquid phase separation was carried out using the Shimadzu modulaRLC system (Tokyo, Japan), and the system includes: 1 DGU-20A3R vacuum degasser, 2 LC-20ADXR solvent delivery modules, 1 SIL-20ACXR autosampler, 1 SPD-M20A PDA system and 1 CBM-20A controller. The liquid phase system was connected online with an ABSciex 5500 Qtrap mass spectrometer (FosteRCity, Calif., U.S.A.) equipped with an ESI interface. Analyst software (Version 1.6.2, ABSciex) was used for data acquisition and processing.

(141) Chromatography was performed using Cortecs™ UPLC C18 column (150 mm×2.1 mm internal size (i.d.), 1.6 μm particle size) (Waters Corporation, U.S.A.), and the column temperature and sample chamber temperature were set to 40° C. and 4° C., respectively. The mobile phase was 0.1% (v/v) formic acid aqueous solution and acetonitrile (40:60, v/v) and the sample injection volume was 2 μl. The flow rate was 0.2 mL/min and the analysis time for a single sample was 4 min.

(142) The mass spectrometry used the ESI source as the ion source, in the positive ion scan mode. The spray voltage was set to 4500 V and the source temperature was set to 500° C. Each compound was detected by multiple reaction monitoring (MRM). The ion channels of each component were: rosuvastatin calcium m/z 482.2-258.2, and acetaminophen m/z 152.2.fwdarw.110, respectively. The collision energy and cone voltage of each compound were optimized: rosuvastatin 43V and 100V, acetaminophen 23V and 100V. The retention time of rosuvastatin calcium and acetaminophen were 2.07 min and 1.49 min, respectively.

(143) (6) Standard Curve

(144) The linear range, correlation coefficient (r), linear equation and LLOQ of rosuvastatin are shown in Table 2. As shown in the table, the R value of rosuvastatin is greater than 0.999, which satisfies the requirements of quantitative analysis.

(145) TABLE-US-00002 TABLE 2 Linear equation and LLOQ of rosuvastatin Linear range Correlation Regression LLOQ Compound (ng/mL) coefficient (r) equation (ng/mL) Rosuvastatin 0.008-200 0.9999 y = 129 x + 0.132 0.008 Percentage of drug exposure = weight of drug/weight of tissue.

(146) Results are shown in FIG. 8. As shown in the figure, after injection of HA-PL@R, the concentration of rosuvastatin in the vulnerable plaque of the model mice rapidly decreases after reaching the peak in a short time, which indicates that liposome vesicles are unstable at vulnerable plaques, readily resulting in disintegration and rapid drug leakage. In contrast, after injection of HA-CL1@R and HA-CL2@R, the concentration of rosuvastatin in the vulnerable plaque of model mice reaches peaks at a relatively high speed and the concentration decreases gently over a relatively long period of time, which indicates that the cerasome delivery system of the present disclosure is able to remain stable in vulnerable plaques, thereby achieving the effect of sustained releasing the drug over a long period of time.

Example 5: Study on Targeting Mechanism

(147) In this example, the density of CD44 on the surface of endothelial cells at vulnerable plaques and its affinity for HA are studied, thus providing an experimental basis for selecting CD44 within the vulnerable plaque as a target for the cerasome delivery system of the present disclosure for targeting the vulnerable plaque.

(148) 1) Comparison of CD44 Content on the Surface of Endothelial Cells at Arterial Vulnerable Plaques and on the Surface of Endothelial Cells of Normal Arterial Vessel Walls of Mice

(149) A mouse model of atherosclerotic vulnerable plaque was constructed according to the method described in Example 4 above. The endothelial cells of normal arterial vessels and endothelial cells at arterial vulnerable plaques of model mice are taken for CD44 content determination by immunohistochemical staining and image analysis, and the specific experimental method is as follow:

(150) The mouse carotid atherosclerotic vulnerable plaque specimens were taken and fixed with 10 mL/L formaldehyde aqueous solution, embedded with paraffin, sectioned in 4 μm, dewaxed in a conventional manner, hydrated, and CD44 content was detected by streptavidin-biotin-peroxidase complex method (SABC). The specimen was immersed in 30 mL/L H.sub.2O.sub.2 aqueous solution to block the activity of endogenous peroxidase, and the specimen was placed in a citrate buffer for antigen microwave repair. Then 50 g/L bovine serum albumin (BSA) blocking solution was added dropwise and the sample was allowed to stand at room temperature for 20 min. Then, a murine anti-CD44 polyclonal antibody (1:100) was added dropwise, the sample was placed in a refrigerator at 4° C. overnight, and incubated at 37° C. for 1 h. The specimen was washed, then the biotinylated goat anti-mouse IgG was added dropwise and reacted at 37° C. for 30 min. Then, the same was washed with phosphate buffered saline (PBS), horseradish peroxidase-labeled SABC complex was added dropwise, and incubated at 37° C. for 20 min. Each step above was washed with PBS.

(151) Finally, color development was performed with DAB (color developing is controlled under a microscope) and stained again with hematoxylin, the samples were then dehydrated and sealed. Sections were analyzed by immunohistochemical analysis system of BI-2000 image analysis system. Three sections were collected for endothelial cells of normal arterial vessels and endothelial cells at arterial vulnerable plaques, respectively, and five representative fields were randomly selected. The positive expression of CD44 is as follows: cell membrane and cytoplasm are yellow-brown/chocolate-brown and the background is clear, and the darker the color, the stronger the expression of CD44.

(152) The negative expression of CD44 is as follows: no yellow-brown particles are found. The mean absorbance (A) values of positive cells in the endothelial cells of normal arterial vessels and endothelial cells at arterial vulnerable plaques were measured and compared. Results are shown in FIG. 9.

(153) FIG. 9 shows the determination results of CD44 content (in semi-quantitative integration) on the surface of endothelial cells of normal arterial vessel walls and endothelial cells at arterial vulnerable plaques of model mice. As shown in the figure, the CD44 content on the surface of endothelial cells at arterial vulnerable plaques is approximately 2.3 times the CD44 content on the surface of endothelial cells of normal arterial vessels.

(154) 2a) Comparison of the Affinity of CD44 on the Surface of Endothelial Cells at Arterial Vulnerable Plaques and on the Surface of Endothelial Cells of Normal Arterial Vessel Walls of Mice for HA

(155) Endothelial cells at normal arterial vessel walls and endothelial cells at arterial vulnerable plaques of model mice were taken, and hyaluronic acid labeled with aminofluorescein at a concentration of 10 mg/ml (represented by “FL-HA”) was added, and the sample was cultured in Dulberic modified Eagle's medium (DMEM) (containing calf serum with a volume fraction of 10%, 100 U/ml penicillin, 100 U/ml streptomycin) at 37° C., in 5% CO.sub.2 incubator. After 30 minutes, the mean fluorescence intensity (MFI) was determined by flow cytometry (CytoFLEX, Beckman Coulter, U.S.A.), and the binding force integration of FL-HA on the surface of both cells was calculated (the binding force of endothelial cells of normal arterial vessel walls is set to 1). Results are shown in FIG. 10.

(156) As shown in FIG. 10, the binding force integration of FL-HA on the surface of endothelial cells at arterial vulnerable plaques is approximately 24 times that of endothelial cells of normal arterial vessel walls. This indicates that most of the CD44 on the surface of endothelial cells of normal arterial vessel walls are in a static state where it cannot bind to the ligand HA, while the CD44 on the surface of endothelial cells at arterial vulnerable plaques are activated by factors such as inflammatory factors in the internal environment, and the affinity for HA is significantly increased.

(157) 2b) Comparison of the Affinity of CD4 on the Surface of Endothelial Cells at Arterial Vulnerable Plaques and on the Surface of Endothelial Cells of Normal Arterial Vessel Walls of Mice for Ligand and Antibody

(158) Natural ligands for CD44 include: HA, GAG, collagen, laminin, fibronectin, selectin, osteopontin (OPN), and monoclonal antibodies HI44a, HI313, A3D8, H90, IM7, etc.

(159) Endothelial cells at normal arterial vessel walls and endothelial cells at arterial vulnerable plaques of model mice were taken, and the ligand/antibody labeled with aminofluorescein at a concentration of 10 mg/ml was added, the sample was cultured in Dulberic modified Eagle's medium (DMEM) (containing calf serum with a volume fraction of 10%, 100 U/ml penicillin, 100 U/ml streptomycin) at 37° C., in 5% CO.sub.2 incubator. After 30 minutes, the mean fluorescence intensity (MFI) was determined by flow cytometry (CytoFLEX, Beckman Coulter, U.S.A.), and the binding force integration of FL-ligand/antibody on the surface of both cells was calculated (the binding force of CD44 of endothelial cells of normal arterial vessel walls to ligand/antibody is set to 1). Results are shown in FIG. 11.

(160) As shown in FIG. 11, the binding force integration of CD44 on the surface of endothelial cells at arterial vulnerable plaques to HA is approximately 24 times that of endothelial cells of normal arterial vessel walls. This indicates that most of the CD44 on the surface of endothelial cells of normal arterial vessel walls are in a static state where it cannot bind to the ligand HA, while the CD44 on the surface of endothelial cells at arterial vulnerable plaques are activated by factors such as inflammatory factors in the internal environment, and the affinity for HA is significantly increased.

(161) Other ligands of CD44 have similar results to HA, and the binding force integration of CD44 on the surface of endothelial cells at vulnerable plaques to GAG is 22 times that of normal cells, and the binding force integration of CD44 on the surface of endothelial cells at vulnerable plaques to collagen is 21 times that of normal cells, the binding force integration of CD44 on the surface of endothelial cells at vulnerable plaques to laminin is 16 times that of normal cells, the binding force integration of CD44 on the surface of endothelial cells at vulnerable plaques to fibronectin is 18 times that of normal cells, the binding force integration of CD44 on the surface of endothelial cells at vulnerable plaques to selectin is 19 times that of normal cells, and the binding force integration of CD44 on the surface of endothelial cells at vulnerable plaques to osteopontin is 17 times that of normal cells.

(162) Similar results were observed for monoclonal antibodies of CD44: the binding force integration of CD44 on the surface of endothelial cells at vulnerable plaques to HI44a is 15 times that of normal cells, the binding force integration of CD44 on the surface of endothelial cells at vulnerable plaques to HI313 is 21 times that of normal cells, the binding force integration of CD44 on the surface of endothelial cells at vulnerable plaques to A3D8 is 17 times that of normal cells, the binding force integration of CD44 on the surface of endothelial cells at vulnerable plaques to H90 is 9 times that of normal cells, and the binding force integration of CD44 on the surface of endothelial cells at vulnerable plaques to IM7 is 8 times that of normal cells.

(163) 3a) Comparison of the Affinity of CD44 on the Surface of Macrophages Outside the Plaque and that of Macrophages Inside Arterial Vulnerable Plaques for HA

(164) Intraperitoneal macrophages and macrophages inside arterial vulnerable plaques of model mice were taken, and hyaluronic acid labeled with aminofluorescein at a concentration of 10 mg/ml (represented by “FL-HA”) was added, the sample was cultured in DMEM (containing calf serum with a volume fraction of 10%, 100 U/ml penicillin, 100 U/ml streptomycin) at 37° C., in 5% CO.sub.2 incubator. After 30 minutes, the mean fluorescence intensity (MFI) was determined by flow cytometry (CytoFLEX, Beckman Coulter, U.S.A.), and the binding force integration of FL-HA on the surface of both cells was calculated (the affinity of CD44 on the surface of macrophages outside the plaque for HA is set to 1). Results are shown in FIG. 12.

(165) As shown in FIG. 12, the binding force of FL-HA on the surface of macrophages inside arterial vulnerable plaques is approximately 40 times that of macrophages outside the plaque. This indicates that the CD44 on the surface of macrophages inside arterial vulnerable plaques are also activated by factors such as inflammatory factors in the internal environment, and the affinity for HA is significantly increased.

(166) Based on the results of the above experiments, the following conclusions can be drawn: compared with normal cells (such as endothelial cells of normal arterial vessel walls, macrophages outside the plaque), the density of CD44 on the surface of cells in vulnerable plaques (including endothelial cells, macrophages, etc., which are important for the development of arterial vulnerable plaques) is significantly increased, and its affinity for HA is significantly enhanced, thus the specific affinity of CD44 inside arterial vulnerable plaques for HA ligands is much higher than that of normal cells, making it very advantageous as an excellent target for the cerasome delivery system of the present disclosure for targeting vulnerable plaques.

(167) 3b) Comparison of the Affinity of CD44 on the Surface of Macrophages Outside the Plaque and that of Macrophages Inside Arterial Vulnerable Plaques for a Ligand/an Antibody

(168) Intraperitoneal macrophages and macrophages inside arterial vulnerable plaques of model mice were taken, and the ligand/antibody labeled with aminofluorescein at a concentration of 10 mg/ml was added, the sample was cultured in DMEM (containing calf serum with a volume fraction of 10%, 100 U/ml penicillin, 100 U/ml streptomycin) at 37° C., in 5% CO.sub.2 incubator. After 30 minutes, the mean fluorescence intensity (MFI) was determined by flow cytometry (CytoFLEX, Beckman Coulter, U.S.A.), and the binding force integration of FL-HA on the surface of both cells was calculated (the affinity of CD44 on the surface of macrophages outside the plaque for a ligand/an antibody is set to 1). Results are shown in FIG. 13.

(169) As shown in FIG. 13, the binding force of CD44-HA on the surface of macrophages inside arterial vulnerable plaques is approximately 40 times the binding force of CD44-HA on the surface of macrophages outside the plaques. This indicates that the CD44 on the surface of macrophages inside arterial vulnerable plaques are also activated by factors such as inflammatory factors in the internal environment, and the affinity for HA is significantly increased.

(170) Other ligands of CD44 have similar results to HA, and the binding force integration of CD44 on the surface of macrophages at vulnerable plaques to GAG is 33 times that of normal cells, and the binding force integration of CD44 on the surface of macrophages at vulnerable plaques to collagen is 38 times that of normal cells, the binding force integration of CD44 on the surface of macrophages at vulnerable plaques to laminin is 37 times that of normal cells, the binding force integration of CD44 on the surface of macrophages at vulnerable plaques to fibronectin is 35 times that of normal cells, the binding force integration of CD44 on the surface of macrophages at vulnerable plaques to selectin is 33 times that of normal cells, and the binding force integration of CD44 on the surface of macrophages at vulnerable plaques to osteopontin is 33 times that of normal cells.

(171) Similar results were observed for monoclonal antibodies of CD44: the binding force integration of CD44 on the surface of macrophages at vulnerable plaques to HI44a is 17 times that of normal cells, the binding force integration of CD44 on the surface of macrophages at vulnerable plaques to HI313 is 20 times that of normal cells, the binding force integration of CD44 on the surface of macrophages at vulnerable plaques to A3D8 is 16 times that of normal cells, the binding force integration of CD44 on the surface of macrophages at vulnerable plaques to H90 is 9 times that of normal cells, and the binding force integration of CD44 on the surface of macrophages at vulnerable plaques to IM7 is 10 times that of normal cells.

(172) Based on the results of the above experiments, the following conclusions can be drawn: compared with normal cells (such as endothelial cells of normal arterial vessel walls, macrophages outside the plaque), the density of CD44 on the surface of cells in vulnerable plaques (including endothelial cells, macrophages, etc., which are important for the development of arterial vulnerable plaques) is significantly increased, and its affinity for a ligand is significantly enhanced, thus the specific affinity of CD44 inside arterial vulnerable plaques for a ligand is much higher than that of normal cells, making it very advantageous as an excellent target for the cerasome delivery system of the present disclosure for targeting vulnerable plaques.

Example 6: In Vivo Experiment about the Effect of the Cerasome Delivery System of the Present Disclosure on Arterial Vulnerable Plaques

(173) The purpose of this example is to verify the in vivo therapeutic effect of the cerasome delivery system of the present disclosure that is loaded with a therapeutic agent on arterial vulnerable plaques.

(174) Experimental Method:

(175) (1) A normal saline solution of free rosuvastatin was prepared, and the cerasome delivery system HA-CL1@R loaded with a therapeutic agent, the cerasome delivery system HA-CL1@R+LMHA loaded with a therapeutic agent and a small-molecular hyaluronic acid, the cerasome delivery system HA-CL1@R+S loaded with a therapeutic agent and a CD44 activator, the liposome delivery system HA-PL@R loaded with a therapeutic agent and hyaluronic acid nanomicelle system PDLLA/Chol-HA@R (as a comparative example) were prepared by the method described in the above Example 2.

(176) Preparation of hyaluronic acid nanomicelle system (PDLLA/Chol-HA@R): 1 g of cholesterol was dissolved in 30 mL of acetone, and 1 g of succinic anhydride was added. The reaction solution was stirred at 70° C. for 3 h. The solvent was removed by reduced pressure distillation, and the crude product was dissolved and recrystallized from water/anhydrous ethanol (1:10) to give the cholesterol succinate. 500 mg of cholesterol succinate was weighed and dissolved in 20 mL of anhydrous chloroform, and 6 mL of chloroform containing 1 mL of thionyl chloride was added dropwise. After completion of the dropwise addition, the temperature of the system was raised to 60° C., and the reaction was lasted for 5 hours. The unreacted thionyl chloride and trichloromethane were removed by reduced pressure distillation to give a pale green oil. 500 mg of hyaluronic acid (10 kD) was weighed and dissolved in 60 mL of dimethyl sulfoxide, and 1 mL of triethylamine was added, 5 mL of cholesterol succinate acyl chloride in dimethyl sulfoxide solution was measured, which was slowly added under protection of nitrogen to the mixture. The system was reacted at a constant temperature of 80° C. for 7 h. After the reaction was completed, the heating was stopped. The reaction product was dialyzed against water for 72 h before being freeze-dried to obtain cholesterol-modified hyaluronic acid (Chol-HA).

(177) 50 mg of Chol-HA and 50 mg of polylactic acid (PDLLA) were weighed and dissolved together in 10 mL of DMF, the reaction solution was stirred on a magnetic stirrer for 24 h until completely mixed, the obtained polymer solution was poured into a dialysis bag with a cut-off molecular weight of 3000 and dialyzed against 500 mL of deionized water for 4 hours, the aqueous phase was then replaced with a 2 wt % rosuvastatin solution and dialysis was continued for 48 h. The dialysis bag was then immediately placed in 20 mL of rosuvastatin solution (1 mg mL.sup.−1) and incubated for 24 h, and then dialyzed against 1 L of deionized water for 4 h, during which the deionized water was changed once every hour to remove the unencapsulated drug. The obtained nanovesicle solution was removed from the dialysis bag and lyophilized to obtain a nanocarrier PDLLA/Chol-HA@R loaded with rosuvastatin.

(178) (2) Establishment of ApoE−/− Mouse Model of Arterial Vulnerable Plaque:

(179) SPF-grade ApoE−/− mice (30 mice, 5-6 weeks old, weight 20 f 1 g) were taken as experimental animals. The mice were fed with an adaptive high-fat diet (fat 10% (w/w), cholesterol 2% (w/w), sodium cholate 0.5% (w/w), and the rest being normal feed for mice) for 4 weeks, and then anaesthetized via intraperitoneal injection of 1% sodium pentobarbital (prepared by adding 1 mg of sodium pentobarbital to 100 ml of normal saline) at a dose of 40 mg/kg. Then, the mice were fixed on the surgical plate in the supine position, disinfected around the neck with 75% (v/v) alcohol, the neck skin was cut longitudinally, and the anterior cervical gland was bluntly separated, and the beating left common carotid artery can be observed on the left side of the trachea. The common carotid artery was carefully separated to the bifurcation. A silicone cannula with a length of 2.5 mm and an inner size of 0.3 mm was placed on the outer periphery of the left common carotid artery. The proximal and distal segments of the cannula were narrowed and fixed by filaments. Local tightening causes rapid blood flow in the proximal end with increased shear force, and thus damage to the intima of the blood vessel. The carotid artery was repositioned and the neck skin was intermittently sutured. All operations were performed under a 10×stereomicroscope. After awakened from the surgery, the mice were returned to the cage, where the ambient temperature was maintained at 20-25° C., and the light was kept under a 12 h/12 h light/dark cycle. At the 4th week after the surgery, lipopolysaccharide (LPS) (1 mg/kg in 0.2 ml phosphate buffered saline, Sigma, U.S.A.) was injected intraperitoneally twice a week for 10 weeks to induce chronic inflammation. At the 8th week after the surgery, mice were placed in a 50 ml syringe (sufficient vents reserved) to trigger restrictive mental stress, 6 hours/day, 5 days per week for a total of 6 weeks. The mouse model of atherosclerotic vulnerable plaque was completed at the 14th week after the surgery.

(180) (3) Grouping and Treatment of Experimental Animals:

(181) The experimental animals were randomly divided into the following groups, 6 mice in each group: control group of vulnerable plaque model: this group of animals do not undergo any therapeutic treatment; group intragastrically administered with rosuvastatin: treatment by intragastric administration at a dose of 5 mg rosuvastatin per kg body weight; group intravenously administered with rosuvastatin: treatment by intravenous administration at a dose of 5 mg rosuvastatin per kg body weight; HA-PL@R group: treatment by intravenous administration at a dose of 5 mg rosuvastatin per kg body weight; PDLLA/Chol-HA@R group: treatment by intravenous administration at a dose of 5 mg rosuvastatin per kg body weight; HA-CL1@R group: treatment by intravenous administration at a dose of 5 mg rosuvastatin per kg body weight; HA-CL1@R+LMHA group: treatment by intravenous administration of 5 mg rosuvastatin and 1.25 mg small-molecular hyaluronic acid having a molecular weight of 3411 Da per kg body weight; HA-CL1@R+S group: treatment by intravenous administration at a dose of 5 mg rosuvastatin and 1.75 mg CD44 antibody mAb per kg body weight.

(182) Except for the control group of vulnerable plaque model, the treatment group was treated once every other day for a total of 5 treatments. For animals in each group, carotid MRI scans were performed before and after treatment to detect plaque and lumen area, and the percentage of plaque progression was calculated.
Percentage of plaque progression=(plaque area after treatment−plaque area before treatment)/lumen area.
Experimental Results:

(183) FIG. 14 displays the in vivo therapeutic effect of the cerasome delivery system of the present disclosure loaded with a therapeutic agent on arterial vulnerable plaques. As shown in the figure, for arterial vulnerable plaques in mice, whether administered by intragastric administration or intravenous administration, free rosuvastatin shows a certain therapeutic effect, but it could not prevent the continued growth of vulnerable plaques. Compared with free rosuvastatin, when administered in a liposome delivery system or a hyaluronic acid nanomicelle delivery system, the therapeutic effect of rosuvastatin on vulnerable plaques has been improved to some extent, but it still cannot prevent the continued growth of the vulnerable plaques. However, when formulated in the cerasome delivery system of the present disclosure, the therapeutic effect of rosuvastatin on vulnerable plaques has been significantly improved and has been shown the therapeutic effect of reversing the plaque growth (i.e., reducing the plaque). In particular, the present inventors have unexpectedly discovered that when rosuvastatin is formulated in combination with the small-molecular hyaluronic acid or CD44 activator-CD44 antibody mAb in the cerasome delivery system for combination administration, the therapeutic effect of rosuvastatin on arterial vulnerable plaques in mice is very significant. In summary, administration of a therapeutic agent using the cerasome delivery system of the present disclosure significantly reverses the growth of arterial vulnerable plaques as compared to administration of a free drug and using liposome delivery systems, with a better therapeutic effect.

(184) In addition, similar studies have found that the therapeutic effect of the cerasome delivery systems of the present disclosure HA-CL1@R, HA-CL2@R and HA-CL3@R on arterial vulnerable plaques are similar, which further indicates that the three cerasome delivery systems of the present disclosure HA-CL1@R, HA-CL2@R and HA-CL3@R have similar drug release mechanisms and properties.

Example 7: In Vivo Tracing Experiment of the Cerasome Delivery System of the Present Disclosure on Arterial Vulnerable Plaques

(185) The purpose of this example is to verify the in vivo tracing effect of the cerasome delivery system of the present disclosure loaded with a tracer on arterial vulnerable plaques.

(186) Experimental Method:

(187) (1) A commercially available nanogold solution was used, and the cerasome delivery system HA-CL1@AuNPs loaded with a CT tracer nanogold, the cerasome delivery system HA-CL1@AuNPs+S loaded with a tracer and a CD44 activator, and the non-targeting cerasome delivery system CL1@AuNPs loaded with a tracer (as a comparative example) were prepared by the method described in the above Example 2.

(188) (2) A mouse model of atherosclerotic vulnerable plaque was constructed according to the method described in Example 4 above.

(189) (3) The model mice were fed with a high-fat diet (same as in Example 4) for 16 weeks. 24 model mice were randomly divided into the free nanogold particle group (6 mice, given the commercially available nanogold solution, the dosage of nanogold was 0.1 mg/kg body weight), the CL1@AuNPs group (6 mice, given CL1@AuNPs, the dosage of nanogold was 0.1 mg/kg body weight), the HA-CL1@AuNPs group (6 mice, given HA-CL1@AuNPs, the dosage of nanogold was 0.1 mg/kg body weight) and HA-CL1@AuNPs+S group (6 mice, given HA-CL1@AuNPs+S, the dosage of nanogold was 0.1 mg/kg body weight, and the dosage of CD44 activator-CD44 antibody mAb was about 0.07 mg/kg body weight). Animals in each experimental group were injected with the corresponding tracer through the tail vein, and CT imaging was performed before administration and 4 hours after administration to observe the identification of atherosclerotic vulnerable plaque in each group.

(190) Experimental Results:

(191) FIG. 15 displays the in vivo tracing effect of the cerasome delivery system of the present disclosure loaded with a tracer on arterial vulnerable plaques.

(192) As shown in the figure, the free nanogold particles show a certain tracing effect on arterial vulnerable plaques in mice. Compared with the free nanogold particles, when the nanogold is formulated in a non-targeting cerasome delivery system, the tracing effect of the nanogold on vulnerable plaques has been improved to some extent. When the nanogold is formulated in the cerasome delivery system of the present disclosure whose surface is modified with a targeting ligand hyaluronic acid, the tracing effect of the nanogold on vulnerable plaques has been significantly improved. In particular, the present inventors have unexpectedly discovered that when the nanogold is formulated in combination with a CD44 activator-CD44 antibody mAb in a cerasome delivery system for combination administration, the tracing effect of the nanogold on arterial vulnerable plaques in mice is very significant. In summary, administration in the cerasome delivery system of the present disclosure whose surface is modified with a targeting ligand hyaluronic acid can significantly improve the recognition effect of the nanogold on vulnerable plaques compared to the administration of the free nanogold particles and in non-targeting cerasome delivery systems, resulting in better tracing effect.

(193) In addition, similar studies have found that the tracing effect of the cerasome delivery systems of the present disclosure, HA-CL1@AuNPs, HA-CL2@AuNPs and HA-CL3@AuNPs which are loaded with a tracer, on arterial vulnerable plaques are similar, which further indicates that the three cerasome delivery systems of the present disclosure HA-CL1@AuNPs, HA-CL2@AuNPs and HACL3@AuNPs have similar drug release mechanisms and properties.

Example 8: In Vivo Tracing (CT Tracing) Experiment of the Cerasome-HA-Iodixanol Delivery System of the Present Disclosure on Arterial Vulnerable Plaques

(194) The purpose of this example is to verify the in vivo tracing effect of the cerasome delivery system of the present disclosure loaded with a CT tracer on arterial vulnerable plaques.

(195) Experimental Method:

(196) (1) A commercially available iodixanol bulk drug was used, and the cerasome delivery system HA-CL1@I loaded with a CT tracer, the cerasome delivery system HA-CL1@I+S loaded with a tracer and a CD44 activator, and the non-targeting cerasome delivery system CL1@I loaded with a tracer (as a comparative example) were prepared by the method described in the above Example 2.

(197) (2) A mouse model of atherosclerotic vulnerable plaque was constructed according to the method described in Example 6 above.

(198) (3) The model mice were fed with a high-fat diet (same as in Example 6) for 16 weeks. 30 model mice were randomly divided into the blank group (6 mice), the iodixanol group (6 mice, given the commercially available iodixanol bulk drug, and the dosage of iodixanol was 0.66 mg/kg body weight), the CL1@I group (6 mice, given CL1@I, and the dosage of iodixanol was 0.66 mg/kg body weight), the HA-CL1@I group (6 mice, given HA-CL1@I, and the dosage of iodixanol was 0.66 mg/kg body weight), and HA-CL1@I+S group (6 mice, given HA-CL1@I+S, the dosage of iodixanol was 0.66 mg/kg body weight, and the dosage of CD44 activator-LPS was about 0.023 mg/kg body weight). Animals in each experimental group were injected with the corresponding tracer through the tail vein, and CT imaging was performed before administration and 72 hours after administration to observe the identification of atherosclerotic vulnerable plaque in each group.

(199) Experimental Results:

(200) FIG. 16 displays the in vivo tracing effect of the cerasome delivery system of the present disclosure loaded with a tracer on arterial vulnerable plaques. As shown in the figure, intravenous administration of iodixanol does not show any tracing effect on arterial vulnerable plaques in mice. Compared with intravenous administration of iodixanol, when it is loaded in a non-targeting cerasome delivery system, the tracing effect of iodixanol on vulnerable plaques has been improved to some extent. When iodixanol is formulated in the cerasome delivery system of the present disclosure whose surface is modified with a targeting ligand hyaluronic acid, the tracing effect of iodixanol on vulnerable plaques has been significantly improved. In particular, the present inventors have unexpectedly discovered that when iodixanol is formulated in combination with a CD44 activator-LPS in a cerasome delivery system for combination administration, the tracing effect of iodixanol on arterial vulnerable plaques in mice is very significant. In summary, administration in the cerasome delivery system of the present disclosure whose surface is modified with a targeting ligand hyaluronic acid can significantly improve the recognition effect of iodixanol on vulnerable plaques compared to the free iodixanol and in non-targeting cerasome delivery systems, resulting in better tracing effect.

Example 9: In Vivo Tracing (MRI Tracing) Experiment of the Cerasome-HA-Gadoterate Meglumine Delivery System of the Present Disclosure on Arterial Vulnerable Plaques

(201) The purpose of this example is to verify the in vivo tracing effect of the cerasome delivery system of the present disclosure loaded with an MRI tracer on arterial vulnerable plaques.

(202) Experimental Method:

(203) (1) A commercially available bulk drug gadoterate meglumine was used, and the cerasome delivery system loaded with an MRI tracer and a blank cerasome delivery system (as a comparative example) were prepared by the method described in the above Example 2.

(204) (2) A mouse model of atherosclerotic vulnerable plaque was constructed according to the method described in Example 6 above.

(205) (3) The model mice were fed with a high-fat diet (same as in Example 6) for 16 weeks. 18 model mice were randomly divided into the blank cerasome group (6 mice), the cerasome group with a low concentration of gadoterate meglumine (6 mice, given a commercially available gadoterate meglumine bulk drug, the concentration of gadoterate meglumine was 0.05 mg/ml, and the dosage is 10 ml/kg), and the cerasome group with a high concentration of gadoterate meglumine (6 mice, given a commercially available gadoterate meglumine bulk drug, the concentration of gadoterate meglumine was 0.5 mg/ml, and the dosage is 10 ml/kg). Animals in each experimental group were injected with the corresponding tracer through the tail vein, and MRI imaging was performed before administration and at multiple time points after administration to observe the identification of atherosclerotic vulnerable plaque in each group.

(206) Experimental Results:

(207) FIG. 17 displays the in vivo tracing effect of the cerasome delivery system of the present disclosure loaded with a tracer on arterial vulnerable plaques. As shown in the figure, the blank cerasome does not show any tracing effect on arterial vulnerable plaques in mice. Compared with the blank cerasome group, when gadoterate meglumine is loaded in a targeting cerasome delivery system, the tracing effect of gadoterate meglumine on vulnerable plaques has been significantly improved, and in a dosage-dependent manner. In summary, compared with the blank cerasome delivery system, administration in the cerasome-HA-gadoterate meglumine delivery system of the present disclosure may show recognition effect on arterial vulnerable plaques, resulting in a better MRI tracing effect.

Example 10: In Vivo Tracing (MRI Tracing) Experiment of the Multiple CD44 Monoclonal Antibodies-Cerasome-Gadoterate Meglumine Delivery System of the Present Disclosure on Arterial Vulnerable Plaques

(208) The purpose of this example is to verify the in vivo tracing effect of the nano delivery system of the present disclosure, which is loaded with an MRI tracer and assembled with a variety of different CD44 monoclonal antibodies on the surface, on arterial vulnerable plaques.

(209) Experimental Method:

(210) (1) A commercially available bulk drug gadoterate meglumine was used, and the cerasome nano delivery systems loaded with an MRI tracer and modified with different CD44 monoclonal antibodies as targeting probes were prepared by the method described in the above Example 2.

(211) (2) A mouse model of atherosclerotic vulnerable plaque was constructed according to the method described in Example 6 above.

(212) (3) The model mice were fed with a high-fat diet (same as in Example 6) for 16 weeks. 24 model mice were randomly divided into the blank group (6 mice), the gadoterate meglumine-cerasome-HI44a group (6 mice, given a commercially available gadoterate meglumine bulk drug, the concentration of gadoterate meglumine was 0.5 mg/ml, and the dosage was 10 ml/kg), the gadoterate meglumine-cerasome-A3D8 group (6 mice, given a commercially available gadoterate meglumine bulk drug, the concentration of gadoterate meglumine was 0.5 mg/ml, and the dosage was 10 ml/kg), and the gadoterate meglumine-cerasome-H90 group (6 mice, given a commercially available gadoterate meglumine bulk drug, the concentration of gadoterate meglumine is 0.5 mg/ml, and the dosage was 10 ml/kg). Animals in each experimental group were injected with the corresponding tracer through the tail vein, and MRI imaging was performed before administration and at multiple time points after administration to observe the recognition of atherosclerotic vulnerable plaque in each group.

(213) Experimental Results:

(214) FIG. 18 displays the in vivo tracing effect of the cerasome delivery system of the present disclosure with multiple CD44 monoclonal antibodies as probes on arterial vulnerable plaques. In summary, compared with the blank cerasome delivery system, administration with the cerasome nano system of the present disclosure with multiple CD44 monoclonal antibodies as targeting probes (including gadoterate meglumine-cerasome-HI44a nano system, gadoterate meglumine-cerasome-A3D8 nano system, gadoterate meglumine-cerasome-H90 nano system) may show recognition effect on arterial vulnerable plaques, resulting in a better MRI tracing effect.

Example 11: In Vivo Tracing (MRI Tracing) Experiment of the Various CD44 Ligands-Cerasome-Gadodiamide Delivery System of the Present Disclosure on Arterial Vulnerable Plaques

(215) The purpose of this example is to verify the in vivo tracing effect of the nano delivery system of the present disclosure, which is loaded with an MRI tracer and assembled with a variety of different CD44 ligands on the surface, on arterial vulnerable plaques.

(216) Experimental Method:

(217) (1) A commercially available bulk drug gadodiamide was used, and cerasome nano delivery systems loaded with an MRI tracer and different CD44 ligands as targeting probes were prepared by the method described in the above Example 2.

(218) (2) A mouse model of atherosclerotic vulnerable plaque was constructed according to the method described in Example 6 above.

(219) (3) The model mice were fed with a high-fat diet (same as in Example 6) for 16 weeks. 42 model mice were randomly divided into the blank cerasome group (6 mice), the HA-cerasome group (6 mice), the collagen-gadodiamide-cerasome group (6 mice, given a commercially available gadodiamide bulk drug, the concentration of gadodiamide was 0.5 mg/ml, and the dosage was 10 ml/kg), the laminin-gadodiamide-cerasome group (6 mice, given a commercially available gadodiamide bulk drug, the concentration of gadodiamide was 0.5 mg/ml, and the dosage was 10 ml/kg), the fibronectin-gadodiamide-cerasome group (6 mice, given a commercially available gadodiamide bulk drug, the concentration of gadodiamide was 0.5 mg/ml, and the dosage was 10 ml/kg), the selectin-gadodiamide-cerasome group (6 mice, given a commercially available gadodiamide bulk drug, the concentration of gadodiamide was 0.5 mg/ml, and the dosage was 10 ml/kg), and the osteopontin-gadodiamide-cerasome group (6 mice, given a commercially available gadodiamide bulk drug, the concentration of gadodiamide was 0.5 mg/ml, and the dosage was 10 ml/kg). Animals in each experimental group were injected with the corresponding tracer through the tail vein, and MRI imaging was performed before administration and at multiple time points after administration to observe the identification of atherosclerotic vulnerable plaque in each group.

(220) Experimental Results:

(221) FIG. 19 displays the in vivo tracing effect of the cerasome delivery system of the present disclosure with multiple CD44 ligands as probes on arterial vulnerable plaques. As shown in the figure, compared with the blank cerasome group, administration with the cerasome nano system of the present disclosure having multiple CD44 ligands (including HA, collagen, laminin, fibronectin, selectin, osteopontin) as targeting probes may show recognition effect on arterial vulnerable plaques, resulting in a better MRI tracing effect.

Example 12: Tissue Distribution of HA-Cerasome of Various Particle Sizes-Iodixanol Delivery System of the Present Disclosure

(222) The purpose of this example is to verify the tissue distribution of the cerasome nano delivery system of the present disclosure (of various particle sizes) which is loaded with a CT tracer.

(223) Experimental Method:

(224) (1) A commercially available raw material iodixanol was used, and the cerasome nano delivery system of various particle sizes (having HA molecular weight of 100,000 Da) was prepared by the following method:

(225) (2) A mouse model of atherosclerotic vulnerable plaque was constructed according to the method described in Example 6 above.

(226) (3) The model mice were fed with a high-fat diet (same as in Example 6) for 16 weeks. 36 model mice were randomly divided into the cerasome group with a particle size of 280 nm (12 mice), the cerasome group with a particle size of 200 nm (12 mice), and the cerasome group with a particle size of 160 nm (12 mice), wherein the carrier was loaded with a commercially available iodixanol bulk drug, and the concentration of iodixanol was 0.5 mg/ml, and the dosage was 10 ml/kg. Animals in each experimental group were injected with the corresponding tracer through the tail vein, and tissue collection was performed before administration and at 4 time points (3 animals per time point) after administration to observe the tissue distribution of iodixanol in each group of animals.

(227) Experimental Results:

(228) Table 3 displays the tissue distribution of the cerasome nano delivery systems of the present disclosure of various particle sizes which are loaded with a CT tracer. As shown in the table, the cerasome of 200 nm described in the present disclosure can be better enriched in arterial vulnerable plaques compared to cerasome groups of other particle sizes.

(229) TABLE-US-00003 TABLE 3 Concentration in tissue after single intravenous injection of cerasome of various particle sizes 280 nm 200 nm 160 nm Time cerasome group cerasome group cerasome group (h) Spleen Liver Plaque Spleen Liver Plaque Spleen Liver Plaque 2.00 2370 1812 121 1570 1743 134 1236 1617 109 4.00 2033 1219 50 1523 1002 55.8 1198 918 43 8.00 1290 387 ND 870 315 ND 652 321 ND 24.0 791 89 ND 557 61.8 ND 461 77 ND

Example 13: Tissue Distribution of HA of Various Molecular Weights-Cerasome-Iodixanol Delivery System of the Present Disclosure

(230) The purpose of this example is to verify the tissue distribution of the cerasome nano delivery system loaded with a CT tracer and having HA (with various molecular weights) as a recognizing ligand of the present disclosure.

(231) Experimental Method:

(232) (1) A commercially available raw material iodixanol was used, and the cerasome nano delivery system (with a particle size of 200 nm) was prepared by the following method: 1 g of sodium hyaluronate HA1, HA2, and HA3 (having a molecular weight of 200,000 Da, 100,000 Da, and 30,000 Da respectively) were completely dissolved in ultrapure water, respectively, and 0.1 g of 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride (EDC.Math.HCl) and 0.12 g of N-hydroxysulfosuccinimide (sulfo-NHS) coupling agent were added to activate the carboxyl group. After stirred at room temperature for 1 hour, acetone was added to the reaction solution to precipitate the activated HA. The precipitation was filtered, washed with ethanol and dried in vacuo to give activated HA. The same is formulated to a 0.1 mg mL.sup.−1 aqueous solution, and 0.2 mL of the solution was transferred and dissolved in the cerasome vesicle suspension obtained in the above step, for coupling the activated carboxyl group in the activated HA to the amino group of the DSPE molecule incorporated in the lipid bilayer of the cerasome vesicle via forming amide bonds, to obtain three cerasome delivery systems HA1-CL1@R, HA2-CL1@R and HA3-CL1@R, which were loaded with a therapeutic agent.

(233) (2) A mouse model of atherosclerotic vulnerable plaque was constructed according to the method described in Example 6 above.

(234) (3) The model mice were fed with a high-fat diet (same as in Example 6) for 16 weeks. 36 model mice were randomly divided into the HA1-CL1@R group (12 mice), the HA2-CL1@R group (12 mice), and the HA3-CL1@R group (12 mice), wherein the carrier was loaded with a commercially available iodixanol bulk drug, and the concentration of iodixanol was 0.5 mg/ml, and the dosage was 10 ml/kg. Animals in each experimental group were injected with the corresponding tracer through the tail vein, and tissue collection was performed before administration and at 4 time points (3 animals per time point) after administration to observe the tissue distribution of iodixanol in each group of animals.

(235) Experimental Results:

(236) Table 4 displays the tissue distribution of the HA of various molecular weights-cerasome nano delivery systems of the present disclosure which are loaded with a CT tracer. As shown in the table, the HA of 100,000 Da described in the present disclosure can be better enriched in arterial vulnerable plaques compared to HA of other molecular weight.

(237) TABLE-US-00004 TABLE 4 Concentration in tissue after single intravenous injection of HA of various molecular weights Time HA3-CL1@R group HA2-CL1@R group HA1-CL1@R group (h) Spleen Liver Plaque Spleen Liver Plaque Spleen Liver Plaque 2.00 1330 1623 112 1570 1743 134 2336 1981 78 4.00 753 1198 51 1523 1002 55.8 1825 1384 42 8.00 490 652 ND 870 315 ND 1398 657 ND 24.0 54 192 ND 557 61.8 ND 879 102 ND

(238) The various aspects of the disclosure have been exemplified by the above-described examples. Obviously, the above examples are merely examples used for clear description, instead of limiting the implementation modes. For a person skilled in the art, other forms of changes or variations may also be made on the basis of the above description. There is no need and no way to exhaust all implementation modes here. Obvious changes or variations resulting therefrom are still within the scope of the present disclosure.