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In Silico Optimization Of Biomimetic Nanoparticle Kinetics For Sepsis Management: A Computational Pharmacology Framework For Rational Design

Shuaibu, I. I.; Khan, M. A.; Alkhamis, D.; Alkhamis, A.

2026-01-19 intensive care and critical care medicine
10.64898/2026.01.17.26344326 medRxiv
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BackgroundSepsis-induced mortality is frequently driven by the systemic dissemination of pore-forming toxins (PFTs), such as Staphylococcus aureus alpha-hemolysin. Biomimetic "nanosponges" which are nanoparticles coated in red blood cell (RBC) membranes have emerged as a promising detoxification strategy. However, current methods rely largely on empirical iteration, often failing to optimize the competitive binding kinetics required to outcompete native RBCs in a high-flow hemodynamic environment. MethodsWe developed a deterministic ordinary differential equation (ODE) kinetic model based on the law of mass action to simulate the competitive inhibition of alpha-toxin by decoy nanoparticles. Unlike prior geometric models, this study explicitly tracked molar receptor concentrations to enforce saturation kinetics and mass conservation. We performed a multi-parametric sweep of nanoparticle radius (r_{NP}: 50-200 nm) and receptor surface density (d_{rec: 200-10,000 sites {micro}m{square}2) to identify the design window that maximizes toxin sequestration efficiency within a clinically relevant timeframe (60 minutes). ResultsBaseline simulations established a native RBC receptor concentration of 3.34 x 10^{-7} M. The optimization landscape revealed a non-linear dependence on receptor density rather than particle size. The optimal design window was identified at a receptor density of >8,000 sites {micro}m{square}2 on an 80 nm vector, achieving a theoretical toxin neutralization efficiency of 91.79%. Notably, complete (100%) neutralization was not observed even under optimized conditions, suggesting a theoretical upper bound imposed by physiological competition. In contrast, standard biomimetic formulations (low-density, 100 nm) achieved suboptimal capture, failing to prevent significant toxin-RBC interaction. ConclusionWe demonstrate that "decoy" efficacy is governed primarily by receptor surface density rather than geometric surface area. Our model suggests that current manufacturing protocols, which prioritize particle stability over receptor enrichment, may be kinetically insufficient for human application. These findings provide a rational design framework for next-generation nanotoxoid therapeutics.

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