Advances in the treatment of atherosclerotic plaque based on nanomaterials.

IF 3.9 Nanomedicine (London, England) Pub Date : 2025-04-01 Epub Date: 2025-03-20 DOI:10.1080/17435889.2025.2480049
Pengyu Wang, Weiwei Chen, Jingfeng Zhang, Chunshu Pan, Yagui Lv, Yanzi Sun, Yanan Wang, Xuehua Ma, Changyong Gao, Tianxiang Chen, Aiguo Wu, Jianjun Zheng
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Abstract

Atherosclerosis is the leading cause of cardiovascular disease worldwide, posing not only a significant threat to cardiovascular health but also impairing the function of multiple organs, with severe cases potentially being life-threatening. Consequently, the effective treatment of atherosclerosis is of paramount importance in reducing the mortality associated with cardiovascular diseases. With the advancement of nanomedicine and a deeper understanding of the pathological mechanisms underlying atherosclerosis, nanomaterials have emerged as promising platforms for precise diagnosis and targeted therapeutic strategies. These materials offer notable advantages, including targeted drug delivery, enhanced bioavailability, improved drug stability, and controlled release. This review provides an overview of the mechanisms underlying atherosclerotic plaque development and examines nanomaterial-based therapeutic approaches for managing atherosclerotic plaques, including therapies targeting cholesterol metabolism, anti-inflammatory strategies, macrophage clearance, and immunotherapy. Additionally, the paper discusses the current technical challenges associated with the clinical transformation of these therapies. Finally, the potential future integration of nanomaterials, smart nanomaterials, and artificial intelligence in the treatment of atherosclerosis is also explored.

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纳米材料治疗动脉粥样硬化斑块的研究进展。
动脉粥样硬化是世界范围内心血管疾病的主要原因,不仅对心血管健康构成重大威胁,还会损害多个器官的功能,严重者可能危及生命。因此,动脉粥样硬化的有效治疗对于降低心血管疾病相关的死亡率至关重要。随着纳米医学的发展和对动脉粥样硬化病理机制的深入了解,纳米材料已成为精确诊断和靶向治疗策略的有希望的平台。这些材料具有显著的优势,包括靶向给药、增强生物利用度、改善药物稳定性和控制释放。本文综述了动脉粥样硬化斑块形成的机制,并探讨了基于纳米材料的动脉粥样硬化斑块治疗方法,包括针对胆固醇代谢的治疗、抗炎策略、巨噬细胞清除和免疫治疗。此外,本文还讨论了与这些疗法的临床转化相关的当前技术挑战。最后,还探讨了纳米材料、智能纳米材料和人工智能在动脉粥样硬化治疗中的潜在未来整合。
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