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Astragalus Polysaccharide Nanoparticles Alleviate Sepsis-Induced Myocardial Injury by Targeting the HSP90AA1/NLRP3 Signaling Pathway. 黄芪多糖纳米颗粒通过靶向HSP90AA1/NLRP3信号通路减轻败血症诱导的心肌损伤
IF 6.5 2区 医学 Q1 NANOSCIENCE & NANOTECHNOLOGY Pub Date : 2026-02-25 eCollection Date: 2026-01-01 DOI: 10.2147/IJN.S580840
Xiong Yue, Meimei Hu, Cunmin Zhou, Bangyun Tan, Xiaoying Xu

Purpose: This study aimed to investigate the mechanisms by which Astragalus polysaccharide nanoparticles (APS-CS/TPP) protect against septic myocardial injury, addressing the limited understanding of how APS-CS/TPP specific signaling pathways in this condition.

Materials and methods: Potential targets and pathways of Astragalus polysaccharide (APS) were initially predicted using network pharmacology, molecular docking, and microscale thermophoresis. APS-CS/TPP were prepared using an ion gel method with a chitosan derivative and characterized for formation, size, and surface charge. A murine model of septic myocardial injury was established by cecal ligation and puncture (CLP), and therapeutic outcomes were assessed via echocardiography, ELISA, histology, and Western blot. In vitro, H9c2 cells were stimulated with LPS and treated with APS-CS/TPP, with or without the HSP90AA1 inhibitor TAS-116, followed by evaluation of inflammatory markers and protein expression.

Results: APS showed high binding affinity to HSP90AA1. APS-CS/TPP improved survival and attenuated myocardial damage in septic mice. In vitro, they reduced levels of IL-1β, IL-6, and TNF-α, and downregulated HSP90AA1, NLRP3, caspase-1, and IL-1β. These effects were suppressed by TAS-116.

Conclusion: APS-CS/TPP protect against septic myocardial injury by inhibiting the HSP90AA1/NLRP3 signaling pathway.

目的:本研究旨在探讨黄芪多糖纳米粒(APS-CS/TPP)对脓毒性心肌损伤的保护机制,以解决对APS-CS/TPP特异性信号通路在脓毒性心肌损伤中的作用机制的有限理解。材料与方法:利用网络药理学、分子对接、微尺度热电泳等方法初步预测黄芪多糖(Astragalus多糖,APS)的潜在靶点和作用途径。采用离子凝胶法制备了壳聚糖衍生物的APS-CS/TPP,并对其形成、大小和表面电荷进行了表征。采用盲肠结扎穿刺法(CLP)建立小鼠脓毒性心肌损伤模型,并通过超声心动图、酶联免疫吸附法(ELISA)、组织学和免疫印迹法(Western blot)评估治疗效果。在体外,用LPS刺激H9c2细胞,用APS-CS/TPP处理,加或不加HSP90AA1抑制剂TAS-116,然后评估炎症标志物和蛋白质表达。结果:APS与HSP90AA1具有较高的结合亲和力。APS-CS/TPP提高了脓毒症小鼠的存活率,减轻了心肌损伤。在体外,它们降低IL-1β、IL-6和TNF-α的水平,下调HSP90AA1、NLRP3、caspase-1和IL-1β的水平。这些作用被TAS-116抑制。结论:APS-CS/TPP通过抑制HSP90AA1/NLRP3信号通路对脓毒性心肌损伤具有保护作用。
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引用次数: 0
Continuous Coagulation Monitoring in Human Blood Samples via Magnetic Particle Spectroscopy. 磁性粒子光谱法在人体血液样品连续凝血监测中的应用。
IF 6.5 2区 医学 Q1 NANOSCIENCE & NANOTECHNOLOGY Pub Date : 2026-02-25 eCollection Date: 2026-01-01 DOI: 10.2147/IJN.S561511
Maria-Josephina Buhné, Justin Ackers, Mandy Ahlborg, Matthias Graeser, Thorsten M Buzug, Kerstin Luedtke-Buzug, Tobias Knopp, Jonas Stroeder, Jörg Barkhausen, Roman Kloeckner, Alex Frydrychowicz, Franz Wegner, Eric Aderhold

Introduction: Magnetic Particle Imaging (MPI) is a radiation-free imaging modality based on the nonlinear magnetic response of iron oxide nanoparticles, providing high sensitivity and real-time, quantitative, background-free imaging. With the clinical approval of Resotran as an MPI-suitable tracer and the development of first human-scale scanners, clinical applications are within reach. Magnetic Particle Spectroscopy (MPS), the non-imaging counterpart of MPI, enables sensitive analytics by exploiting the signal response of magnetic nanoparticles. In this pilot study, we prove the potential of MPS to continuously monitor blood coagulation in real time.

Methods: Blood samples from five volunteers were mixed with the commercial magnetic resonance imaging contrast agent Resotran. The dynamics of the particle signal were assessed in a custom-built MPS-system for a duration of 45 minutes under various conditions, including the presence of anticoagulants (EDTA, Heparin, Citrate) and mechanical stress. The signal amplitude of the fifth harmonic of the MPS was analyzed. To exclude potential thermal effects, the temperature inside the MPS was monitored by using a fiber optic thermometer during the measurements.

Results: All Resotran-containing blood samples showed a signal decrease over time. Samples with anticoagulants exhibited no relevant signal decrease (EDTA, Citrate) or a smaller decrease (Heparin) compared to samples without anticoagulants. Additionally, mechanical stress induced a signal decay in all samples, further indicating the link between the observed MPS signal decay and blood coagulation.

Conclusion: This study shows that continuous monitoring of human blood coagulation via MPS is feasible, making bedside coagulation monitoring in clinical settings a concrete perspective.

磁颗粒成像(MPI)是一种基于氧化铁纳米颗粒非线性磁响应的无辐射成像方式,提供高灵敏度和实时、定量、无背景成像。随着Resotran作为mpi合适示踪剂的临床批准和首个人体尺度扫描仪的开发,临床应用近在咫尺。磁颗粒光谱(MPS), MPI的非成像对应物,通过利用磁性纳米颗粒的信号响应实现敏感的分析。在这项初步研究中,我们证明了MPS在实时持续监测血液凝固方面的潜力。方法:将5名志愿者的血液样本与商用磁共振成像造影剂Resotran混合。在定制的mps系统中,在各种条件下,包括抗凝剂(EDTA,肝素,柠檬酸盐)和机械应力的存在,持续45分钟,评估颗粒信号的动力学。分析了MPS的五次谐波信号幅值。为了排除潜在的热效应,在测量过程中使用光纤温度计监测MPS内部的温度。结果:所有含ressotran的血液样本随时间的推移显示信号降低。与未使用抗凝剂的样品相比,使用抗凝剂的样品没有相关的信号降低(EDTA, Citrate)或较小的降低(肝素)。此外,机械应力在所有样品中引起信号衰减,进一步表明观察到的MPS信号衰减与血液凝固之间的联系。结论:本研究表明,通过MPS对人凝血进行连续监测是可行的,为临床床边凝血监测提供了一个具体的视角。
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引用次数: 0
Current Advancements in the Arsenal for Spinal Cord Injury Repair: Novel Drug Formulations. 脊髓损伤修复的最新进展:新型药物配方。
IF 6.5 2区 医学 Q1 NANOSCIENCE & NANOTECHNOLOGY Pub Date : 2026-02-25 eCollection Date: 2026-01-01 DOI: 10.2147/IJN.S582965
Shan Wu, Saiqing Ye, Ke Men, Qingchuan Wei

Spinal cord injury (SCI) is a devastating condition associated with high rates of disability and mortality, as well as a significant financial burden. The current clinical interventions have limited therapeutic effectiveness, primarily due to relentless secondary injury cascades and the inherent challenge of neuronal circuit regeneration. Advances in biomaterials and fabrication technologies have led to the emergence of various novel formulations designed to specifically address these challenges and serve as a high-tech arsenal for researchers. This review delineates the pathophysiological mechanisms underlying SCI and the development of its self-propagating injury cascade. It also provides a comprehensive summary of recent advancements in the development and application of novel drug formulations, highlighting their distinct advantages in interrupting the injury cascade. This review aims to foster the development of more effective therapeutic strategies and ultimately improve therapeutic outcomes for patients with SCI.

脊髓损伤(SCI)是一种与高致残率和死亡率相关的毁灭性疾病,也是一种重大的经济负担。目前的临床干预措施治疗效果有限,主要是由于无情的继发性损伤级联和神经元回路再生的固有挑战。生物材料和制造技术的进步导致了各种新型配方的出现,这些配方旨在专门解决这些挑战,并为研究人员提供高科技武器。本文综述了脊髓损伤的病理生理机制及其自我传播损伤级联的发展。它还提供了一个全面的总结,在开发和应用新的药物制剂的最新进展,突出他们在中断损伤级联的独特优势。本综述旨在促进更有效的治疗策略的发展,并最终改善脊髓损伤患者的治疗效果。
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引用次数: 0
Exosomes as Pivotal Mediators of Tumor-Immune Communication: Implications for Immunotherapy and Liquid Biopsy. 外泌体作为肿瘤免疫通讯的关键介质:免疫治疗和液体活检的意义。
IF 6.5 2区 医学 Q1 NANOSCIENCE & NANOTECHNOLOGY Pub Date : 2026-02-24 eCollection Date: 2026-01-01 DOI: 10.2147/IJN.S583756
Menglin Wei, Dongli Wang, Wenrong Xu, Xueyan Zang, Jiajia Jiang

Exosomes are membrane-bound vesicles secreted by almost all types of cells, including but not limited to immune cells, neurons, epithelial cells, and cancer cells. Exosomes carry DNA, RNA, lipids, metabolites, as well as cytoplasmic and cell surface proteins. Their role in cancer progression is dynamic and is related to the type of cancer, genetics, and stage. At the same time, exosomes have attracted widespread attention as key mediators of intercellular communication in the tumor immune microenvironment (TME). This comprehensive review delineates the pleiotropic roles of exosomes in tumor immunobiology, emphasizing their bimodal capacity to either foster immunosuppression or potentiate antitumor immunity. We systematically synthesize recent advancements in exosome-based immunotherapeutic regimens, with particular emphasis on their synergistic efficacy when integrated with established modalities, namely immune checkpoint blockade and adoptive cellular therapy. Furthermore, we critically appraise emergent technologies for exosome isolation and characterization, underscoring their transformative implications for liquid biopsy platforms in real-time immune surveillance and the development of predictive biomarkers. This review posits exosome-centric strategies as a paradigm-shifting frontier in precision immuno-oncology, furnishing innovative remedies for recalcitrant therapeutic hurdles and propelling the advancement of personalized oncology care.

外泌体是由几乎所有类型的细胞分泌的膜结合囊泡,包括但不限于免疫细胞、神经元、上皮细胞和癌细胞。外泌体携带DNA、RNA、脂质、代谢物以及细胞质和细胞表面蛋白质。它们在癌症进展中的作用是动态的,与癌症的类型、遗传和分期有关。与此同时,外泌体作为肿瘤免疫微环境(TME)中细胞间通讯的关键介质引起了广泛的关注。这篇综述概述了外泌体在肿瘤免疫生物学中的多效性作用,强调了它们促进免疫抑制或增强抗肿瘤免疫的双峰能力。我们系统地综合了基于外泌体的免疫治疗方案的最新进展,特别强调了它们与既定模式(即免疫检查点阻断和过继细胞治疗)结合时的协同效果。此外,我们批判性地评估了外泌体分离和表征的新兴技术,强调了它们在实时免疫监测和预测性生物标志物开发中的液体活检平台的变革性意义。这篇综述假设以外泌体为中心的策略是精确免疫肿瘤学的一个范式转移前沿,为顽固的治疗障碍提供创新的治疗方法,并推动个性化肿瘤治疗的进步。
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引用次数: 0
Biomimetic Nanoparticles for Targeted and Efficient Cancer Therapy: Progress, Challenges and Perspectives. 靶向和高效癌症治疗的仿生纳米粒子:进展、挑战和前景。
IF 6.5 2区 医学 Q1 NANOSCIENCE & NANOTECHNOLOGY Pub Date : 2026-02-24 eCollection Date: 2026-01-01 DOI: 10.2147/IJN.S579622
Tarun Kumar, Nitin Thakur, Simran, Amit Kumar Prusti, Raj Kumar, Ajeet Kaushik, Arun Kumar

Cancer remains a prominent cause of global mortality, with over 200 identified forms, and is projected to have a 25% increase in fatalities by 2030. Early diagnosis and treatment are crucial, but current therapy, which includes surgery, chemotherapy, immunotherapy, hormonal therapy, targeted therapy, and radiotherapy, faces challenges such as non-targeted drug distribution, toxicity, and limited efficacy. In recent years, biomimetic nanoparticles have emerged as a promising nanocarrier with great potential that enables site-specific drug release, improves biocompatibility, prolongs circulation time, and minimizes immune responses. Among various biomimetic nanoparticles, nanoparticles coated with cell membranes, such as those from cancer cells, immune cells, and stem cells, have been shown to have great potential for cancer treatment. The cell membrane-coated nanoparticles, further functionalized with tumor-specific ligands, demonstrated potential in improving half-life, drug specificity, and overall therapeutic efficacy. In this comprehensive article, we have reviewed recent advances in cell membrane-coated biomimetic nanoparticle systems for cancer therapy. We discussed the biomimetic nanoparticles coated with membranes of red blood cells, cancer cells, platelet cells, macrophages, exosomes, hybrid cells, and protein/serum albumin for cancer therapy. This review also highlights challenges associated with large-scale production, maintaining structural integrity during drug loading, clinical and biosafety aspects, regulatory requirements, and the clinical translation of the cell membrane-coated biomimetic nanoparticle systems.

癌症仍然是全球死亡的主要原因,已确定的癌症类型超过200种,预计到2030年死亡人数将增加25%。早期诊断和治疗至关重要,但目前的治疗方法,包括手术、化疗、免疫治疗、激素治疗、靶向治疗和放疗,面临着诸如非靶向药物分布、毒性和疗效有限等挑战。近年来,仿生纳米颗粒作为一种极具潜力的纳米载体出现,具有位点特异性药物释放、提高生物相容性、延长循环时间和最小化免疫反应等优点。在各种仿生纳米粒子中,包被细胞膜的纳米粒子,如来自癌细胞、免疫细胞和干细胞的纳米粒子,已被证明具有巨大的癌症治疗潜力。经肿瘤特异性配体进一步功能化的细胞膜包被纳米颗粒,显示出改善半衰期、药物特异性和整体治疗效果的潜力。在这篇综合的文章中,我们回顾了最近在细胞膜包被的仿生纳米颗粒系统在癌症治疗方面的进展。我们讨论了包被红细胞、癌细胞、血小板细胞、巨噬细胞、外泌体、杂交细胞和蛋白/血清白蛋白膜的仿生纳米颗粒用于癌症治疗。这篇综述还强调了与大规模生产相关的挑战,在药物装载过程中保持结构完整性,临床和生物安全方面,监管要求,以及细胞膜包被的仿生纳米颗粒系统的临床翻译。
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引用次数: 0
Ferroptosis-Like Death: An Emerging Innovative Antibacterial Strategy. 嗜铁性死亡:一种新兴的创新抗菌策略。
IF 6.5 2区 医学 Q1 NANOSCIENCE & NANOTECHNOLOGY Pub Date : 2026-02-24 eCollection Date: 2026-01-01 DOI: 10.2147/IJN.S586869
Cheng Luo, Jialin Chen, Qifei Duan, Haibo Zhao, Nanyan Fu, Qin Deng, Yan Li

The increasing global crisis of antibiotic resistance underscores the imperative for innovative antibacterial strategies that transcend conventional mechanisms. Ferroptosis, an iron-dependent form of regulated cell death characterized by lethal lipid peroxidation, is a promising therapeutic approach. This review systematically explores ferroptosis-like death as an emerging antibacterial paradigm. The core mechanism involves exogenous interventions that result in intracellular iron overload, the incorporation of polyunsaturated fatty acids (PUFAs), and the disruption of bacterial antioxidant defenses. A comprehensive evaluation of three key strategies is provided: host-directed approach, in which immune cells are programmed to eliminate intracellular pathogens; small molecule-induced pathway, in which iron agents, PUFAs, and others are used to directly trigger bacterial death; and nanomaterial-mediated precision therapy, in which functionalized nanosystems are employed for synergistic and intelligent targeting. Despite the challenges in mechanistic understanding and biosafety, future advancements through multiomics, intelligent nanosystems, and synergistic cell death pathways are anticipated to propel this field. This strategy indicates a possible transformation in anti-infective therapy from broad-spectrum killing to precision regulation. This shift offers a potentially effective solution to address drug-resistant bacterial infections.

日益严重的全球抗生素耐药性危机强调了超越传统机制的创新抗菌策略的必要性。铁下垂是一种铁依赖性的细胞死亡形式,以致命的脂质过氧化为特征,是一种很有前途的治疗方法。这篇综述系统地探讨了铁中毒样死亡作为一种新兴的抗菌范例。核心机制涉及外源性干预,导致细胞内铁超载,多不饱和脂肪酸(PUFAs)的掺入,以及细菌抗氧化防御的破坏。对三种关键策略进行了全面评估:宿主导向方法,其中免疫细胞被编程以消除细胞内病原体;小分子诱导途径,其中铁剂、PUFAs等直接触发细菌死亡;纳米材料介导的精准治疗,其中功能化纳米系统用于协同和智能靶向。尽管在机制理解和生物安全方面存在挑战,但未来通过多组学、智能纳米系统和协同细胞死亡途径的进步有望推动这一领域的发展。这一策略表明了抗感染治疗从广谱杀伤到精确调控的可能转变。这一转变为解决耐药细菌感染提供了一种潜在的有效解决方案。
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引用次数: 0
Red Blood Cell-Derived Extracellular Vesicles for Gene and RNA Therapeutics: Biological, Engineering, and Translational Challenges. 用于基因和RNA治疗的红细胞来源的细胞外囊泡:生物学、工程学和翻译挑战。
IF 6.5 2区 医学 Q1 NANOSCIENCE & NANOTECHNOLOGY Pub Date : 2026-02-20 eCollection Date: 2026-01-01 DOI: 10.2147/IJN.S579975
Tayyab Shafiq, Nawaz Khan, Tehreem Kausar, Waqas Ahmed, Zihao Zhang, Yujie Liang, Li Duan

Gene therapy has great prospects of DNA/RNA manipulations and protein modulations. Its use in clinic is, however, stifled by risks of immunogenicity, low target specificity, and adverse effects. The red blood cell (RBC-EVs) extracellular vesicles can serve as a solution to this issue since they are biocompatible, long-term stable, and with low immunogenicity. RBC-EVs permit the accurate delivery of therapeutic cargo to space and time, thus minimizing systemic toxicity. This review presents the most recent developments on the expansion of the use of RBC-EVs to encapsulate the components of mRNA and CRISPR-Cas. Through the addition of the means to address these deficiencies, including stimulus-sensitive release mechanisms (eg, pH- or light-activated systems) and tissue-selective targeting approaches, RBC-EVs can be applied to enable the precise application in genetic diseases, inflammatory diseases, and cancer. Such innovations have the potential to overcome the clinical need and enable the biological complexity of mRNA- and CRISPR-Cas-based agents to provide a powerful delivery platform. Moreover, the review also demonstrates the unprecedented benefits of red blood cell EVs, which include immune evasion, scalability, and universal loading capacity, which can establish them as the next-generation delivery vehicles. Red blood cell EVs have the potential to increase the efficacy of precision medicine by increasing its feasibility. Lastly, we note the potential and translational issues in the provision of red blood cell EV-based mRNA and CRISPR-Cas therapeutic delivery of gene therapy.

基因治疗在DNA/RNA操作和蛋白质调控方面具有广阔的应用前景。然而,由于免疫原性、低靶点特异性和不良反应的风险,其在临床中的应用受到抑制。红细胞(rbc - ev)细胞外囊泡可以作为解决这一问题的方法,因为它们具有生物相容性、长期稳定性和低免疫原性。红细胞- ev允许在空间和时间上准确地递送治疗货物,从而最大限度地减少全身毒性。这篇综述介绍了红细胞ev包封mRNA和CRISPR-Cas成分的最新进展。通过增加解决这些缺陷的手段,包括刺激敏感释放机制(例如,pH或光激活系统)和组织选择性靶向方法,rbc - ev可以应用于遗传病,炎症性疾病和癌症的精确应用。这些创新有可能克服临床需求,并使基于mRNA和crispr - cas的药物的生物复杂性提供强大的给药平台。此外,该综述还展示了红细胞电动汽车的前所未有的优势,包括免疫规避、可扩展性和通用装载能力,这可以使它们成为下一代运载工具。红细胞电动汽车有可能通过提高其可行性来提高精准医疗的疗效。最后,我们注意到提供基于红细胞ev的mRNA和CRISPR-Cas基因治疗递送的潜在和转化问题。
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引用次数: 0
Surface-Engineered Precision Nano-Systems for Targeted Treatment of Huntington's Disease: A Review of Recent Advancements. 靶向治疗亨廷顿舞蹈病的表面工程精密纳米系统:最新进展综述
IF 6.5 2区 医学 Q1 NANOSCIENCE & NANOTECHNOLOGY Pub Date : 2026-02-20 eCollection Date: 2026-01-01 DOI: 10.2147/IJN.S548892
Jingze Zhang, Lili Nie, Jingru Ma, Xiaoke Wang

Huntington's disease is a progressive neurological disorder marked by motor, cognitive, and psychiatric symptoms. Currently, there are no definitive diagnostic tools or effective treatments to halt or reverse the disease. In recent years, surface-engineered nanosystems have emerged as innovative therapeutic platforms, offering significant promise in overcoming the limitations of traditional approaches. These nano systems, including liposomes, dendrimers, polymeric nanoparticles, and solid lipid nanoparticles, offer significant potential by targeting and modulating intricate biochemical pathways involved in the progression of Huntington's disease. Their defining advantage lies in the ability to selectively deliver therapeutic agents to specific regions of the brain with high precision. Through the use of various nanoscale carriers, these particles can successfully traverse the protective barrier between the blood and brain tissue, enabling the direct delivery of treatment agents to the regions affected by Huntington's disease. This targeted approach not only enhances the therapeutic efficacy but also minimizes unwanted systemic side effects. This review highlights recent advancements in nanosystem development, addressing previous challenges and setbacks in the field, particularly in overcoming the blood-brain barrier and improving treatment delivery. The review further explores the evolving mechanisms of nanosystem delivery and their functional impact in experimental models of Huntington's disease. While the primary focus remains on therapeutic applications, we also briefly discuss recent developments in nanoparticle-based diagnostics. Although several challenges, particularly regarding comprehensive safety assessments and the current absence of nanoparticles approved by the United States Food and Drug Administration for Huntington's disease, this review underscores the transformative potential of nanosystems for future therapeutic applications.

亨廷顿氏病是一种进行性神经系统疾病,以运动、认知和精神症状为特征。目前,没有明确的诊断工具或有效的治疗方法来阻止或逆转这种疾病。近年来,表面工程纳米系统已成为创新的治疗平台,为克服传统方法的局限性提供了重要的希望。这些纳米系统,包括脂质体、树状大分子、聚合纳米颗粒和固体脂质纳米颗粒,通过靶向和调节参与亨廷顿病进展的复杂生化途径,提供了巨大的潜力。它们的决定性优势在于能够选择性地将治疗剂高精度地输送到大脑的特定区域。通过使用各种纳米级载体,这些颗粒可以成功地穿过血液和脑组织之间的保护屏障,从而将治疗剂直接输送到受亨廷顿舞蹈病影响的区域。这种有针对性的方法不仅提高了治疗效果,而且最大限度地减少了不必要的全身副作用。这篇综述强调了纳米系统发展的最新进展,解决了该领域以前的挑战和挫折,特别是在克服血脑屏障和改善治疗递送方面。这篇综述进一步探讨了纳米系统递送的进化机制及其在亨廷顿病实验模型中的功能影响。虽然主要焦点仍然是治疗应用,但我们也简要讨论了基于纳米颗粒的诊断的最新发展。尽管存在一些挑战,特别是关于全面的安全性评估和目前美国食品和药物管理局批准的用于亨廷顿病的纳米颗粒的缺失,但这篇综述强调了纳米系统在未来治疗应用中的变革潜力。
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引用次数: 0
Nanotechnology-Driven Precision Modulation of Transplant Immunity: From Mechanistic Insights to Clinical Tolerance. 纳米技术驱动的移植免疫的精确调节:从机制的见解到临床耐受。
IF 6.5 2区 医学 Q1 NANOSCIENCE & NANOTECHNOLOGY Pub Date : 2026-02-19 eCollection Date: 2026-01-01 DOI: 10.2147/IJN.S579655
Long Zhang, Kunzhe Wu, Shuhan Si, Xiaoyu Zhang, Feiran Jia, Xiaohua Xu, Xuefei Jin

Organ transplantation represents a definitive therapeutic modality for end-stage organ failure, yet it is plagued by formidable challenges encompassing allogeneic immune rejection and the inherent limitations of conventional immunosuppressive regimens. Nonspecific immunosuppression not only precipitates severe adverse events such as opportunistic infections and malignancies but also fails to precisely modulate the local immune microenvironment. The core innovation of this review lies in the systematic integration of the distinctive advantages of nanotechnology-including targeted delivery, multifunctional synergy, and stimuli-responsive intelligence-with transplant immune regulation, encompassing a comprehensive analysis spanning mechanistic elucidation, strategic optimization, and clinical translation. We first delineate the pivotal mechanisms underlying immune rejection, including the regulatory roles of the transplant immune microenvironment, T lymphocytes, macrophages, and oxidative stress in ischemia-reperfusion injury (IRI). Subsequently, we conduct a critical comparison between conventional immunosuppressants and emerging therapeutic strategies, with a particular focus on how nanoplatforms enable spatiotemporally precise immune modulation. This includes targeting the transplant immune microenvironment, reprogramming T cell/macrophage functions, mitigating oxidative stress, facilitating tissue repair and regeneration, as well as inducing immune tolerance via both active and passive approaches. Additionally, we discuss innovative nanotechnological strategies such as the optimization of organ cryopreservation protocols. In summary, nanotechnology offers a targeted, multifunctional, and long-acting paradigm for transplant immune regulation, albeit confronted with formidable translational bottlenecks. Future integration with interdisciplinary technologies will undoubtedly propel the field toward the goal of precision immune modulation in organ transplantation.

器官移植是终末期器官衰竭的一种明确的治疗方式,但它受到包括同种异体免疫排斥和传统免疫抑制方案固有局限性在内的巨大挑战的困扰。非特异性免疫抑制不仅会引发严重的不良事件,如机会性感染和恶性肿瘤,而且不能精确调节局部免疫微环境。本综述的核心创新在于系统整合纳米技术的独特优势——包括靶向递送、多功能协同作用和刺激反应智能——与移植免疫调节,包括机制阐明、策略优化和临床转化的综合分析。我们首先描述了免疫排斥的关键机制,包括移植免疫微环境、T淋巴细胞、巨噬细胞和氧化应激在缺血再灌注损伤(IRI)中的调节作用。随后,我们对传统的免疫抑制剂和新兴的治疗策略进行了关键的比较,特别关注纳米平台如何实现时空精确的免疫调节。这包括靶向移植免疫微环境,重编程T细胞/巨噬细胞功能,减轻氧化应激,促进组织修复和再生,以及通过主动和被动途径诱导免疫耐受。此外,我们还讨论了创新的纳米技术策略,如器官冷冻保存方案的优化。总之,纳米技术为移植免疫调节提供了一个有针对性的、多功能的、长效的范例,尽管面临着巨大的转化瓶颈。未来与跨学科技术的融合无疑将推动该领域向器官移植中精确免疫调节的目标迈进。
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引用次数: 0
Formulation and Application of a Human Insulin-Like Growth Factor 1-Loaded Transfersomal System to Enhance Skin Wound Healing in Diabetic Rat Models. 人胰岛素样生长因子- 1转运体系统促进糖尿病大鼠皮肤创面愈合的研制与应用
IF 6.5 2区 医学 Q1 NANOSCIENCE & NANOTECHNOLOGY Pub Date : 2026-02-19 eCollection Date: 2026-01-01 DOI: 10.2147/IJN.S564241
Fahimeh Nojoki, Kianoush Dormiani, Mahboobeh Forouzanfar, Amin Derakhshan, Mohammad Hossein Nasr-Esfahani, Sanaz Sedghi Esfahani, Parto Nasri

Background: Transdermal drug delivery is a local and non-invasive method for treating skin diseases that offers advantages such as sustained and long-term drug release.

Methods: In this study, transfersomes (TFs) containing human Insulin-like growth factor 1 (TF/hIGF-1) were prepared and characterized as an effective transdermal drug delivery system to improve skin wound healing in diabetic models. TFs were prepared using the film hydration method and characterized by various methods.

Results: Pre-release evaluation confirmed the controlled release of human insulin-like growth factor (hIGF-1) supported by TEM images, showing dispersed spherical shapes with particle sizes below 100 nm. In vitro studies of these nanovesicles demonstrated that encapsulation significantly improved the stability and functionality of hIGF-1, enhancing cell migration and complete closure of cell monolayer gaps. In vivo studies on diabetic rats treated with TF/hIGF-1 hydrogel revealed accelerated wound healing compared to controls. Histopathological analysis also showed increased epidermal thickness and dermal protrusions, indicating enhanced healing effects.

Conclusion: Overall, this study demonstrated that hIGF-1 released from TF/hIGF-1 in a controlled manner could effectively promote re-epithelialization and granulation tissue formation in diabetic wounds of animal models compared to controls. These findings suggest a promising and effective approach for potential use in treating diabetic wounds.

背景:经皮给药是一种局部、无创的治疗皮肤病的方法,具有持续、长期的药物释放等优点。方法:在本研究中,制备了含有人胰岛素样生长因子1 (TF/hIGF-1)的转移体(TFs),并将其表征为一种有效的经皮给药系统,可改善糖尿病模型皮肤伤口愈合。采用膜水化法制备了tf,并对其进行了表征。结果:预释评价证实了人胰岛素样生长因子(hIGF-1)的控释,TEM图像支持其呈分散球形,粒径小于100 nm。这些纳米囊泡的体外研究表明,包封显著提高了hIGF-1的稳定性和功能,增强了细胞迁移和完全关闭细胞单层间隙。用TF/hIGF-1水凝胶治疗糖尿病大鼠的体内研究显示,与对照组相比,伤口愈合速度加快。组织病理学分析也显示表皮厚度增加和真皮突出,表明愈合效果增强。结论:总体而言,本研究表明,与对照组相比,从TF/hIGF-1中调控释放的hIGF-1能有效促进动物模型糖尿病创面的再上皮化和肉芽组织形成。这些发现提示了一种治疗糖尿病伤口的有效方法。
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International Journal of Nanomedicine
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