Nanomedicine in cardiovascular and cerebrovascular diseases: targeted nanozyme therapies and their clinical potential and current challenges

Abstract Cardiovascular and cerebrovascular diseases continue to be significant public health problems, with high mortality and morbidity rates worldwide. Inflammation and ROS are believed to be the hallmarks of these diseases, but conventional therapies targeting inflammation and ROS have had limit...

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Main Authors: Yanhua Jiang, Yongjian Zhou, Zhe Li, Liang Guo
Format: Article
Language:English
Published: BMC 2025-07-01
Series:Journal of Nanobiotechnology
Subjects:
Online Access:https://doi.org/10.1186/s12951-025-03590-w
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author Yanhua Jiang
Yongjian Zhou
Zhe Li
Liang Guo
author_facet Yanhua Jiang
Yongjian Zhou
Zhe Li
Liang Guo
author_sort Yanhua Jiang
collection DOAJ
description Abstract Cardiovascular and cerebrovascular diseases continue to be significant public health problems, with high mortality and morbidity rates worldwide. Inflammation and ROS are believed to be the hallmarks of these diseases, but conventional therapies targeting inflammation and ROS have had limited success due to their limited pharmacokinetics, low bioavailability, shorter half-life, and notable side effects. Over the last decade, nanomedicine has rapidly evolved with diverse applications in diagnostics, drug delivery, and treatment of various diseases, including cardiovascular and cerebrovascular diseases. Nanomaterials such as nanozymes have gained success with remarkable therapeutic efficacy due to their stability, formulations, enzyme-mimetic activities, and ability to deliver more than one drug. Moreover, nanozymes can uphold a constant rate of drug release, maintaining a low frequency of dosing to reduce the side effects of drugs. Due to their multifunctional nature, they can be used as targeted delivery vehicles to the damaged brain, arterial, and other tissues to mitigate inflammation and ROS while promoting blood-brain barrier protection, ischemic stroke neurovascular recovery, and neuronal cell survival. In this review article, we have explored the mechanisms and different types of nanozyme-based targeted therapies for several cardiovascular and cerebrovascular diseases, including myocardial infarction, atherosclerosis, and ischemic stroke. We have discussed their enzyme-mimetic catalytic activities, immune-modulatory effects, ROS scavenging abilities, and anti-inflammatory properties. We have also discussed the challenges that slow down the clinical and translational success of these nanozyme-based therapies. Continuing work with integrated and multidisciplinary approaches, these nanozymes may offer potential solutions for cardiovascular and cerebrovascular diseases.
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spelling doaj-art-7f0954922f6340f0a3426ced5d46812e2025-08-20T03:06:04ZengBMCJournal of Nanobiotechnology1477-31552025-07-0123112510.1186/s12951-025-03590-wNanomedicine in cardiovascular and cerebrovascular diseases: targeted nanozyme therapies and their clinical potential and current challengesYanhua Jiang0Yongjian Zhou1Zhe Li2Liang Guo3Department of Anesthesiology, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, ChinaDepartment of Anesthesiology, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, ChinaDepartment of Anesthesiology, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, ChinaDepartment of Cardiology, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, ChinaAbstract Cardiovascular and cerebrovascular diseases continue to be significant public health problems, with high mortality and morbidity rates worldwide. Inflammation and ROS are believed to be the hallmarks of these diseases, but conventional therapies targeting inflammation and ROS have had limited success due to their limited pharmacokinetics, low bioavailability, shorter half-life, and notable side effects. Over the last decade, nanomedicine has rapidly evolved with diverse applications in diagnostics, drug delivery, and treatment of various diseases, including cardiovascular and cerebrovascular diseases. Nanomaterials such as nanozymes have gained success with remarkable therapeutic efficacy due to their stability, formulations, enzyme-mimetic activities, and ability to deliver more than one drug. Moreover, nanozymes can uphold a constant rate of drug release, maintaining a low frequency of dosing to reduce the side effects of drugs. Due to their multifunctional nature, they can be used as targeted delivery vehicles to the damaged brain, arterial, and other tissues to mitigate inflammation and ROS while promoting blood-brain barrier protection, ischemic stroke neurovascular recovery, and neuronal cell survival. In this review article, we have explored the mechanisms and different types of nanozyme-based targeted therapies for several cardiovascular and cerebrovascular diseases, including myocardial infarction, atherosclerosis, and ischemic stroke. We have discussed their enzyme-mimetic catalytic activities, immune-modulatory effects, ROS scavenging abilities, and anti-inflammatory properties. We have also discussed the challenges that slow down the clinical and translational success of these nanozyme-based therapies. Continuing work with integrated and multidisciplinary approaches, these nanozymes may offer potential solutions for cardiovascular and cerebrovascular diseases.https://doi.org/10.1186/s12951-025-03590-wNanozymesROSAnti-inflammationCardiovascular diseasesCerebrovascular diseases
spellingShingle Yanhua Jiang
Yongjian Zhou
Zhe Li
Liang Guo
Nanomedicine in cardiovascular and cerebrovascular diseases: targeted nanozyme therapies and their clinical potential and current challenges
Journal of Nanobiotechnology
Nanozymes
ROS
Anti-inflammation
Cardiovascular diseases
Cerebrovascular diseases
title Nanomedicine in cardiovascular and cerebrovascular diseases: targeted nanozyme therapies and their clinical potential and current challenges
title_full Nanomedicine in cardiovascular and cerebrovascular diseases: targeted nanozyme therapies and their clinical potential and current challenges
title_fullStr Nanomedicine in cardiovascular and cerebrovascular diseases: targeted nanozyme therapies and their clinical potential and current challenges
title_full_unstemmed Nanomedicine in cardiovascular and cerebrovascular diseases: targeted nanozyme therapies and their clinical potential and current challenges
title_short Nanomedicine in cardiovascular and cerebrovascular diseases: targeted nanozyme therapies and their clinical potential and current challenges
title_sort nanomedicine in cardiovascular and cerebrovascular diseases targeted nanozyme therapies and their clinical potential and current challenges
topic Nanozymes
ROS
Anti-inflammation
Cardiovascular diseases
Cerebrovascular diseases
url https://doi.org/10.1186/s12951-025-03590-w
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AT yongjianzhou nanomedicineincardiovascularandcerebrovasculardiseasestargetednanozymetherapiesandtheirclinicalpotentialandcurrentchallenges
AT zheli nanomedicineincardiovascularandcerebrovasculardiseasestargetednanozymetherapiesandtheirclinicalpotentialandcurrentchallenges
AT liangguo nanomedicineincardiovascularandcerebrovasculardiseasestargetednanozymetherapiesandtheirclinicalpotentialandcurrentchallenges