Targeted and Biomimetic Nanoparticles for Atherosclerosis Therapy: A Review of Emerging Strategies

Atherosclerosis, a chronic inflammatory disease, remains a leading cause of cardiovascular mortality worldwide. Despite standard treatments like statins and percutaneous coronary intervention (PCI), significant residual risk and therapeutic limitations underscore the need for innovative strategies....

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Main Authors: Dorota Bartusik-Aebisher, Rafał Podgórski, Iga Serafin, David Aebisher
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/13/7/1720
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author Dorota Bartusik-Aebisher
Rafał Podgórski
Iga Serafin
David Aebisher
author_facet Dorota Bartusik-Aebisher
Rafał Podgórski
Iga Serafin
David Aebisher
author_sort Dorota Bartusik-Aebisher
collection DOAJ
description Atherosclerosis, a chronic inflammatory disease, remains a leading cause of cardiovascular mortality worldwide. Despite standard treatments like statins and percutaneous coronary intervention (PCI), significant residual risk and therapeutic limitations underscore the need for innovative strategies. This review summarizes recent advances in nanoparticle-based therapies for atherosclerosis, focusing on key developments from the last five years. We discuss various nanoplatforms designed to selectively target key cellular players in plaque pathogenesis, including macrophages, endothelial cells, and vascular smooth muscle cells (VSMCs), to inhibit inflammation, modulate cellular phenotypes, and stabilize plaques. A significant focus is placed on the emerging field of biomimetic nanoparticles, where therapeutic cores are camouflaged with cell membranes derived from macrophages, platelets, neutrophils, or erythrocytes. This approach leverages the natural biological functions of the source cells to achieve enhanced immune evasion, prolonged circulation, and precise targeting of atherosclerotic lesions. Furthermore, the review covers nanoparticles engineered for specific functional interventions, such as lowering LDL levels and exerting direct anti-inflammatory and anti-oxidative effects. Finally, we address the critical challenges hindering clinical translation, including nanotoxicity, biodistribution, and manufacturing scalability. In conclusion, nanotechnology offers a versatile and powerful platform for atherosclerosis therapy, with targeted and biomimetic strategies holding immense promise to revolutionize future cardiovascular medicine.
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spelling doaj-art-cef70c755601414caaabe9ec6932eff52025-08-20T03:04:42ZengMDPI AGBiomedicines2227-90592025-07-01137172010.3390/biomedicines13071720Targeted and Biomimetic Nanoparticles for Atherosclerosis Therapy: A Review of Emerging StrategiesDorota Bartusik-Aebisher0Rafał Podgórski1Iga Serafin2David Aebisher3Department of Biochemistry and General Chemistry, Medical Faculty, Collegium Medicum, University of Rzeszów, 35-310 Rzeszów, PolandDepartment of Medical Chemistry and Metabolomics, Medical Faculty, Collegium Medicum, University of Rzeszów, 35-310 Rzeszów, PolandStudents English Division Science Club, Medical Faculty, Collegium Medicum, University of Rzeszów, 35-310 Rzeszów, PolandDepartment of Photomedicine and Physical Chemistry, Medical Faculty, Collegium Medicum, University of Rzeszów, 35-310 Rzeszów, PolandAtherosclerosis, a chronic inflammatory disease, remains a leading cause of cardiovascular mortality worldwide. Despite standard treatments like statins and percutaneous coronary intervention (PCI), significant residual risk and therapeutic limitations underscore the need for innovative strategies. This review summarizes recent advances in nanoparticle-based therapies for atherosclerosis, focusing on key developments from the last five years. We discuss various nanoplatforms designed to selectively target key cellular players in plaque pathogenesis, including macrophages, endothelial cells, and vascular smooth muscle cells (VSMCs), to inhibit inflammation, modulate cellular phenotypes, and stabilize plaques. A significant focus is placed on the emerging field of biomimetic nanoparticles, where therapeutic cores are camouflaged with cell membranes derived from macrophages, platelets, neutrophils, or erythrocytes. This approach leverages the natural biological functions of the source cells to achieve enhanced immune evasion, prolonged circulation, and precise targeting of atherosclerotic lesions. Furthermore, the review covers nanoparticles engineered for specific functional interventions, such as lowering LDL levels and exerting direct anti-inflammatory and anti-oxidative effects. Finally, we address the critical challenges hindering clinical translation, including nanotoxicity, biodistribution, and manufacturing scalability. In conclusion, nanotechnology offers a versatile and powerful platform for atherosclerosis therapy, with targeted and biomimetic strategies holding immense promise to revolutionize future cardiovascular medicine.https://www.mdpi.com/2227-9059/13/7/1720atherosclerosisnanomedicinebiomimetic nanoparticlestargeted drug deliveryplaque stabilizationnanotoxicology
spellingShingle Dorota Bartusik-Aebisher
Rafał Podgórski
Iga Serafin
David Aebisher
Targeted and Biomimetic Nanoparticles for Atherosclerosis Therapy: A Review of Emerging Strategies
Biomedicines
atherosclerosis
nanomedicine
biomimetic nanoparticles
targeted drug delivery
plaque stabilization
nanotoxicology
title Targeted and Biomimetic Nanoparticles for Atherosclerosis Therapy: A Review of Emerging Strategies
title_full Targeted and Biomimetic Nanoparticles for Atherosclerosis Therapy: A Review of Emerging Strategies
title_fullStr Targeted and Biomimetic Nanoparticles for Atherosclerosis Therapy: A Review of Emerging Strategies
title_full_unstemmed Targeted and Biomimetic Nanoparticles for Atherosclerosis Therapy: A Review of Emerging Strategies
title_short Targeted and Biomimetic Nanoparticles for Atherosclerosis Therapy: A Review of Emerging Strategies
title_sort targeted and biomimetic nanoparticles for atherosclerosis therapy a review of emerging strategies
topic atherosclerosis
nanomedicine
biomimetic nanoparticles
targeted drug delivery
plaque stabilization
nanotoxicology
url https://www.mdpi.com/2227-9059/13/7/1720
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