Thyroid‐Targeted Nano‐Bombs Empower HIFU for Graves' Disease

Abstract Graves' disease (GD) is an autoimmune disorder with a high incidence rate, particularly affecting women of reproductive age. Current treatment modalities for GD carry significant disadvantages, especially for pregnant or nursing women. As a novel extracorporeal therapeutic technique, h...

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Main Authors: Binhao Wang, Zhuobing Yin, Xiangyue You, Hanwei Peng, Ying Jiang
Format: Article
Language:English
Published: Wiley 2025-03-01
Series:Advanced Science
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Online Access:https://doi.org/10.1002/advs.202414597
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author Binhao Wang
Zhuobing Yin
Xiangyue You
Hanwei Peng
Ying Jiang
author_facet Binhao Wang
Zhuobing Yin
Xiangyue You
Hanwei Peng
Ying Jiang
author_sort Binhao Wang
collection DOAJ
description Abstract Graves' disease (GD) is an autoimmune disorder with a high incidence rate, particularly affecting women of reproductive age. Current treatment modalities for GD carry significant disadvantages, especially for pregnant or nursing women. As a novel extracorporeal therapeutic technique, high‐intensity focused ultrasound (HIFU) shows great promise for treating GD; however, its low treatment efficacy impedes clinical application. In this study, a thyroid‐targeted nano‐bomb system (PD‐PLGA@Si‐Ab/PDA‐I, PSAPI) is developed to enhance HIFU efficacy and improve therapeutic outcomes for GD. The core structure of PSAPI encapsulates a phase‐transition material, perfluorohexane, and the anti‐inflammatory drug diclofenac within a poly(lactide‐co‐glycolide) (PLGA) and silica shell. A polydopamine coating enhances biocompatibility, while iodine loading and thyroid‐stimulating hormone receptor (TSHR) antibodies grafting ensure targeted delivery to the thyroid. Robust in vitro and in vivo results demonstrated that PSAPI is highly biocompatible, accumulates in the thyroid within 24 h after administration, and significantly potentiates the therapeutic efficacy of HIFU, resulting in markedly reduced inflammatory responses. Transcriptomic analysis revealed a cellular defense mechanism activated in PSAPI‐treated cells following HIFU irradiation, highlighting potential molecular targets for the future development of HIFU‐sensitizing agents. The biocompatible PSAPI nano‐bomb developed in this study holds great transformative potential, addressing critical gaps in current therapeutic practices for GD.
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spelling doaj-art-dbfe91f1243544e19543d0c445b785ae2025-08-20T03:14:12ZengWileyAdvanced Science2198-38442025-03-011211n/an/a10.1002/advs.202414597Thyroid‐Targeted Nano‐Bombs Empower HIFU for Graves' DiseaseBinhao Wang0Zhuobing Yin1Xiangyue You2Hanwei Peng3Ying Jiang4The Department of Head and Neck Surgery Cancer Hospital of Shantou University Medical College Shantou Guangdong 515041 P. R. ChinaThe Department of Head and Neck Surgery Cancer Hospital of Shantou University Medical College Shantou Guangdong 515041 P. R. ChinaThe Department of Head and Neck Surgery Cancer Hospital of Shantou University Medical College Shantou Guangdong 515041 P. R. ChinaThe Department of Head and Neck Surgery Cancer Hospital of Shantou University Medical College Shantou Guangdong 515041 P. R. ChinaThe Department of Head and Neck Surgery Cancer Hospital of Shantou University Medical College Shantou Guangdong 515041 P. R. ChinaAbstract Graves' disease (GD) is an autoimmune disorder with a high incidence rate, particularly affecting women of reproductive age. Current treatment modalities for GD carry significant disadvantages, especially for pregnant or nursing women. As a novel extracorporeal therapeutic technique, high‐intensity focused ultrasound (HIFU) shows great promise for treating GD; however, its low treatment efficacy impedes clinical application. In this study, a thyroid‐targeted nano‐bomb system (PD‐PLGA@Si‐Ab/PDA‐I, PSAPI) is developed to enhance HIFU efficacy and improve therapeutic outcomes for GD. The core structure of PSAPI encapsulates a phase‐transition material, perfluorohexane, and the anti‐inflammatory drug diclofenac within a poly(lactide‐co‐glycolide) (PLGA) and silica shell. A polydopamine coating enhances biocompatibility, while iodine loading and thyroid‐stimulating hormone receptor (TSHR) antibodies grafting ensure targeted delivery to the thyroid. Robust in vitro and in vivo results demonstrated that PSAPI is highly biocompatible, accumulates in the thyroid within 24 h after administration, and significantly potentiates the therapeutic efficacy of HIFU, resulting in markedly reduced inflammatory responses. Transcriptomic analysis revealed a cellular defense mechanism activated in PSAPI‐treated cells following HIFU irradiation, highlighting potential molecular targets for the future development of HIFU‐sensitizing agents. The biocompatible PSAPI nano‐bomb developed in this study holds great transformative potential, addressing critical gaps in current therapeutic practices for GD.https://doi.org/10.1002/advs.202414597graves' diseaseHIFUnano‐bombthyroid‐targeted
spellingShingle Binhao Wang
Zhuobing Yin
Xiangyue You
Hanwei Peng
Ying Jiang
Thyroid‐Targeted Nano‐Bombs Empower HIFU for Graves' Disease
Advanced Science
graves' disease
HIFU
nano‐bomb
thyroid‐targeted
title Thyroid‐Targeted Nano‐Bombs Empower HIFU for Graves' Disease
title_full Thyroid‐Targeted Nano‐Bombs Empower HIFU for Graves' Disease
title_fullStr Thyroid‐Targeted Nano‐Bombs Empower HIFU for Graves' Disease
title_full_unstemmed Thyroid‐Targeted Nano‐Bombs Empower HIFU for Graves' Disease
title_short Thyroid‐Targeted Nano‐Bombs Empower HIFU for Graves' Disease
title_sort thyroid targeted nano bombs empower hifu for graves disease
topic graves' disease
HIFU
nano‐bomb
thyroid‐targeted
url https://doi.org/10.1002/advs.202414597
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AT zhuobingyin thyroidtargetednanobombsempowerhifuforgravesdisease
AT xiangyueyou thyroidtargetednanobombsempowerhifuforgravesdisease
AT hanweipeng thyroidtargetednanobombsempowerhifuforgravesdisease
AT yingjiang thyroidtargetednanobombsempowerhifuforgravesdisease