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Review
. 2023 Jan 4;12(1):82.
doi: 10.3390/biology12010082.

Nanoparticle Based Cardiac Specific Drug Delivery

Affiliations
Review

Nanoparticle Based Cardiac Specific Drug Delivery

Dong Li et al. Biology (Basel). .

Abstract

Heart failure secondary to myocardial injuries is a leading cause of death worldwide. Recently, a growing number of novel therapies have emerged for injured myocardium repairment. However, delivering therapeutic agents specifically to the injured heart remains a significant challenge. Nanoparticles are the most commonly used vehicles for targeted drug delivery. Various nanoparticles have been synthesized to deliver drugs and other therapeutic molecules to the injured heart via passive or active targeting approaches, and their targeting specificity and therapeutic efficacies have been investigated. Here, we summarized nanoparticle-based, cardiac-specific drug delivery systems, their potency for treating heart diseases, and the mechanisms underlying these cardiac-targeting strategies. We also discussed the clinical studies that have employed nanoparticle-based cardiac-specific drug delivery.

Keywords: cardiac; ischemia; myocardial; nanomaterial; nanoparticle; targeted delivery.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Illustration of nanoparticle-based drug delivery for the treatment of myocardial injuries. Approaches to process nanoparticles for cardiac-specific delivery of therapeutic agents (upper panel). Intravenous administration of cardiac-targeting nanoparticles for myocardial regeneration and repair (lower panel). Note: we used nanosphere in this illustration to represent polymeric NPs.
Figure 2
Figure 2
Pathological left ventricular remodeling post-myocardial infarction. (A) The recruitment of monocytes to infarct myocardium and the phenotype switching of macrophages. (B) Platelet activation, adhesion, and aggregation in the damaged site of the vascular endothelium. (C) Opening of the mitochondrial permeability transition pore (MPTP) and increased mitochondrial outer membrane permeability (MOMP) lead to mitochondrial dysfunction and cell death.

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Grants and funding

The work was supported by American Heart Association Grant #19AIREA34480011 (to S.W.), and Mayo Clinic Startup funds (to W.Z.).

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