efcsr Open Access Journal

European Frontiers in Current Science and Research

eISSN: Applied
Publication Frequency : 2 Issues per year.

  • Peer Reviewed & International Journal
Table of Content
Issues (Year-wise)
Loading…
✓ Article Published

Open Access iconOpen Access

ARTICLE

PRECISION IMMUNOMODULATION AND STIMULI-RESPONSIVE NANOTHERANOSTICS IN CHRONIC INFLAMMATORY AND AUTOIMMUNE DISEASES: TRANSLATIONAL INTEGRATION OF IMMUNE TOLERANCE, NANOMEDICINE, AND SYSTEMIC INFLAMMATION

1 Department of Molecular Medicine, Heidelberg University, Germany
2 Graduate School of Medical Sciences, Kyoto University, Japan

Citations: Loading…
ABSTRACT VIEWS: 108   |   FILE VIEWS: 25   |   PDF: 25   HTML: 0   OTHER: 0   |   TOTAL: 133
Views + Downloads (Last 90 days)
Cumulative % included

Abstract

Chronic inflammatory and autoimmune diseases represent a spectrum of pathophysiological conditions unified by dysregulated immune responses, persistent tissue damage, and complex interactions between genetic susceptibility and environmental triggers. Over the past two decades, biomedical research has increasingly shifted from broad-spectrum immunosuppression toward precision-based immunomodulatory strategies designed to restore immune tolerance while minimizing systemic adverse effects. Concurrently, advances in nanotechnology and theranostic platforms have enabled unprecedented control over drug delivery, immune cell targeting, and real-time monitoring of disease processes. This research article synthesizes and critically analyzes foundational and translational evidence from antigen-specific tolerance induction, autoregulatory T-cell modulation, dendritic cell–nanomaterial interactions, and stimuli-responsive nanotheranostics, situating these developments within a unified theoretical framework of chronic inflammation. Drawing exclusively on the provided references, this work examines how immune tolerance strategies demonstrated in multiple sclerosis and type 1 diabetes intersect conceptually and mechanistically with smart nanomaterials designed for pathological microenvironments, such as acidic tumor niches and inflamed vascular tissue. Particular attention is given to the immunological plasticity of dendritic cells, the role of memory-like autoregulatory T cells, and the emerging relevance of psychoneuroimmunological factors in systemic and oral inflammatory diseases. Furthermore, the article explores the translational implications of inflammatory biomarkers such as high-sensitivity C-reactive protein in atherosclerosis, proposing that immune-targeted nanotheranostics may bridge autoimmune and cardiometabolic disease management. Through extensive theoretical elaboration, critical discussion of limitations, and forward-looking analysis, this article aims to contribute a comprehensive, publication-ready synthesis that advances the conceptual integration of immunology, nanomedicine, and chronic disease therapeutics.


Keywords

Antigen-specific tolerance, nanotheranostics, chronic inflammation, autoimmune disease

References

1. Ahmed SE, Martins AM, Husseini GA. The use of ultrasound to release chemotherapeutic drugs from micelles and liposomes. Journal of Drug Targeting. 2015;23(1):16–42.

2. Almeida Marrero V, van de Winckel E, Anaya Plaza E, Torres T, de la Escosura A. Porphyrinoid biohybrid materials as an emerging toolbox for biomedical light management. Chemical Society Reviews. 2018;47(19):7369–7400.

3. Aniyan KY, Krithika CL, Anuradha G, Kannan A, Swathi KV. A systematic review of randomized controlled trials on the efficacy of purslane for the treatment of systemic disorders. International Journal of Chemical and Biochemical Sciences. 2022;21:219–223.

4. Anuradha Ganesan et al. Exploring the relationship between psychoneuroimmunology and oral diseases: a comprehensive review and analysis. Journal of Lifestyle Medicine. 2024;14(1):13–19.

5. Battogtokh G, Ko YT. Active-targeted pH-responsive albumin photosensitizer conjugate nanoparticles as theranostic agents. Journal of Materials Chemistry B. 2015;3(48):9349–9359.

6. Bergheanu SC, Bodde MC, Jukema JW. Pathophysiology and treatment of atherosclerosis: current view and future perspective on lipoprotein modification treatment. Netherlands Heart Journal. 2017;25(4):231–242.

7. Clemente-Casares X, Tsai S, Huang C, Santamaria P. Antigen-specific therapeutic approaches in type 1 diabetes. Cold Spring Harbor Perspectives in Medicine. 2012;2(2):a007773.

8. Feng L, Dong Z, Tao D, Zhang Y, Liu Z. The acidic tumor microenvironment: a target for smart cancer nano-theranostics. National Science Review. 2018;5(2):269–286.

9. Huang J, Zhong X, Wang L, Yang L, Mao H. Improving the magnetic resonance imaging contrast and detection methods with engineered magnetic nanoparticles. Theranostics. 2012;2(1):86.

10. Kumar EP, Um W, Park JH. Recent developments in pathological pH responsive polymeric nanobiosensors for cancer theranostics. Frontiers in Bioengineering and Biotechnology. 2020;8:601586.

11. Look M, Saltzman WM, Craft J, Fahmy TM. The nanomaterial-dependent modulation of dendritic cells and its potential influence on therapeutic immunosuppression in lupus. Biomaterials. 2014;35(3):1089–1095.

12. Lutterotti A, Yousef S, Sputtek A, Stürner KH, Stellmann JP, Breiden P, Reinhardt S, Schulze C, Bester M, Heesen C, Schippling S, Miller SD, Sospedra M, Martin R. Antigen-specific tolerance by autologous myelin peptide-coupled cells: a phase 1 trial in multiple sclerosis. Science Translational Medicine. 2013;5(188):188ra75.

13. Ma Y, Fan X, Li L. pH sensitive polymeric micelles formed by doxorubicin conjugated prodrugs for co-delivery of doxorubicin and paclitaxel. Carbohydrate Polymers. 2016;137:19–29.

14. Parodi A, Rudzinska M, Leporatti S, Anissimov Y, Zamyatnin AA. Smart nanotheranostics responsive to pathological stimuli. Frontiers in Bioengineering and Biotechnology. 2020;8:503.

15. Saluja V, Mankoo A, Saraogi GK, Tambuwala MM, Mishra V. Smart dendrimers: synergizing the targeting of anticancer bioactives. Journal of Drug Delivery Science and Technology. 2019;52:15–26.

16. Singh A, Amiji MM, editors. Stimuli-responsive drug delivery systems. Royal Society of Chemistry; 2018.

17. Swastini DA, Wiryanthini IAD, Ariastuti NLP, Muliantara A. Atherosclerosis prediction with high sensitivity C-reactive protein and related risk factor in a patient with dyslipidemia. Open Access Macedonian Journal of Medical Sciences. 2019;7(22):3887–3890.

18. Tsai S, Yamanouchi A, Clemente-Casares X, Wang Serra P, Yang Y, Medarova ZM, Santamaria AP. Reversal of autoimmunity by boosting memory-like autoregulatory T cells. Immunity. 2010;32:568–580.

19. Yeh ETH. High-sensitivity C-reactive protein as a risk assessment tool for cardiovascular disease. Clinical Cardiology. 2005;28(9):408–412.


How to Cite

Dr. Lukas M. Reinhardt, & Dr. Kenji Nakamura. (2026). PRECISION IMMUNOMODULATION AND STIMULI-RESPONSIVE NANOTHERANOSTICS IN CHRONIC INFLAMMATORY AND AUTOIMMUNE DISEASES: TRANSLATIONAL INTEGRATION OF IMMUNE TOLERANCE, NANOMEDICINE, AND SYSTEMIC INFLAMMATION. European Frontiers in Current Science and Research, 3(1), 1-5. https://www.parthenonfrontiers.com/index.php/efcsr/article/view/324

Share Link