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Por-HDL-NPs (Porphyrin-lipid HDL mimetic nanoparticles) are biomimetic theranostic agents designed for the multimodal imaging and treatment of atherosclerotic cardiovascular disease. These nanoparticles consist of a porphyrin-lipid conjugate core and an outer shell functionalized with the R4F peptide, a mimetic of apolipoprotein A-I (ApoA-I). The porphyrin component allows for near-infrared fluorescence (NIRF) imaging and positron emission tomography (PET) when chelated with Copper-64 (64Cu). The R4F peptide targets the scavenger receptor class B type I (SR-BI) on macrophages, facilitating cholesterol efflux. Beyond cholesterol transport, Por-HDL-NPs exhibit potent anti-inflammatory effects by inhibiting the NLRP3 inflammasome and the NF-κB signaling pathway, leading to reduced secretion of pro-inflammatory cytokines like IL-1β and CCL5. Preclinical studies in Apoe-/- mice have demonstrated that Por-HDL-NPs can effectively localize to atherosclerotic plaques, detect increases in plaque size, and significantly reduce plaque area and inflammation.
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