J Drug Target. 2026 Mar 16.
1-33
Immunometabolism is central to chronic inflammatory diseases, with metabolic reprogramming including dysregulated glycolysis, mitochondrial dysfunction, and excessive ROS production driving pathology in conditions like IBD, rheumatoid arthritis, and psoriasis. Although metabolic regulators hold therapeutic promise, their efficacy is limited by poor site-specific delivery and bioavailability. Nanotechnology-based platforms (e.g., liposomes, polymeric nanoparticles, nanoemulsions, metal nanoparticles) address these barriers by enhancing bioavailability and forming a protein corona that modulates nanoparticle uptake by macrophages and T cells, directly influencing metabolic fate. Advanced organelle-targeting strategies such as mitochondria-directed liposomes and lysosome-responsive polymers enable precise metabolic rescue by restoring mitochondrial respiration or modulating nutrient-sensing pathways. By targeting key metabolic nodes including HIF-1α, mTOR, and AMPK, nanocarriers actively shift immune cells from pro-inflammatory glycolysis toward anti-inflammatory oxidative phosphorylation, minimizing toxicity and restoring immune homeostasis. Thus, nanocarriers function not as passive delivery vehicles but as sophisticated immunometabolism modulators. Despite progress, a comprehensive review bridging nanomaterial design and metabolic intervention remains lacking. This review addresses that gap by highlighting nanoscale phenomena such as stimulus-responsive release, membrane perturbation, and organelle-specific targeting.
Keywords: Immune Modulation; Inflammatory Diseases; Metabolic Reprogramming; Nanoparticles; Targeted Drug Delivery