# Remodeling the Inflammatory Microenvironment: Nanomaterial‐Based Targeted Strategies for Systemic Lupus Erythematosus and Lupus Nephritis

**Authors:** Cheng Zhou, Jiayi Li, Jian Zhang, Haifeng Wang, Haitao Lu, Shunlai Shang, Wenge Li

PMC · DOI: 10.1002/smsc.202500549 · Small Science · 2026-03-08

## TL;DR

This paper reviews how nanomaterials can improve lupus treatment by targeting immune cells and kidneys, reducing side effects and boosting drug effectiveness.

## Contribution

The paper introduces smart nanomaterials for targeted drug delivery in lupus, combining materials science and immunology for better therapies.

## Key findings

- Nanomaterials like liposomes and biomimetic carriers enable precise drug delivery to immune and kidney cells.
- Tailored nanoplatforms reduce off-target effects and support combination therapies for lupus nephritis.
- The review highlights challenges and future directions for translating nanotherapeutics into clinical practice.

## Abstract

Systemic Lupus Erythematosus (SLE) is a complex autoimmune disorder, with Lupus Nephritis (LN) representing a severe complication that affects a significant proportion of patients. Current treatments, including corticosteroids and immunosuppressants, are limited by systemic toxicity and nonspecific biodistribution. Nanomaterial‐based drug delivery systems have emerged as a promising strategy to overcome these challenges by improving drug solubility, facilitating targeted delivery, and reducing off‐target effects. This review comprehensively discusses the rational design and application of advanced nanomaterials—such as liposomes, polymeric nanoparticles, dendrimers, and biomimetic nanocarriers—in the context of SLE/LN therapy. It highlights how tailored nanoplatforms can selectively target key immune cells (e.g., T cells, B cells, macrophages, and dendritic cells) and renal parenchymal cells, support combination therapy, and improve therapeutic outcomes while minimizing off‐target effects. Furthermore, the review critically examines current challenges and future prospects for clinical translation, advocating for smarter nano‐therapeutics capable of integrating immune modulation and organ‐specific targeting. This work aims to bridge materials design and immunology, providing insights into next‐generation treatments for SLE/LN diseases.

Current treatments for severe lupus nephritis are limited by side effects due to poor drug targeting. This review explores how smart nanomaterials—like liposomes and biomimetic carriers—can precisely deliver drugs to overactive immune cells and the kidneys. These nanotherapeutics enhance efficacy, reduce toxicity, and enable combination strategies. The discussion bridges materials science and immunology to outline a promising path toward next‐generation, targeted therapies.© 2026 WILEY‐VCH GmbH

## Linked entities

- **Diseases:** Systemic Lupus Erythematosus (MONDO:0007915), Lupus Nephritis (MONDO:0005556)

## Full-text entities

- **Genes:** Cd3e (CD3 antigen, epsilon polypeptide) [NCBI Gene 12501] {aka CD3, CD3epsilon, T3e}, Siglec1 (sialic acid binding Ig-like lectin 1, sialoadhesin) [NCBI Gene 20612] {aka Cd169, Siglec-1, Sn}, TNFSF13B (TNF superfamily member 13b) [NCBI Gene 10673] {aka BAFF, BLYS, CD257, TALL-1, TALL1, THANK}, Cd40lg (CD40 ligand) [NCBI Gene 21947] {aka CD154, CD40-L, Cd40l, HIGM1, IGM, IMD3}, Ighd (immunoglobulin heavy constant delta) [NCBI Gene 380797] {aka IgD, Igh-5}, Trav6-3 (T cell receptor alpha variable 6-3) [NCBI Gene 328483] {aka Gm13948, Gm193, Gm4, TCR}, Ak1 (adenylate kinase 1) [NCBI Gene 11636] {aka Ak-1, B430205N08Rik}, IL10 (interleukin 10) [NCBI Gene 3586] {aka CSIF, GVHDS, IL-10, IL10A, TGIF}, Pparg (peroxisome proliferator activated receptor gamma) [NCBI Gene 19016] {aka Nr1c3, PPAR-gamma, PPAR-gamma2, PPARgamma, PPARgamma2}, Tat (tyrosine aminotransferase) [NCBI Gene 234724], TFRC (transferrin receptor) [NCBI Gene 7037] {aka CD71, IMD46, T9, TFR, TFR1, TR}, Tnf (tumor necrosis factor) [NCBI Gene 21926] {aka DIF, TNF-a, TNF-alpha, TNFSF2, TNFalpha, Tnfa}, MERTK (MER proto-oncogene, tyrosine kinase) [NCBI Gene 10461] {aka MER, RP38, Tyro12, c-Eyk, c-mer}, Tgfb1 (transforming growth factor, beta 1) [NCBI Gene 21803] {aka TGF-beta1, TGFbeta1, Tgfb, Tgfb-1}, Abca1 (ATP-binding cassette, sub-family A member 1) [NCBI Gene 11303] {aka ABC-1, Abc1}, Ctla4 (cytotoxic T-lymphocyte-associated protein 4) [NCBI Gene 12477] {aka Cd152, Ctla-4, Ly-56}, Marco (macrophage receptor with collagenous structure) [NCBI Gene 17167] {aka Ly112, Scara2}, NPHS2 (NPHS2 stomatin family member, podocin) [NCBI Gene 7827] {aka PDCN, SRN1}, Thy1 (thymus cell antigen 1, theta) [NCBI Gene 21838] {aka CD90, T25, Thy-1, Thy-1.2, Thy1.1, Thy1.2}, CD28 (CD28 molecule) [NCBI Gene 940] {aka IMD123, Tp44}, CD8A (CD8 subunit alpha) [NCBI Gene 925] {aka CD8, CD8alpha, IMD116, Leu2, p32}, Ly75 (lymphocyte antigen 75) [NCBI Gene 17076] {aka CD205, DEC-205, DEC205}, GPBAR1 (G protein-coupled bile acid receptor 1) [NCBI Gene 151306] {aka BG37, GPCR19, GPR131, M-BAR, TGR5}, Msr1 (macrophage scavenger receptor 1) [NCBI Gene 20288] {aka MRS-A, MSR, MSR-A, SR-A, SR-AI, SR-AII}, Tlr4 (toll-like receptor 4) [NCBI Gene 21898] {aka Lps, Ly87, Ran/M1, Rasl2-8}, Camk4 (calcium/calmodulin-dependent protein kinase IV) [NCBI Gene 12326] {aka A430110E23Rik, CaMKIV, CaMKIV/Gr, D18Bwg0362e}, Eln (elastin) [NCBI Gene 13717] {aka E030024M20Rik}, Ms4a1 (membrane-spanning 4-domains, subfamily A, member 1) [NCBI Gene 12482] {aka Cd20, Ly-44, Ms4a2}, TGFB1 (transforming growth factor beta 1) [NCBI Gene 7040] {aka CAEND1, CED, DPD1, IBDIMDE, LAP, TGF-beta1}, Cd19 (CD19 antigen) [NCBI Gene 12478], Bcr (BCR activator of RhoGEF and GTPase) [NCBI Gene 110279] {aka 5133400C09Rik, mKIAA3017}, Nr1h3 (nuclear receptor subfamily 1, group H, member 3) [NCBI Gene 22259] {aka LXR, RLD1, Unr1}, CD22 (CD22 molecule) [NCBI Gene 933] {aka SIGLEC-2, SIGLEC2}, Ifng (interferon gamma) [NCBI Gene 15978] {aka IFN-g, If2f, Ifg}, CD47 (CD47 molecule) [NCBI Gene 961] {aka IAP, MER6, OA3}, Icos (inducible T cell co-stimulator) [NCBI Gene 54167] {aka AILIM, CCLP, CRP-1, H4, Ly115}, ITGAX (integrin subunit alpha X) [NCBI Gene 3687] {aka CD11C, SLEB6}, Scarb1 (scavenger receptor class B, member 1) [NCBI Gene 20778] {aka CD36, Cd36l1, Chohd1, Cla-1, Cla1, D5Ertd460e}, CD4 (CD4 molecule) [NCBI Gene 920] {aka CD4mut, IMD79, Leu-3, OKT4D, T4}, Btk (Bruton agammaglobulinemia tyrosine kinase) [NCBI Gene 12229] {aka xid}, Foxp3 (forkhead box P3) [NCBI Gene 20371] {aka JM2, scurfin, sf}, Mir125a (microRNA 125a) [NCBI Gene 387235] {aka Mirn125a}, SELE (selectin E) [NCBI Gene 6401] {aka CD62E, ELAM, ELAM1, ESEL, LECAM2, selectin-e}, Cr2 (complement receptor 2) [NCBI Gene 12902] {aka C3DR, CD21, CD35, Cr-1, Cr-2, Cr1}, REN (renin) [NCBI Gene 5972] {aka ADTKD4, HNFJ2, RTD}, Hmgb1 (high mobility group box 1) [NCBI Gene 15289] {aka HMG-1, Hmg1, SBP-1, p30}, Jak1 (Janus kinase 1) [NCBI Gene 16451] {aka BAP004, C130039L05Rik}, Cd4 (CD4 antigen) [NCBI Gene 12504] {aka L3T4, Ly-4}, Cd28 (CD28 antigen) [NCBI Gene 12487], Sele (selectin, endothelial cell) [NCBI Gene 20339] {aka CD62E, E-selectin, ELAM-1, Elam, LECAM2}, Il6 (interleukin 6) [NCBI Gene 16193] {aka Il-6}, NOTCH1 (notch receptor 1) [NCBI Gene 4851] {aka AOS5, AOVD1, TAN1, hN1}, Il2 (interleukin 2) [NCBI Gene 16183] {aka Il-2}, Jak2 (Janus kinase 2) [NCBI Gene 16452] {aka Fd17}, Ripk1 (receptor (TNFRSF)-interacting serine-threonine kinase 1) [NCBI Gene 19766] {aka D330015H01Rik, RIP, RIP-1, Rinp, Rip1}, Lrp2 (low density lipoprotein receptor-related protein 2) [NCBI Gene 14725] {aka D230004K18Rik, Gp330, Megalin, b2b1625.2Clo}
- **Diseases:** neutropenia (MESH:D009503), hypertension (MESH:D006973), skin reactions (MESH:D012871), nephrotic (MESH:D009404), renal parenchymal injury (MESH:D002543), Inflammation (MESH:D007249), glomerulonephritis (MESH:D005921), headache (MESH:D006261), vasculitis (MESH:D014657), anemia (MESH:D000740), rheumatoid arthritis (MESH:D001172), fibrosis (MESH:D005355), Cytotoxic (MESH:D064420), joint pain (MESH:D018771), IC (MESH:C537984), osteoporosis (MESH:D010024), infection (MESH:D007239), vasculopathy (MESH:D000090122), renal failure (MESH:D051437), peptic ulcers (MESH:D010437), LN (MESH:D008181), malignant tumors (MESH:D009369), immune deficiencies (MESH:D007154), gastrointestinal discomfort (MESH:D005767), thrombocytopenia (MESH:D013921), diabetes (MESH:D003920), serositis (MESH:D012700), renal or hepatic damage (MESH:D056486), allergic (MESH:D004342), acute renal failure (MESH:D058186), musculoskeletal discomfort (MESH:D009140), glomerular sclerosis (MESH:D007674), bleeding (MESH:D006470), autoimmune disease (MESH:D001327), autoimmune chronic inflammatory disease (MESH:D019693), Lupus Erythematosus (MESH:D008180), tissue damage (MESH:D017695), small vessel lesions (MESH:D065708), GECs (MESH:D009081), metabolic disorders (MESH:D008659), multiple sclerosis (MESH:D009103), immune dysregulation (OMIM:614878), proteinuria (MESH:D011507), Cushing's syndrome (MESH:D003480), compromised kidney function (MESH:D007680), fever (MESH:D005334), B-cell disorders (MESH:D015448)
- **Chemicals:** chitosan (MESH:D048271), hydroxychloroquine (MESH:D006886), NR (MESH:C044808), PPI (MESH:C443641), CsA (MESH:D016572), sodium (MESH:D012964), dihydroartemisinin (MESH:C039060), Pt (MESH:D010984), MMF (MESH:D009173), Inorganic (-), ds (MESH:D003903), Gold (MESH:D006046), maltose (MESH:D008320), Belimumab (MESH:C511911), dextran (MESH:D003911), curcumin (MESH:D003474), methylprednisolone hemisuccinate (MESH:D008776), AZA (MESH:D001379), Polymers (MESH:D011108), glucan (MESH:D005936), carbon (MESH:D002244), PS (MESH:D010718), rapamycin (MESH:D020123), ASO (MESH:D016376), lactic acid (MESH:D019344), dexamethasone (MESH:D003907), polyester (MESH:D011091), cyclodextrin (MESH:D003505), nitrogen (MESH:D009584), PEG (MESH:D011092), DSPE (MESH:C038089), Lipid (MESH:D008055), PLA (MESH:C033616), Dex (MESH:D003915), T0901317 (MESH:C423915), agarose (MESH:D012685), gambogic acid (MESH:C052659), cilastatin (MESH:D015377), water (MESH:D014867), phospholipid (MESH:D010743), PHA (MESH:D054813), steroid (MESH:D013256), KN-93 (MESH:C072105), prednisolone phosphate (MESH:C009022), PAMAM (MESH:C531249), ursodeoxycholic acid (MESH:D014580), methotrexate (MESH:D008727), cholesterol (MESH:D002784), reactive oxygen species (MESH:D017382), cyclophosphamide (MESH:D003520), chloroquine (MESH:D002738), galactose (MESH:D005690), polydopamine (MESH:C568283), oligonucleotide (MESH:D009841), PBS (MESH:D007854), GA (MESH:D005708), Fe3O4 (MESH:C000499), PLGA (MESH:D000077182), BARI (MESH:C000596027), PLP (MESH:D011732)
- **Species:** Viruses (acellular root) [taxon 10239], Homo sapiens (human, species) [taxon 9606], Mus musculus (house mouse, species) [taxon 10090]
- **Cell lines:** COS — Chlorocebus aethiops (Green monkey), Transformed cell line (CVCL_0223), MRL — Mus musculus (Mouse), Stromal cell line (CVCL_B6HA)

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12970166/full.md

## References

151 references — full list in the complete paper: https://tomesphere.com/paper/PMC12970166/full.md

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Source: https://tomesphere.com/paper/PMC12970166