Huang Xiaodan, Fang Yue, Song Jie, Hao Yuanjing, Cai Yuanyuan, Wei Pengfei, Zhang Na
School of Pharmacy, Shandong Technology Innovation Center of Molecular Targeting and Intelligent Diagnosis and Treatment, Binzhou Medical University, Yantai 264003, China.
Zhejiang Hospital of Integrated Traditional Chinese and Western Medicine, Hangzhou Red Cross Hospital, Hangzhou 310003, China.
J Zhejiang Univ Sci B. 2025 Aug 19;26(9):813-842. doi: 10.1631/jzus.B2400186.
The dysfunction of the lysosome and autophagy-lysosome system serves as a driving force for neurodegenerative diseases, metabolic disorders, inflammatory conditions, and other related diseases, closely influencing their onset and progression. Therefore, restoring the function of the lysosome or autophagy-lysosome system has become an increasingly crucial therapeutic strategy in disease management. In this review, we will introduce the lysosomal biogenesis, structure, and function, as well as the biological process of the autophagy-lysosome system. Various diseases closely associated with lysosomal/autophagic dysfunction are also reviewed, emphasizing the significance of targeting the function of the lysosome or autophagy-lysosome system in disease treatment. Finally, we focus on engineered nanomaterials that have the capabilities to restore the function of the lysosome or autophagy-lysosome system, and summarize different strategies and methods for achieving this goal. This review aims to elucidate the latest progress in the field of nanomedicine for lysosomal/autophagic defect-related diseases and inspire the development of innovative and clinically valuable nanomedicines.
溶酶体及自噬-溶酶体系统功能障碍是神经退行性疾病、代谢紊乱、炎症性疾病及其他相关疾病的驱动因素,对其发病和进展有密切影响。因此,恢复溶酶体或自噬-溶酶体系统功能已成为疾病治疗中越来越关键的治疗策略。在本综述中,我们将介绍溶酶体的生物发生、结构和功能,以及自噬-溶酶体系统的生物学过程。还将综述与溶酶体/自噬功能障碍密切相关的各种疾病,强调针对溶酶体或自噬-溶酶体系统功能进行疾病治疗的重要性。最后,我们聚焦于具有恢复溶酶体或自噬-溶酶体系统功能能力的工程纳米材料,并总结实现这一目标的不同策略和方法。本综述旨在阐明纳米医学在溶酶体/自噬缺陷相关疾病领域的最新进展,并推动创新且具有临床价值的纳米药物的开发。