PMID- 36979777 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230331 IS - 2227-9059 (Print) IS - 2227-9059 (Electronic) IS - 2227-9059 (Linking) VI - 11 IP - 3 DP - 2023 Mar 6 TI - Tissue Engineering and Targeted Drug Delivery in Cardiovascular Disease: The Role of Polymer Nanocarrier for Statin Therapy. LID - 10.3390/biomedicines11030798 [doi] LID - 798 AB - Atherosclerosis-related coronary artery disease (CAD) is the leading cause of mortality and morbidity worldwide. This requires effective primary and secondary prevention in reducing the complications related to CAD; the regression or stabilization of the pathology remains the mainstay of treatment. Statins have proved to be the most effective treatment in reducing adverse effects, but there are limitations related to the administration and achievement of effective doses as well as side effects due to the lack of target-related molecular specificity. The implemented technological steps are polymers and nanoparticles for the administration of statins, as it has been seen how the conjugation of drug delivery systems (DDSs) with statins increases bioavailability by circumventing the hepatic-renal filter and increases the related target specificity, enhancing their action and decreasing side effects. Reduction of endothelial dysfunction, reduced intimal hyperplasia, reduced ischemia-reperfusion injury, cardiac regeneration, positive remodeling in the extracellular matrix, reduced neointimal growth, and increased reendothelialization are all drug-related effects of statins enhanced by binding with DDSs. Recent preclinical studies demonstrate how the effect of statins stimulates the differentiation of endogenous cardiac stem cells. Poly-lactic-co-glycolic acid (PLGA) seems to be the most promising DDS as it succeeds more than the others in enhancing the effect of the bound drug. This review intends to summarize the current evidence on polymers and nanoparticles for statin delivery in the field of cardiovascular disease, trying to shed light on this topic and identify new avenues for future studies. FAU - Montelione, Nunzio AU - Montelione N AUID- ORCID: 0000-0003-0983-7045 AD - Unit of Vascular Surgery, Universita Campus Bio-Medico di Roma, 00128 Rome, Italy. FAU - Loreni, Francesco AU - Loreni F AD - Unit of Cardiac Surgery, Universita Campus Bio-Medico di Roma, 00128 Rome, Italy. FAU - Nenna, Antonio AU - Nenna A AUID- ORCID: 0000-0002-4069-6781 AD - Unit of Cardiac Surgery, Universita Campus Bio-Medico di Roma, 00128 Rome, Italy. FAU - Catanese, Vincenzo AU - Catanese V AD - Unit of Vascular Surgery, Universita Campus Bio-Medico di Roma, 00128 Rome, Italy. FAU - Scurto, Lucia AU - Scurto L AD - Unit of Vascular Surgery, Universita Campus Bio-Medico di Roma, 00128 Rome, Italy. FAU - Ferrisi, Chiara AU - Ferrisi C AD - Unit of Cardiac Surgery, Universita Campus Bio-Medico di Roma, 00128 Rome, Italy. FAU - Jawabra, Mohamad AU - Jawabra M AD - Unit of Cardiac Surgery, Universita Campus Bio-Medico di Roma, 00128 Rome, Italy. FAU - Gabellini, Teresa AU - Gabellini T AD - Residency Program of Vascular and Endovascular Surgery, University of Ferrara, 44121 Ferrara, Italy. FAU - Codispoti, Francesco Alberto AU - Codispoti FA AD - Unit of Vascular Surgery, Universita Campus Bio-Medico di Roma, 00128 Rome, Italy. FAU - Spinelli, Francesco AU - Spinelli F AD - Unit of Vascular Surgery, Universita Campus Bio-Medico di Roma, 00128 Rome, Italy. FAU - Chello, Massimo AU - Chello M AUID- ORCID: 0000-0001-8178-7068 AD - Unit of Cardiac Surgery, Universita Campus Bio-Medico di Roma, 00128 Rome, Italy. FAU - Stilo, Francesco AU - Stilo F AD - Unit of Vascular Surgery, Universita Campus Bio-Medico di Roma, 00128 Rome, Italy. AD - Head of Research Unit of Vascular Surgery, Universita Campus Bio-Medico di Roma, 00128 Rome, Italy. LA - eng PT - Journal Article PT - Review DEP - 20230306 PL - Switzerland TA - Biomedicines JT - Biomedicines JID - 101691304 PMC - PMC10045667 OTO - NOTNLM OT - atherosclerosis OT - cardiovascular disease OT - polymer OT - statin COIS- The authors declare no conflict of interest. EDAT- 2023/03/30 06:00 MHDA- 2023/03/30 06:01 PMCR- 2023/03/06 CRDT- 2023/03/29 01:21 PHST- 2023/01/17 00:00 [received] PHST- 2023/02/21 00:00 [revised] PHST- 2023/02/24 00:00 [accepted] PHST- 2023/03/30 06:01 [medline] PHST- 2023/03/29 01:21 [entrez] PHST- 2023/03/30 06:00 [pubmed] PHST- 2023/03/06 00:00 [pmc-release] AID - biomedicines11030798 [pii] AID - biomedicines-11-00798 [pii] AID - 10.3390/biomedicines11030798 [doi] PST - epublish SO - Biomedicines. 2023 Mar 6;11(3):798. doi: 10.3390/biomedicines11030798.