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Table 2 Targeted phototherapy based on molecular expression characterization of RA effector cells

From: Phototherapy techniques for the management of musculoskeletal disorders: strategies and recent advances

Cell targeting

Targets/cell marker

Modification

Conjugation

Laser

Research stages

Animal species

Outcomes

Ref.

FLS

Vasoactive intestinal peptide (VIP) receptor

VIP

VIP-ATO-GPx/CuS@HA

808 nm, 0.5 W/cm2

in vitro, in vivo

CIA mouse

Inhibited FLS energy metabolism and synergized with PTT and CDT to induce FLS apoptosis, achieving inhibition of synovial inflammation and bone and cartilage destruction

[163]

 

CD44

HA

HA@RFM@PB@SE NPs

808 nm, 1 W/cm2

in vitro, in vivo

AIA rat

Chemotherapy and PTT synergistically inhibited FLS proliferation and alleviated joint inflammation

[160]

 

fibroblast activation protein (FAP)

Anti-FAP antibody 28H1

28H1-700DX

690 nm, 17.6 or 52 J/cm2

in vitro, in vivo

CIA mouse

Targeted FAP-positive FLS and induced cell death via PDT to alleviate joint inflammation

[162]

Activated Macrophages

Folate receptor β

Folate

FAGMs

808 nm, 1 W/cm2

in vitro, in vivo

AIA rat

Chemotherapy synergized with PTT to eradicate activated macrophages, attenuate joint inflammatory cell infiltration and cartilage damage, and reduce serum inflammatory factor levels

[164]

 

Folate receptor β

Methotrexate (MTX)

Au-DEN-MTX-IR780 NP

808 nm, 0.5 W/cm2

in vitro

-

Chemotherapy and PTT synergistically induced ROS generation and activated macrophages death

[165]

 

CD44

HA

Pd@Se-HA NPs

808 nm, 0.5 W/cm2

in vitro, in vivo

CIA mouse

Suppressed macrophage infiltration, ROS production, and cytokine-mediated joint inflammation

[161]

 

Scavenger receptor

Dextran sulfate (DS)

QRu-PLGA-RES-DS NPs

808 nm, 0.4 W/cm2

in vitro, in vivo

CIA mouse

PAI for RA diagnosis, photothermal modulation of resveratrol (RES) release, increased M2/M1 macrophage ratio, and alleviation of joint inflammation

[166]

endothelial cell

Rvβ3 integrin

RGD

Pd-Cys@MTX@RGD nanosheets

808 nm, 0.3 W/cm2

in vitro, in vivo

CIA mouse

PAI for RA diagnosis, PTT and MTX synergistically inhibited the inflammatory response induced by VEGF and IL-1β, and protected articular cartilage

[167]

  1. Abbreviations: CIA collagen-induced arthritis, AIA adjuvant-induced arthritis