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As such, attempts to modulate the immune response provided by the spleen may be conducive to improved outcomes for numerous diseases throughout the body. Here, biomimicry is used to rationally design nanomaterials capable of splenic retention and immunomodulation for the treatment of disease in a distant organ, the postinfarct heart. Engineered senescent erythrocyte\u2010derived nanotheranostic (eSENTs) are generated, demonstrating significant uptake by the immune cells of the spleen including T and B cells, as well as monocytes and macrophages. When loaded with suberoylanilide hydroxamic acid (SAHA), the nanoagents exhibit a potent therapeutic effect, reducing infarct size by 14% at 72 h postmyocardial infarction when given as a single intravenous dose 2 h after injury. These results are supportive of the hypothesis that RBC\u2010derived biomimicry may provide new approaches for the targeted modulation of the pathological processes involved in myocardial infarction, thus further experiments to decisively confirm the mechanisms of action are currently underway. This novel concept may have far\u2010reaching applicability for the treatment of a number of both acute and chronic conditions where the immune responses are either stimulated or suppressed by the splenic (auto)immune milieu.<\/jats:p>","DOI":"10.1002\/adma.202304615","type":"journal-article","created":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T11:32:25Z","timestamp":1699356745000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Biomimetic Nanomaterials for the Immunomodulation of the Cardiosplenic Axis Postmyocardial Infarction"],"prefix":"10.1002","volume":"36","author":[{"given":"Rajendran JC","family":"Bose","sequence":"first","affiliation":[{"name":"Department of Biomedical Research and Translational Medicine Masonic Medical Research Institute Utica NY 13501 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chase 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