Asymmetrically Coordinated Cu Single-Atom Nanozyme to Accelerate Inflammation and Immune Homeostasis Modulation in Acute Myocardial Infarction

  • ACS Nano. 2026 Jun 2;20(21):15449-15472. doi: 10.1021/acsnano.6c03635.
Yunchai Lin  1  2  3 Wenxian Chen  1  2  3 Xuan Zheng  1  2  3 Ruixi Wang  1  2 Pei Yang  1  2 Wenxiang Zhao  1  2  3 Jinxiu Lin  1  2  3 Hongjia Zheng  4  5 Penghui Wei  4  5 Dengliang Wang  4  5 Dajun Chai  1  2  3 Dan Hu  6 Yang Zhu  4  5 Feng Peng  1  2  3
Affiliations
  • 1. Department of Cardiology, the First Affiliated Hospital, Fujian Medical University, Fuzhou 350005, China.
  • 2. The Higher Educational Key Laboratory for Cardiovascular Disease of Fujian Province; Clinical Research Center for Metabolic Heart Disease of Fujian Province; Fujian Provincial Specialized Diagnosis and Treatment Center for Pulmonary Vascular Diseases; The First Affiliated Hospital, Fujian Medical University, Fuzhou 350005, China.
  • 3. Department of Cardiology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou 350212, China.
  • 4. Department of Neurosurgery, Neurosurgery Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian 350005, China.
  • 5. Department of Neurosurgery, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian 350212, China.
  • 6. Department of Pathology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, Fujian 350014, China.
Abstract

Single-atom nanozymes (SANs), characterized by tunable electronic properties and optimized atomic utilization efficiency, have attracted considerable attention for biomedical applications. Despite significant progress, their catalytic performance remains inferior to that of natural Enzymes, largely attributable to symmetric coordination and an electronic structure. Herein, we successfully engineer a bromine (Br) doping copper (Cu)-based SAN with asymmetric coordination (Cu-BrN3/SAN@M), which exhibits higher catalytic performances compared to its symmetric counterpart, Cu-N4/SAN@M. The high electronegativity of Br causes a slight elongation of the Cu-N bonds in Cu-BrN3/SAN@M, optimizing the adsorption and desorption of oxygen intermediates, thereby markedly enhancing catalytic activity. Density functional theory (DFT) calculations state that asymmetric coordination in the Cu-BrN3/SAN@M configuration strengthens the activation of structural electrons and shifts the d-band center of Cu atoms closer to the Fermi level. This facilitates the adsorption and activation of hydrogen peroxide, hydroxyl radicals, and superoxide anions, confirming their enhanced capability for Reactive Oxygen Species elimination. Experimental results indicate that Cu-BrN3/SAN@M preserves cardiomyocyte viability and functional connectivity by scavenging excess Reactive Oxygen Species (ROS) , reprogramming proinflammatory M1 macrophages toward the reparative M2 phenotype, and amplifying regulatory T cell activity. Collectively, these effects enable robust modulation of the inflammatory microenvironment and restoration of immune homeostasis in an acute myocardial infarction model.

Keywords
acute myocardial infarction; asymmetric coordination; catalytic therapy; ferroptosis; single-atom nanozyme.
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