Palladium Hydride Nanopocket Cubes and Their H2‐Therapy Function in Amplifying Inhibition of Foam Cells to Attenuate Atherosclerosis

Foam cells formed by the imbalance between lipid uptake and efflux play a dominant role at all stages of atherosclerotic development. Lipid‐regulation by active agents can reduce atherosclerotic lesions, however only limited therapeutic efficacy has been achieved because of the low solubility. Herein, a “coupling hardness with softness” strategy is developed, for the first time, by using palladium hydride nanopocket cubes to regulate lipid uptake and efflux. The prepared palladium hydride nanopocket cubes have a molar ratio of H to Pd at 0.12: 1, thus denoted as PdH0.12 NPCs. The palladium nanopocket cubes play the hardness role in efficiently scavenging reactive oxygen species (ROS) via their innate antioxidant enzyme activities. The hydrogen released from PdH0.12 NPCs, controlled by near‐infrared‐II, upregulate peroxisome proliferator‑activated receptor gamma‐mediated cholesterol transport, which plays the softness role. Consequently, ROS scavenging reduces lipid uptake and promoted cholesterol transport increases lipid efflux, resulting in the amplified‐inhibition of foam cells. In vitro and in vivo tests show that PdH0.12 NPCs significantly reduce lipid storage and plaque formation in Western diet‐fed apolipoprotein E‐deficient mice without obvious long‐term toxicity. The “coupling hardness with softness” strategy shows promising to be further developed as a high efficacy and low toxicity method to treat atherosclerosis. Lipid‐regulation by active agents limits the therapeutic efficacy of atherosclerosis. In this work, a “coupling hardness with softness” strategy is developed, for the first time, by using palladium hydride nanopocket cubes (PdH0.12 NPCs). The PdH0.12 NPCs efficiently scavenge reactive oxygen species to reduce lipid uptake and controllably release hydrogen to promote lipid efflux, thus achieving amplified inhibition of foam cells for attenuating atherosclerosis.