Washington University School of Medicine and Philips Medical Systems, St. Louis, MO, USA.
Wiley Interdiscip Rev Nanomed Nanobiotechnol. 2009 May-Jun;1(3):311-23. doi: 10.1002/wnan.9.
Complementary developments in nanotechnology, genomics, proteomics, molecular biology and imaging offer the potential for early, accurate diagnosis. Molecularly-targeted diagnostic imaging agents will allow noninvasive phenotypic characterization of pathologies and, therefore, tailored treatment close to the onset. For atherosclerosis, this includes anti-angiogenic therapy with specifically-targeted drug delivery systems to arrest the development of plaques before they impinge upon the lumen. Additionally, monitoring the application and effects of this targeted therapy in a serial fashion will be important. This review covers the specific application of alpha(nu)beta(3)-targeted anti-angiogenic perfluorocarbon nanoparticles in (1) the detection of molecular markers for atherosclerosis, (2) the immediate verification of drug delivery with image-based prediction of therapy outcomes, and (3) the serial, noninvasive observation of therapeutic efficacy.
纳米技术、基因组学、蛋白质组学、分子生物学和成像技术的互补发展为早期、准确的诊断提供了可能。分子靶向诊断成像剂将允许对病理进行非侵入性表型特征描述,从而在发病前进行个体化治疗。对于动脉粥样硬化,这包括使用针对特定靶点的药物输送系统进行抗血管生成治疗,以阻止斑块发展,防止它们对管腔造成影响。此外,以连续的方式监测这种靶向治疗的应用和效果也很重要。本综述涵盖了 alpha(nu)beta(3)-靶向抗血管生成全氟化碳纳米粒子在以下三个方面的具体应用:(1)检测动脉粥样硬化的分子标志物,(2)通过基于图像的治疗结果预测来即时验证药物输送,以及(3)连续、非侵入性地观察治疗效果。