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纳米医学在心血管治疗中的应用:最新进展

Nanomedicine in cardiovascular therapy: recent advancements.

作者信息

Binsalamah Ziyad Mohammed, Paul Arghya, Prakash Satya, Shum-Tim Dominique

机构信息

Division of Cardiac Surgery, McGill University Health Center, Montreal, Québec, Canada.

出版信息

Expert Rev Cardiovasc Ther. 2012 Jun;10(6):805-15. doi: 10.1586/erc.12.41.

Abstract

Cardiovascular disease (CVD) is comprised of a group of disorders affecting the heart and blood vessels of the human body and is one of the leading causes of death worldwide. Current therapy for CVD is limited to the treatment of already established disease, and it includes pharmacological and/or surgical procedures, such as percutaneous coronary intervention with stenting and coronary artery bypass grafting. However, lots of complications have been raised with these modalities of treatment, including systemic toxicity with medication, stent thrombosis with percutaneous coronary intervention and nonsurgical candidate patients for coronary artery bypass grafting. Nanomedicine has emerged as a potential strategy in dealing with these obstacles. Applications of nanotechnology in medicine are already underway and offer tremendous promise. This review explores the recent developments of nanotechnology in the field of CVD and gives an insight into its potential for diagnostics and therapeutics applications. The authors also explore the characteristics of the widely used biocompatible nanomaterials for this purpose and evaluate their opportunities and challenges for developing novel nanobiotechnological tools with high efficacy for biomedical applications, such as radiological imaging, vascular implants, gene therapy, myocardial infarction and targeted delivery systems.

摘要

心血管疾病(CVD)是一组影响人体心脏和血管的疾病,是全球主要死因之一。目前针对心血管疾病的治疗仅限于对已确诊疾病的治疗,包括药物治疗和/或外科手术,如支架植入的经皮冠状动脉介入治疗和冠状动脉旁路移植术。然而,这些治疗方式引发了许多并发症,包括药物的全身毒性、经皮冠状动脉介入治疗后的支架血栓形成以及冠状动脉旁路移植术的非手术候选患者。纳米医学已成为应对这些障碍的一种潜在策略。纳米技术在医学中的应用已经在进行中,并展现出巨大的前景。本综述探讨了纳米技术在心血管疾病领域的最新进展,并深入了解其在诊断和治疗应用方面的潜力。作者还探讨了为此目的广泛使用的生物相容性纳米材料的特性,并评估了开发具有高效生物医学应用的新型纳米生物技术工具(如放射成像、血管植入物、基因治疗、心肌梗死和靶向递送系统)的机遇和挑战。

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