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将纳米医学应用于适应性炎症和血管生成。

Applying nanomedicine in maladaptive inflammation and angiogenesis.

机构信息

Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, USA; Department of Biomaterials Science and Technology, MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, Enschede, The Netherlands; Department of Pharmaceutics, Utrecht Institute for Pharmaceutical Sciences (UIPS), Faculty of Science, Utrecht University, Utrecht, The Netherlands.

Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, USA.

出版信息

Adv Drug Deliv Rev. 2017 Sep 15;119:143-158. doi: 10.1016/j.addr.2017.05.009. Epub 2017 May 12.

Abstract

Inflammation and angiogenesis drive the development and progression of multiple devastating diseases such as atherosclerosis, cancer, rheumatoid arthritis, and inflammatory bowel disease. Though these diseases have very different phenotypic consequences, they possess several common pathophysiological features in which monocyte recruitment, macrophage polarization, and enhanced vascular permeability play critical roles. Thus, developing rational targeting strategies tailored to the different stages of the journey of monocytes, from bone marrow to local lesions, and their extravasation from the vasculature in diseased tissues will advance nanomedicine. The integration of in vivo imaging uniquely allows studying nanoparticle kinetics, accumulation, clearance, and biological activity, at levels ranging from subcellular to an entire organism, and will shed light on the fate of intravenously administered nanomedicines. We anticipate that convergence of nanomedicines, biomedical engineering, and life sciences will help to advance clinically relevant therapeutics and diagnostic agents for patients with chronic inflammatory diseases.

摘要

炎症和血管生成驱动着多种破坏性疾病的发展和进展,如动脉粥样硬化、癌症、类风湿关节炎和炎症性肠病。尽管这些疾病具有非常不同的表型后果,但它们具有一些共同的病理生理特征,其中单核细胞募集、巨噬细胞极化和增强的血管通透性起着关键作用。因此,开发针对单核细胞从骨髓到局部病变的不同阶段的合理靶向策略,并针对其从病变组织中的血管外渗,将推进纳米医学的发展。体内成像的整合独特地允许在从亚细胞到整个生物体的不同水平上研究纳米颗粒的动力学、积累、清除和生物活性,并揭示静脉内给予的纳米药物的命运。我们预计,纳米医学、生物医学工程和生命科学的融合将有助于为慢性炎症性疾病患者推进临床相关的治疗剂和诊断剂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b148/5682240/07f94da0ceb3/nihms876402f1.jpg

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