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纳米医学在动脉粥样硬化诊断与治疗中的应用——一项系统综述

Nanomedicine in the Diagnosis and Treatment of Atherosclerosis-A Systematic Review.

作者信息

Vaidyanathan Kannan, Gopalakrishnan Sandhya

机构信息

Department of Biochemistry, Pushpagiri Institute of Medical Science & Research Center, Tiruvalla, Kerala 689 101. India.

Department of Prosthodontics, Government Dental College, Kottayam, Kerala 686 008. India.

出版信息

Cardiovasc Hematol Disord Drug Targets. 2017;17(2):119-131. doi: 10.2174/1871529X17666170918142653.

Abstract

BACKGROUND

Atherosclerosis is a chronic inflammatory condition causing very high morbidity and mortality. It is characterized by accumulation of plaques within arteries. Nanomedicine is an emerging field of medicine utilizing nanotechnology for advanced imaging and therapy. Nanomedicine has led to significant developments in the field of cardiovascular diseases, including atherosclerosis. Many nanoformulations have been developed with anti-atherosclerotic effects. Nanomedicine tools have been used in the imaging of atherosclerosis. Various nanocarriers have been employed for successful localization in atherosclerotic lesions. The biggest challenge for such delivery vehicles has been localization to atherosclerosis lesions. Several strategies have been employed to overcome these defects. Strategies have also been developed for stabilization of atherosclerotic lesions.

CONCLUSION

Nanotechnology is also an important tool for the development of novel biomarkers. At the same time there are also potential limitations. Toxicity, lack of translation from preclinical phase to clinical development, and the inability to address the chronic phase of atherosclerosis are the most important among them. Future toxicity studies shall enlighten us further on this exciting research area.

摘要

背景

动脉粥样硬化是一种导致极高发病率和死亡率的慢性炎症性疾病。其特征是动脉内斑块的积累。纳米医学是利用纳米技术进行先进成像和治疗的新兴医学领域。纳米医学在包括动脉粥样硬化在内的心血管疾病领域取得了重大进展。已经开发出许多具有抗动脉粥样硬化作用的纳米制剂。纳米医学工具已用于动脉粥样硬化的成像。各种纳米载体已被用于成功定位到动脉粥样硬化病变中。此类递送载体面临的最大挑战是定位到动脉粥样硬化病变。已经采用了几种策略来克服这些缺陷。还开发了稳定动脉粥样硬化病变的策略。

结论

纳米技术也是开发新型生物标志物的重要工具。同时也存在潜在的局限性。毒性、从临床前阶段到临床开发的转化不足以及无法解决动脉粥样硬化的慢性阶段是其中最重要的问题。未来的毒性研究将使我们对这个令人兴奋的研究领域有更深入的了解。

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