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氧化还原纳米结构:在人类疾病的诊断和治疗中的观点和意义。

Redox Nano-Architectures: Perspectives and Implications in Diagnosis and Treatment of Human Diseases.

机构信息

1 Department of Biochemistry and Molecular Biology, School of Life Sciences, Pondicherry University, Puducherry, India.

2 DBT-Interdisciplinary Program in Life Sciences, School of Life Sciences, Pondicherry University, Puducherry, India.

出版信息

Antioxid Redox Signal. 2019 Feb 10;30(5):762-785. doi: 10.1089/ars.2017.7412. Epub 2018 Mar 2.

Abstract

SIGNIFICANCE

Efficient targeted therapy with minimal side-effects is the need of the hour. Locally altered redox state is observed in several human ailments, such as inflammation, sepsis, and cancer. This has been taken advantage of in designing redox-responsive nanodrug carriers. Redox-responsive nanosystems open a door to a multitude of possibilities for the control of diseases over other drug delivery systems. Recent Advances: The first-generation nanotherapy relies on novel properties of nanomaterials to shield the drug and deliver it to the diseased tissue or organ. The second generation is based on targeting the drug or diagnostic material to the diseased cell-specific receptors, or to a particular organ to improve the efficacy of the drug. The third and the latest generation of nanocarriers, the stimuli-responsive nanocarriers exploit the disease condition or environment to specifically deliver the drug or diagnostic probe for the best diagnosis and treatment. Several different kinds of stimuli such as temperature, magnetic field, pH, and altered redox state-responsive nanosystems have educed immense promise in the field of nanomedicine and therapy.

CRITICAL ISSUES

We describe the evolution of nanomaterial since its inception with an emphasis on stimuli-responsive nanocarriers, especially redox-sensitive nanocarriers. Importantly, we discuss the future perspectives of redox-responsive nanocarriers and their implications.

FUTURE DIRECTIONS

Redox-responsive nanocarriers achieve a near-to-zero premature release of the drug, thus avoiding off-site toxicity associated with the free drug. This bears great potential for the development of more effective drug delivery with better pharmacokinetics and pharmacodynamics.

摘要

意义

高效靶向治疗且副作用最小是目前的需求。在几种人类疾病中,如炎症、败血症和癌症,都观察到局部氧化还原状态的改变。这已被用于设计氧化还原响应性纳米药物载体。氧化还原响应性纳米系统为控制疾病提供了多种可能性,优于其他药物传递系统。最新进展:第一代纳米疗法依赖于纳米材料的新颖特性来屏蔽药物并将其递送到病变组织或器官。第二代基于将药物或诊断材料靶向到病变细胞特异性受体,或靶向特定器官,以提高药物的疗效。第三代也是最新一代的纳米载体,即刺激响应性纳米载体,利用疾病状况或环境来特异性递送药物或诊断探针,以实现最佳诊断和治疗。许多不同类型的刺激,如温度、磁场、pH 值和氧化还原状态响应性纳米系统,在纳米医学和治疗领域都显示出了巨大的潜力。

关键问题

我们描述了纳米材料自诞生以来的发展演变,重点介绍了刺激响应性纳米载体,特别是氧化还原敏感的纳米载体。重要的是,我们讨论了氧化还原响应性纳米载体的未来前景及其影响。

未来方向

氧化还原响应性纳米载体可实现药物几乎为零的早期释放,从而避免与游离药物相关的非靶向毒性。这为开发具有更好药代动力学和药效学的更有效的药物递送系统提供了巨大的潜力。

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