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纳米技术在开发针对肥胖症的靶向治疗方面取得进展。

Nanotechnology advances towards development of targeted-treatment for obesity.

机构信息

Department of Science and Technology/Mintek Nanotechnology Innovation Centre, (DST/Mintek NIC), Biolabels Node, Department of Biotechnology, University of the Western Cape (UWC), Bellville, 7535, South Africa.

Nanobiotechnology Research Group, Department of Biotechnology, UWC, Bellville, 7535, South Africa.

出版信息

J Nanobiotechnology. 2019 Dec 16;17(1):122. doi: 10.1186/s12951-019-0554-3.

Abstract

Obesity through its association with type 2 diabetes (T2D), cancer and cardiovascular diseases (CVDs), poses a serious health threat, as these diseases contribute to high mortality rates. Pharmacotherapy alone or in combination with either lifestyle modification or surgery, is reliable in maintaining a healthy body weight, and preventing progression to obesity-induced diseases. However, the anti-obesity drugs are limited by non-specificity and unsustainable weight loss effects. As such, novel and improved approaches for treatment of obesity are urgently needed. Nanotechnology-based therapies are investigated as an alternative strategy that can treat obesity and be able to overcome the drawbacks associated with conventional therapies. The review presents three nanotechnology-based anti-obesity strategies that target the white adipose tissues (WATs) and its vasculature for the reversal of obesity. These include inhibition of angiogenesis in the WATs, transformation of WATs to brown adipose tissues (BATs), and photothermal lipolysis of WATs. Compared to conventional therapy, the targeted-nanosystems have high tolerability, reduced side effects, and enhanced efficacy. These effects are reproducible using various nanocarriers (liposomes, polymeric and gold nanoparticles), thus providing a proof of concept that targeted nanotherapy can be a feasible strategy that can combat obesity and prevent its comorbidities.

摘要

肥胖症通过与 2 型糖尿病(T2D)、癌症和心血管疾病(CVDs)的关联,构成了严重的健康威胁,因为这些疾病导致高死亡率。仅药物治疗或与生活方式改变或手术联合使用,可可靠地维持健康体重,并防止肥胖引起的疾病进展。然而,抗肥胖药物存在特异性和可持续性减肥效果不佳的局限性。因此,迫切需要新的和改进的肥胖症治疗方法。基于纳米技术的疗法被研究作为一种替代策略,可以治疗肥胖症,并能够克服传统疗法相关的缺点。本综述提出了三种基于纳米技术的抗肥胖策略,针对白色脂肪组织(WAT)及其脉管系统,以逆转肥胖症。这些策略包括抑制 WAT 中的血管生成、将 WAT 转化为棕色脂肪组织(BAT)以及 WAT 的光热脂肪分解。与传统疗法相比,靶向纳米系统具有高耐受性、降低副作用和增强疗效。使用各种纳米载体(脂质体、聚合物和金纳米颗粒)可以重现这些效果,从而提供了靶向纳米疗法可以作为一种可行策略来对抗肥胖症并预防其合并症的概念验证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6917/6913004/6e57c28a74c9/12951_2019_554_Fig1_HTML.jpg

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