基于常规技术和纳米技术的方法来对抗慢性阻塞性肺疾病:对慢性气道疾病的影响。
Conventional and Nanotechnology Based Approaches to Combat Chronic Obstructive Pulmonary Disease: Implications for Chronic Airway Diseases.
机构信息
Nanobiotechnology Laboratory, Centre for Nanotechnology, Indian Institute of Technology Roorkee, Roorkee 247667, Uttarakhand, India.
Department of Biotechnology, Indian Institute of Technology Roorkee, Roorkee 247667, Uttarakhand, India.
出版信息
Int J Nanomedicine. 2020 May 28;15:3803-3826. doi: 10.2147/IJN.S242516. eCollection 2020.
Chronic obstructive pulmonary disease (COPD) is the most prevalent obstructive lung disease worldwide characterized by decline in lung function. It is associated with airway obstruction, oxidative stress, chronic inflammation, mucus hypersecretion, and enhanced autophagy and cellular senescence. Cigarette smoke being the major risk factor, other secondary risk factors such as the exposure to air pollutants, occupational exposure to gases and fumes in developing countries, also contribute to the pathogenesis of COPD. Conventional therapeutic strategies of COPD are based on anti-oxidant and anti-inflammatory drugs. However, traditional anti-oxidant pharmacological therapies are commonly used to alleviate the impact of COPD as they have many associated repercussions such as low diffusion rate and inappropriate drug pharmacokinetics. Recent advances in nanotechnology and stem cell research have shed new light on the current treatment of chronic airway disease. This review is focused on some of the anti-oxidant therapies currently used in the treatment and management of COPD with more emphasis on the recent advances in nanotechnology-based therapeutics including stem cell and gene therapy approaches for the treatment of chronic airway disease such as COPD and asthma.
慢性阻塞性肺疾病(COPD)是全球最常见的阻塞性肺疾病,其特征是肺功能下降。它与气道阻塞、氧化应激、慢性炎症、黏液过度分泌以及自噬和细胞衰老增强有关。香烟烟雾是主要的危险因素,其他次要危险因素,如暴露于空气污染物、发展中国家职业暴露于气体和烟雾,也导致 COPD 的发病机制。COPD 的常规治疗策略基于抗氧化和抗炎药物。然而,传统的抗氧化药理疗法通常用于缓解 COPD 的影响,因为它们有许多相关的影响,如低扩散率和不适当的药物药代动力学。纳米技术和干细胞研究的最新进展为慢性气道疾病的当前治疗提供了新的思路。这篇综述重点介绍了目前用于 COPD 治疗和管理的一些抗氧化疗法,更强调了基于纳米技术的治疗方法的最新进展,包括干细胞和基因治疗方法,用于治疗慢性气道疾病,如 COPD 和哮喘。