Centre for Excellence in Nanobio Translational Research (CENTRE), Department of Pharmaceutical Technology, University College of Engineering, Anna University, BIT Campus, Tiruchirappalli, Tamil Nadu, India.
Curr Drug Targets. 2021;22(4):399-419. doi: 10.2174/1389450121666201027125303.
Atherothrombosis results from direct interaction between atherosclerotic plaque and arterial thrombosis and is the most common type of cardiovascular disease. As a long term progressive disease, atherosclerosis frequently results in an acute atherothrombotic event through plaque rupture and platelet-rich thrombus formation. The pathophysiology of atherothrombosis involves cholesterol accumulation endothelial dysfunction, dyslipidemia, immuno-inflammatory, and apoptotic aspects. Platelet activation and aggregation is the major cause for stroke because of its roles, including thrombus, contributing to atherosclerotic plaque, and sealing off the bleeding vessel. Platelet aggregates are associated with arterial blood pressure and cardiovascular ischemic events. Under normal physiological conditions, when a blood vessel is damaged, the task of platelets within the circulation is to arrest the blood loss. Antiplatelet inhibits platelet function, thereby decreasing thrombus formation with complementary modes of action to prevent atherothrombosis. In the present scientific scenario, researchers throughout the world are focusing on the development of novel drug delivery systems to enhance patient's compliance. Immediate responding pharmaceutical formulations become an emerging trend in the pharmaceutical industries with better patient compliance. The proposed review provides details related to the molecular pathogenesis of atherothrombosis and recent novel formulation approaches to treat atherothrombosis with particular emphasis on commercial formulation and upcoming technologies.
动脉粥样硬化血栓形成是由动脉粥样硬化斑块与动脉血栓直接相互作用引起的,是最常见的心血管疾病类型。作为一种长期进行性疾病,动脉粥样硬化常通过斑块破裂和富含血小板的血栓形成导致急性动脉粥样硬化血栓形成事件。动脉粥样硬化血栓形成的病理生理学涉及胆固醇积累、内皮功能障碍、血脂异常、免疫炎症和细胞凋亡等方面。血小板激活和聚集是中风的主要原因,因为其作用包括血栓形成、促进动脉粥样硬化斑块形成和封闭出血血管。血小板聚集与动脉血压和心血管缺血事件有关。在正常生理条件下,当血管受损时,循环中的血小板的任务是止血。抗血小板药物抑制血小板功能,从而通过互补作用机制减少血栓形成,预防动脉粥样硬化血栓形成。在当前的科学情况下,世界各地的研究人员都专注于开发新型药物传递系统,以提高患者的顺应性。即时响应药物制剂已成为制药行业的新兴趋势,具有更好的患者顺应性。本综述提供了与动脉粥样硬化血栓形成的分子发病机制以及最近用于治疗动脉粥样硬化的新型制剂方法的详细信息,特别强调了商业制剂和即将出现的技术。