Peters Erica B, Kibbe Melina R
ACS Biomater Sci Eng. 2020 Jul 13;6(7):3693-3712. doi: 10.1021/acsbiomaterials.0c00281. Epub 2020 Jun 4.
Cardiovascular disease is the leading cause of death and disability in the world. Atherosclerosis, the buildup of fatty deposits in arteries, is a major underlying cause. Nanomedicine is an emerging treatment option to manage atherosclerotic plaque burden. Nanomaterials are critical to the success of nanomedicine therapies through their ability to enable targeted, controlled drug release. However, nanocarriers must be designed to ensure that nanomaterials and therapeutics work in tandem, tailored to respond to the unique physiochemical properties of atherosclerotic lesions, in order to move beyond slowing disease progression toward actively resolving atherosclerosis. This perspective serves to equip biomaterial scientists with the foundational knowledge needed to meet the challenge of designing such nanomaterials by reviewing the pathophysiology of atherosclerosis and highlighting design parameters that have shown success in targeted therapeutic delivery to atheromatous lesions.
心血管疾病是全球死亡和残疾的主要原因。动脉粥样硬化,即动脉中脂肪沉积物的堆积,是一个主要的潜在原因。纳米医学是一种新兴的治疗选择,用于控制动脉粥样硬化斑块负担。纳米材料对于纳米医学疗法的成功至关重要,因为它们能够实现靶向、可控的药物释放。然而,必须设计纳米载体,以确保纳米材料和治疗剂协同工作,根据动脉粥样硬化病变的独特物理化学性质进行定制,以便超越减缓疾病进展,朝着积极解决动脉粥样硬化的方向发展。本文通过回顾动脉粥样硬化的病理生理学,并强调在靶向治疗输送到动脉粥样硬化病变方面已显示成功的设计参数,为生物材料科学家提供应对设计此类纳米材料挑战所需的基础知识。