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纳米医学在 SARS-CoV-2 中的应用:现状与未来展望。

Nanomedicine for the SARS-CoV-2: State-of-the-Art and Future Prospects.

机构信息

Department of Pharmaceutical Sciences, Jerry H. Hodge School of Pharmacy, Texas Tech University Health Sciences Center (TTUHSC), Amarillo, TX 79106, USA.

Maharashtra University of Health Sciences (MUHS), Nashik, Maharashtra 422004, India.

出版信息

Int J Nanomedicine. 2021 Jan 22;16:539-560. doi: 10.2147/IJN.S283686. eCollection 2021.

Abstract

The newly emerged ribonucleic acid (RNA) enveloped human beta-coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection caused the COVID-19 pandemic, severely affects the respiratory system, and may lead to death. Lacking effective diagnostics and therapies made this pandemic challenging to manage since the SARS-CoV-2 transmits via human-to-human, enters via ACE2 and TMPSSR2 receptors, and damages organs rich in host cells, spreads via symptomatic carriers and is prominent in an immune-compromised population. New SARS-CoV-2 informatics (structure, strains, like-cycles, functional sites) motivated bio-pharma experts to investigate novel therapeutic agents that act to recognize, inhibit, and knockdown combinations of drugs, vaccines, and antibodies, have been optimized to manage COVID-19. However, successful targeted delivery of these agents to avoid off-targeting and unnecessary drug ingestion is very challenging. To overcome these obstacles, this mini-review projects nanomedicine technology, a pharmacologically relevant cargo of size within 10 to 200 nm, for site-specific delivery of a therapeutic agent to recognize and eradicate the SARS-CoV-2, and improving the human immune system. Such combinational therapy based on compartmentalization controls the delivery and releases of a drug optimized based on patient genomic profile and medical history. Nanotechnology could help combat COVID-19 via various methods such as avoiding viral contamination and spraying by developing personal protective equipment (PPE) to increase the protection of healthcare workers and produce effective antiviral disinfectants surface coatings capable of inactivating and preventing the virus from spreading. To quickly recognize the infection or immunological response, design highly accurate and sensitive nano-based sensors. Development of new drugs with improved activity, reduced toxicity, and sustained release to the lungs, as well as tissue targets; and development of nano-based immunizations to improve humoral and cellular immune responses. The desired and controlled features of suggested personalized therapeutics, nanomedicine, is a potential therapy to manage COVID-19 successfully. The state-of-the-art nanomedicine, challenges, and prospects of nanomedicine are carefully and critically discussed in this report, which may serve as a key platform for scholars to investigate the role of nanomedicine for higher efficacy to manage the COVID-19 pandemic.

摘要

新出现的核糖核酸(RNA)包裹的人类β冠状病毒,严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)感染引发了 COVID-19 大流行,严重影响呼吸系统,并可能导致死亡。由于缺乏有效的诊断和治疗方法,这种大流行难以管理,因为 SARS-CoV-2 通过人与人之间传播,通过 ACE2 和 TMPSSR2 受体进入,损害富含宿主细胞的器官,通过有症状的携带者传播,在免疫功能低下的人群中更为突出。新的 SARS-CoV-2 信息学(结构、株系、相似周期、功能位点)促使生物制药专家研究新型治疗药物,这些药物作用于识别、抑制和敲低药物、疫苗和抗体的组合,已优化用于管理 COVID-19。然而,成功地将这些药物靶向递送到避免脱靶和不必要的药物摄入是非常具有挑战性的。为了克服这些障碍,本综述项目提出了纳米医学技术,这是一种药理学上相关的、大小在 10 到 200nm 之间的货物,用于将治疗药物靶向递送到 SARS-CoV-2 并清除它,同时改善人类免疫系统。基于分隔的这种组合疗法可以控制药物的递送到释放,这些药物是根据患者的基因组特征和病史进行优化的。纳米技术可以通过各种方法来帮助对抗 COVID-19,例如通过开发个人防护设备(PPE)来避免病毒污染和喷洒,从而增加医护人员的保护,并生产能够灭活和防止病毒传播的有效抗病毒消毒剂表面涂层。为了快速识别感染或免疫反应,设计高度准确和敏感的基于纳米的传感器。开发具有改善的活性、降低的毒性和向肺部以及组织靶标持续释放的新型药物;以及开发基于纳米的免疫接种以改善体液和细胞免疫反应。建议的个性化治疗、纳米医学的预期和受控特征是成功管理 COVID-19 的一种潜在疗法。本报告仔细和批判性地讨论了纳米医学的最新进展、挑战和前景,这可能成为学者们研究纳米医学在提高管理 COVID-19 大流行的疗效方面的作用的关键平台。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cdbb/7837559/126b25d8d85e/IJN-16-539-g0001.jpg

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