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纳米医学在糖尿病肾病治疗中的应用。

Nanomedicine in the treatment of diabetic nephropathy.

机构信息

National Institute of Pharmaceutical Education & Research - Ahmedabad (NIPER-A), An Institute of National Importance, Government of India, Department of Pharmaceuticals, Ministry of Chemicals & Fertilizers, Palaj, Gandhinagar-382355, Gujarat, India.

出版信息

Future Med Chem. 2021 Apr;13(7):663-686. doi: 10.4155/fmc-2020-0335. Epub 2021 Mar 8.

Abstract

Globally, diabetic nephropathy (DN) is the foremost cause of end-stage renal disease. With the incidence of diabetes increasing day by day, DN's occurrence is expected to surge to pandemic proportions. Current available therapeutic interventions associated with DN emphasize blood pressure, glycemia and lipid control while ignoring DN's progression mechanism at a molecular level. This review sheds light on the molecular insights involved in DN to help understand the initiation and progression pattern. Further, we summarize novel strategies with reported applications in developing a nanomedicine-based platform for DN-targeted drug delivery to improve drug efficacy and safety.

摘要

在全球范围内,糖尿病肾病(DN)是终末期肾病的首要原因。随着糖尿病发病率的日益增加,DN 的发生预计将呈流行趋势。目前与 DN 相关的可用治疗干预措施强调血压、血糖和血脂控制,而忽略了 DN 在分子水平上的进展机制。本综述阐明了 DN 中涉及的分子见解,以帮助理解发病和进展模式。此外,我们总结了具有报道应用的新型策略,用于开发基于纳米医学的 DN 靶向药物递送平台,以提高药物疗效和安全性。

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