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基于聚合物的纳米疗法对抗 COVID-19 相关呼吸损伤:进展、前景和挑战。

Polymer-based nano-therapies to combat COVID-19 related respiratory injury: progress, prospects, and challenges.

机构信息

Biomedical Engineering Graduate Program, University of Calgary, Calgary, AB, Canada.

出版信息

J Biomater Sci Polym Ed. 2021 Jun;32(9):1219-1249. doi: 10.1080/09205063.2021.1909412. Epub 2021 Apr 14.

Abstract

The recent coronavirus disease-2019 (COVID-19) outbreak has increased at an alarming rate, representing a substantial cause of mortality worldwide. Respiratory injuries are major COVID-19 related complications, leading to poor lung circulation, tissue scarring, and airway obstruction. Despite an in-depth investigation of respiratory injury's molecular pathogenesis, effective treatments have yet to be developed. Moreover, early detection of viral infection is required to halt the disease-related long-term complications, including respiratory injuries. The currently employed detection technique (quantitative real-time polymerase chain reaction or qRT-PCR) failed to meet this need at some point because it is costly, time-consuming, and requires higher expertise and technical skills. Polymer-based nanobiosensing techniques can be employed to overcome these limitations. Polymeric nanomaterials have the potential for clinical applications due to their versatile features like low cytotoxicity, biodegradability, bioavailability, biocompatibility, and specific delivery at the targeted site of action. In recent years, innovative polymeric nanomedicine approaches have been developed to deliver therapeutic agents and support tissue growth for the inflamed organs, including the lung. This review highlights the most recent advances of polymer-based nanomedicine approaches in infectious disease diagnosis and treatments. This paper also focuses on the potential of novel nanomedicine techniques that may prove to be therapeutically efficient in fighting against COVID-19 related respiratory injuries.

摘要

最近的 2019 年冠状病毒病(COVID-19)疫情以惊人的速度增加,这是全球死亡率的一个主要原因。呼吸道损伤是与 COVID-19 相关的主要并发症,导致肺循环不良、组织瘢痕形成和气道阻塞。尽管对呼吸道损伤的分子发病机制进行了深入研究,但尚未开发出有效的治疗方法。此外,需要早期检测病毒感染,以阻止与疾病相关的长期并发症,包括呼吸道损伤。目前使用的检测技术(定量实时聚合酶链反应或 qRT-PCR)在某些时候无法满足这一需求,因为它既昂贵又耗时,并且需要更高的专业知识和技术技能。基于聚合物的纳米生物传感技术可以克服这些限制。由于其具有低细胞毒性、可生物降解性、生物利用度、生物相容性和在作用部位的靶向特异性等多种特性,聚合物纳米材料具有临床应用的潜力。近年来,已经开发出创新的聚合物纳米医学方法来输送治疗剂并支持发炎器官(包括肺)的组织生长。本综述重点介绍了基于聚合物的纳米医学方法在传染病诊断和治疗方面的最新进展。本文还重点介绍了新型纳米医学技术的潜力,这些技术可能在对抗 COVID-19 相关呼吸道损伤方面具有治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5377/8054481/b3974a9d97f0/TBSP_A_1909412_UF0001_C.jpg

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