Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Oxid Med Cell Longev. 2021 Mar 17;2021:8857486. doi: 10.1155/2021/8857486. eCollection 2021.
Stroke has a high rate of morbidity and disability, which seriously endangers human health. In stroke, oxidative stress leads to further damage to the brain tissue. Therefore, treatment for oxidative stress is urgently needed. However, antioxidative drugs have demonstrated obvious protective effects in preclinical studies, but the clinical studies have not seen breakthroughs. Nanomaterials, with their characteristically small size, can be used to deliver drugs and have demonstrated excellent performance in treating various diseases. Additionally, some nanomaterials have shown potential in scavenging reactive oxygen species (ROS) in stroke according to the nature of nanomaterials. The drugs' delivery ability of nanomaterials has great significance for the clinical translation and application of antioxidants. It increases drug blood concentration and half-life and targets the ischemic brain to protect cells from oxidative stress-induced death. This review summarizes the characteristics and progress of nanomaterials in the application of antioxidant therapy in stroke, including ischemic stroke, hemorrhagic stroke, and neural regeneration. We also discuss the prospect of nanomaterials for the treatment of oxidative stress in stroke and the challenges in their application, such as the toxicity and the off-target effects of nanomaterials.
脑卒中具有较高的发病率和致残率,严重危害人类健康。在脑卒中发生时,氧化应激会导致脑组织进一步受损。因此,急需针对氧化应激的治疗方法。然而,抗氧化药物在临床前研究中表现出了明显的保护作用,但在临床研究中并未取得突破。纳米材料具有尺寸小的特点,可用于递送药物,并在治疗各种疾病方面表现出了优异的性能。此外,根据纳米材料的性质,一些纳米材料在清除脑卒中时的活性氧(ROS)方面显示出了潜力。纳米材料的药物递送能力对于抗氧化剂的临床转化和应用具有重要意义。它可以提高药物的血药浓度和半衰期,并靶向缺血性大脑,保护细胞免受氧化应激诱导的死亡。本综述总结了纳米材料在脑卒中抗氧化治疗中的应用特点和进展,包括缺血性脑卒中、出血性脑卒中以及神经再生。我们还讨论了纳米材料治疗脑卒中氧化应激的前景,以及纳米材料应用中面临的挑战,如纳米材料的毒性和脱靶效应。