Department of Pharmaceutical Engineering & Technology, Indian Institute of Technology (BHU), Varanasi, 221005, India.
Department of Cardiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, 221005, India.
Nanomedicine (Lond). 2021 Jun;16(13):1153-1176. doi: 10.2217/nnm-2021-0058. Epub 2021 May 11.
Currently available anti-thrombotic therapy for the prophylaxis and treatment of arterial and venous thrombosis includes intravenous administration of anti-thrombotic drugs which lead to severe bleeding risks such as cerebral hemorrhage and stroke. Targeting approaches that utilize nanosystems to reach the thrombus sites are emerging to increase the local effect of anti-thrombotic drugs, as well as to decrease these severe bleeding complications by diminishing the systemic availability of these drugs. This review emphasizes the emerging targeted nanomedicines (liposomes, micelles, polymeric nanoparticles, material bases nanoparticles and other biological vectors) for the prophylaxis and treatment of thrombotic events as well as multifunctional nanomedicines for theranostic applications. Nanomedicine offers a promising platform for a smart, safe, and effective approach for the management of thrombosis.
目前用于预防和治疗动静脉血栓形成的抗血栓治疗包括静脉内给予抗血栓药物,这会导致严重的出血风险,如脑出血和中风。利用纳米系统到达血栓部位的靶向方法正在出现,以增加抗血栓药物的局部效果,并通过减少这些药物的全身可用性来减少这些严重的出血并发症。这篇综述强调了新兴的靶向纳米药物(脂质体、胶束、聚合物纳米粒子、基于材料的纳米粒子和其他生物载体)在预防和治疗血栓形成事件以及用于治疗诊断应用的多功能纳米药物中的应用。纳米医学为血栓管理提供了一种有前途的智能、安全和有效的方法平台。