Yin Li, Zhang Kaijie, Sun Yuting, Liu Zhenjie
Department of Vascular Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Department of Cardiology, Sir Run Run Shaw Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Front Med (Lausanne). 2021 Jul 7;8:665846. doi: 10.3389/fmed.2021.665846. eCollection 2021.
An abdominal aortic aneurysm (AAA) is a localized dilatation of the aorta related to the regional weakening of the wall structure, resulting in substantial morbidity and mortality with the aortic ruptures as complications. Ruptured AAA is a dramatic catastrophe, and aortic emergencies constitute one of the leading causes of acute death in older adults. AAA management has been centered on surgical repair of larger aneurysms to mitigate the risks of rupture, and curative early diagnosis and effective pharmacological treatments for this condition are still lacking. Nanoscience provided a possibility of more targeted imaging and drug delivery system. Multifunctional nanoparticles (NPs) may be modified with ligands or biomembranes to target agents' delivery to the lesion site, thus reducing systemic toxicity. Furthermore, NPs can improve drug solubility, circulation time, bioavailability, and efficacy after systemic administration. The varied judiciously engineered nano-biomaterials can exist stably in the blood vessels for a long time without being taken up by cells. Here, in this review, we focused on the NP application in the imaging and treatment of AAA. We hope to make an overview of NP-assisted diagnoses and therapy in AAA and discussed the potential of NP-assisted treatment.
腹主动脉瘤(AAA)是主动脉的局限性扩张,与血管壁结构的局部薄弱有关,可导致严重的发病率和死亡率,并伴有主动脉破裂等并发症。破裂性腹主动脉瘤是一种严重的灾难,主动脉急症是老年人急性死亡的主要原因之一。腹主动脉瘤的治疗一直以手术修复较大的动脉瘤以降低破裂风险为中心,目前仍缺乏针对该病的治愈性早期诊断和有效的药物治疗方法。纳米科学为更具靶向性的成像和药物递送系统提供了可能性。多功能纳米颗粒(NPs)可以用配体或生物膜进行修饰,以将药物递送至病变部位,从而降低全身毒性。此外,纳米颗粒可以提高药物的溶解度、循环时间、生物利用度以及全身给药后的疗效。经过精心设计的各种纳米生物材料可以在血管中长时间稳定存在而不被细胞摄取。在此综述中,我们重点关注纳米颗粒在腹主动脉瘤成像和治疗中的应用。我们希望对纳米颗粒辅助诊断和治疗腹主动脉瘤进行概述,并探讨纳米颗粒辅助治疗的潜力。