Nano Drug Delivery Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Research and Development Team, Evolution Wound Dressing (EWD) Startup Co., Tehran, Iran.
J Nanobiotechnology. 2021 Oct 12;19(1):317. doi: 10.1186/s12951-021-01065-2.
Diabetic mellitus (DM) is the most communal metabolic disease resulting from a defect in insulin secretion, causing hyperglycemia by promoting the progressive destruction of pancreatic β cells. This autoimmune disease causes many severe disorders leading to organ failure, lower extremity amputations, and ultimately death. Modern delivery systems e.g., nanofiber (NF)-based systems fabricated by natural and synthetic or both materials to deliver therapeutics agents and cells, could be the harbinger of a new era to obviate DM complications. Such delivery systems can effectively deliver macromolecules (insulin) and small molecules. Besides, NF scaffolds can provide an ideal microenvironment to cell therapy for pancreatic β cell transplantation and pancreatic tissue engineering. Numerous studies indicated the potential usage of therapeutics/cells-incorporated NF mats to proliferate/regenerate/remodeling the structural and functional properties of diabetic skin ulcers. Thus, we intended to discuss the aforementioned features of the NF system for DM complications in detail.
糖尿病(DM)是最常见的代谢性疾病,源于胰岛素分泌缺陷,通过促进胰腺β细胞的渐进性破坏导致高血糖。这种自身免疫性疾病会导致许多严重的并发症,导致器官衰竭、下肢截肢,最终导致死亡。现代传递系统,例如基于纳米纤维(NF)的系统,由天然和合成材料或两者的混合物制造,用于传递治疗剂和细胞,可能预示着一个新时代的到来,可以避免 DM 并发症。这种传递系统可以有效地传递大分子(胰岛素)和小分子。此外,NF 支架可以为胰腺β细胞移植和胰腺组织工程的细胞治疗提供理想的微环境。许多研究表明,含有治疗剂/细胞的 NF 垫在促进/再生/重塑糖尿病皮肤溃疡的结构和功能特性方面具有潜在的用途。因此,我们旨在详细讨论 NF 系统在 DM 并发症方面的上述特征。