Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China; National Clinical Research Center for Interventional Medicine, Shanghai, China; Shanghai Clinical Research Center for Interventional Medicine, Shanghai, China; Institute of Biomedical Science, Fudan University, Shanghai, China; Shanghai Center for Brain Science and Brain-Inspired Technology, Shanghai, China.
Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China; National Clinical Research Center for Interventional Medicine, Shanghai, China; Shanghai Clinical Research Center for Interventional Medicine, Shanghai, China; Institute of Biomedical Science, Fudan University, Shanghai, China.
EBioMedicine. 2022 Apr;78:103968. doi: 10.1016/j.ebiom.2022.103968. Epub 2022 Mar 31.
Myocardial infarction is lethal to patients because of insufficient blood perfusion to vital organs. Several attempts have been made to improve its prognosis, among which nanomaterial research offers an opportunity to address this problem at the molecular level and has the potential to improve disease prevention, diagnosis, and treatment significantly. Up to now, nanomaterial-based technology has played a crucial role in broad novel diagnostic and therapeutic strategies for cardiac repair. This review summarizes various nanomaterial applications in myocardial infarction from multiple aspects, including high precision detection, pro-angiogenesis, regulating immune homeostasis, and miRNA and stem cell delivery vehicles. We also propose promising research hotspots that have not been reported much yet, such as conjugating pro-angiogenetic elements with nanoparticles to construct drug carriers, developing nanodrugs targeting other immune cells except for macrophages in the infarcted myocardium or the remote region. Though most of those strategies are preclinical and lack clinical trials, there is tremendous potential for their further applications in the future.
心肌梗死会导致患者因重要器官供血不足而死亡。目前已经有多种尝试来改善心肌梗死的预后,其中纳米材料研究为在分子水平上解决这一问题提供了机会,并有可能显著改善疾病的预防、诊断和治疗。到目前为止,基于纳米材料的技术在广泛的新型心脏修复诊断和治疗策略中发挥了关键作用。本综述从多个方面总结了纳米材料在心肌梗死中的应用,包括高精度检测、促进血管生成、调节免疫稳态以及 miRNA 和干细胞递送载体。我们还提出了一些尚未得到充分报道的有前景的研究热点,例如将促血管生成因子与纳米颗粒结合构建药物载体,开发针对梗死心肌或远隔部位除巨噬细胞以外的其他免疫细胞的纳米药物。尽管这些策略大多数仍处于临床前阶段,缺乏临床试验,但它们在未来有很大的应用潜力。