Southport and Ormskirk Hospital NHS Trust, Southport, PR8 6PN, United Kingdom.
Department of Medicine, Northeastern Indira Gandhi Regional Institute of Health and Medical Sciences, NEIGRIHMS0, Shillong, Meghalaya, India.
Rheumatol Int. 2022 Nov;42(11):1883-1891. doi: 10.1007/s00296-022-05141-0. Epub 2022 May 19.
Nanomedicine (NM) is the medical use of nanotechnology (NT). NT is the study and control of nanoscale structures (between approximately 1 and 100 nm). Nanomaterials are created by manipulating atoms and molecules at the nanoscale, resulting in novel physical and chemical properties. With its targeted tissue delivery capabilities, NT has enabled molecular modulation of the immune response and underlying inflammatory responses in individuals with rheumatic diseases (RD). NM has enabled targeted drug delivery, reduced adverse effects on non-target organs, raised drug concentration in synovial tissue, and slowed the progression of immune-mediated RD such as rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE). Thus, NM has evolved in rheumatology prevention, diagnosis, and therapy. Animal models have proven superior outcomes to conventional techniques of treating specific illnesses. Nanodiamond (ND) immunomodulatory applications have been proposed as an alternative to traditional nanoparticles in the diagnosis and treatment of RA due to their small size and ability to be removed from the body without causing harm to the patient's organs, such as the liver. However, human clinical NM needs more research. We conducted a literature review to assess the present role of NM in clinical rheumatology, describing its current and future applications in the diagnosis and treatment of rheumatic diseases.
纳米医学(NM)是纳米技术(NT)在医学上的应用。NT 是对纳米级结构(约 1 至 100nm)的研究和控制。纳米材料是通过在纳米尺度上操纵原子和分子而产生的,从而产生新的物理和化学性质。通过其靶向组织递药能力,NT 实现了对风湿性疾病(RD)患者免疫反应和潜在炎症反应的分子调节。NM 实现了靶向药物递药,减少了对非靶向器官的不良反应,提高了滑膜组织中的药物浓度,并减缓了免疫介导的 RD 的进展,如类风湿关节炎(RA)和系统性红斑狼疮(SLE)。因此,NM 在风湿病的预防、诊断和治疗中得到了发展。动物模型已经证明优于传统技术治疗特定疾病的效果。由于纳米金刚石(ND)的尺寸小,并且能够在不损害患者器官(如肝脏)的情况下从体内清除,因此被提议作为传统纳米颗粒在 RA 诊断和治疗中的替代物。然而,人类临床 NM 需要更多的研究。我们进行了文献回顾,以评估 NM 在临床风湿病学中的现有作用,描述其在诊断和治疗风湿性疾病方面的当前和未来应用。