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纳米技术在新冠病毒检测、治疗策略及预防方面的新见解。

New insights from nanotechnology in SARS-CoV-2 detection, treatment strategy, and prevention.

作者信息

Solanki R, Shankar A, Modi U, Patel S

机构信息

School of Life Sciences, Central University of Gujarat, Sector-30, Gandhinagar, 382030, India.

Biomaterials & Biomimetics Laboratory, School of Life Sciences, Central University of Gujarat, Sector-30, Gandhinagar, 382030, India.

出版信息

Mater Today Chem. 2023 Apr;29:101478. doi: 10.1016/j.mtchem.2023.101478. Epub 2023 Mar 3.

Abstract

The recent outbreak of SARS-CoV-2 resulted into the deadly COVID-19 pandemic, which has made a profound impact on mankind and the world health care system. SARS-CoV-2 is mainly transmitted within the population via symptomatic carriers, enters the host cell via ACE2 and TMPSSR2 receptors and damages the organs. The standard diagnostic tests and treatment methods implemented lack required efficiency to beat SARS-CoV-2 in the race of its spreading. The most prominently used diagnostic test,reverse transcription-polymerase chain reaction (a nucleic acid-based method), has limitations including a prolonged time taken to reveal results, limited sensitivity, a high rate of false negative results, and lacking specificity due to a homology with other viruses. Furthermore, as part of the treatment, antiviral drugs such as remdesivir, favipiravir, lopinavir/ritonavir, chloroquine, daclatasvir, atazanavir, and many more have been tested clinically to check their potency for the treatment of SARS-CoV-2 but none of these antiviral drugs are the definitive cure or suitable prophylaxis. Thus, it is always required to combat SARS-CoV-2 spread and infection for a better and precise prognosis. This review answers the above mentioned challenges by employing nanomedicine for the development of improved detection, treatment, and prevention strategies for SARS-CoV-2. In this review, nanotechnology-based detection methods such as colorimetric assays, photothermal biosensors, molecularly imprinted nanoparticles sensors, electrochemical nanoimmunosensors, aptamer-based biosensors have been discussed. Furthermore, nanotechnology-based treatment strategies involving polymeric nanoparticles, metallic nanoparticles, lipid nanoparticles, and nanocarrier-based antiviral siRNA delivery have been depicted. Moreover, SARS-CoV-2 prevention strategies, which include the nanotechnology for upgrading personal protective equipment, facemasks, ocular protection gears, and nanopolymer-based disinfectants, have been also reviewed. This review will provide a one-site informative platform for researchers to explore the crucial role of nanomedicine in managing the COVID-19 curse more effectively.

摘要

最近严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的爆发导致了致命的2019冠状病毒病大流行,这对人类和世界医疗保健系统产生了深远影响。SARS-CoV-2主要通过有症状的携带者在人群中传播,通过血管紧张素转换酶2(ACE2)和跨膜丝氨酸蛋白酶2(TMPSSR2)受体进入宿主细胞并损害器官。实施的标准诊断测试和治疗方法缺乏在SARS-CoV-2传播竞赛中战胜它所需的效率。最常用的诊断测试,即逆转录聚合酶链反应(一种基于核酸的方法),存在局限性,包括结果显示时间长、灵敏度有限、假阴性结果率高以及与其他病毒存在同源性而缺乏特异性。此外,作为治疗的一部分,瑞德西韦、法匹拉韦、洛匹那韦/利托那韦、氯喹、达卡他韦、阿扎那韦等抗病毒药物已进行临床测试,以检查它们治疗SARS-CoV-2的效力,但这些抗病毒药物都不是 definitive cure(此处原文有误,根据语境推测可能是“确定的治愈方法”)或合适的预防措施。因此,始终需要对抗SARS-CoV-2的传播和感染,以获得更好和精确的预后。本综述通过采用纳米医学来开发改进的SARS-CoV-2检测、治疗和预防策略,回答了上述挑战。在本综述中,讨论了基于纳米技术的检测方法,如比色测定法、光热生物传感器、分子印迹纳米颗粒传感器、电化学纳米免疫传感器、基于适体的生物传感器。此外,还描述了基于纳米技术的治疗策略,包括聚合物纳米颗粒、金属纳米颗粒、脂质纳米颗粒以及基于纳米载体的抗病毒小干扰RNA递送。此外,还综述了SARS-CoV-2预防策略,其中包括用于升级个人防护装备、口罩、眼部防护装备以及基于纳米聚合物的消毒剂的纳米技术。本综述将为研究人员提供一个一站式信息平台,以探索纳米医学在更有效地应对2019冠状病毒病灾难方面的关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa9a/9981536/5bd2273838ec/ga1_lrg.jpg

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