Choudhary Manisha, Chaudhari Sayali, Gupta Tanisha, Kalyane Dnyaneshwar, Sirsat Bhagwat, Kathar Umesh, Sengupta Pinaki, Tekade Rakesh K
National Institute of Pharmaceutical Education and Research (NIPER), Ahmedabad, Department of Pharmaceuticals, Ministry of Chemicals and Fertilizers, Opposite Air Force Station, Palaj, Gandhinagar 382355, Gujarat, India.
Pharmaceutics. 2023 Mar 23;15(4):1036. doi: 10.3390/pharmaceutics15041036.
Stroke is the second most common medical emergency and constitutes a significant cause of global morbidity. The conventional stroke treatment strategies, including thrombolysis, antiplatelet therapy, endovascular thrombectomy, neuroprotection, neurogenesis, reducing neuroinflammation, oxidative stress, excitotoxicity, hemostatic treatment, do not provide efficient relief to the patients due to lack of appropriate delivery systems, large doses, systemic toxicity. In this context, guiding the nanoparticles toward the ischemic tissues by making them stimuli-responsive can be a turning point in managing stroke. Hence, in this review, we first outline the basics of stroke, including its pathophysiology, factors affecting its development, current treatment therapies, and their limitations. Further, we have discussed stimuli-responsive nanotherapeutics used for diagnosing and treating stroke with challenges ahead for the safe use of nanotherapeutics.
中风是第二常见的医疗急症,是全球发病的一个重要原因。传统的中风治疗策略,包括溶栓、抗血小板治疗、血管内血栓切除术、神经保护、神经发生、减轻神经炎症、氧化应激、兴奋性毒性、止血治疗,由于缺乏合适的递送系统、大剂量、全身毒性,无法为患者提供有效的缓解。在这种情况下,通过使纳米颗粒具有刺激响应性,将其导向缺血组织,可能是中风治疗的一个转折点。因此,在本综述中,我们首先概述中风的基础知识,包括其病理生理学、影响其发展的因素、当前的治疗方法及其局限性。此外,我们还讨论了用于诊断和治疗中风的刺激响应性纳米疗法以及纳米疗法安全使用面临的挑战。