Vasconcelos Inês, Santos Tiago
School of Medicine, University of Minho, 4710-057 Braga, Portugal.
Department of Surgery and Physiology, Cardiovascular Research and Development Center-UnIC, Faculty of Medicine, University of Porto, Al. Prof. Hernâni Monteiro, 4200-319 Porto, Portugal.
Pharmaceutics. 2023 Jun 8;15(6):1682. doi: 10.3390/pharmaceutics15061682.
Sepsis is a life-threatening condition caused by a dysregulated host response to an invading pathogen such as multidrug-resistant bacteria. Despite recent advancements, sepsis is a leading cause of morbidity and mortality, resulting in a significant global impact and burden. This condition affects all age groups, with clinical outcomes mainly depending on a timely diagnosis and appropriate early therapeutic intervention. Because of the unique features of nanosized systems, there is a growing interest in developing and designing novel solutions. Nanoscale-engineered materials allow a targeted and controlled release of bioactive agents, resulting in improved efficacy with minimal side effects. Additionally, nanoparticle-based sensors provide a quicker and more reliable alternative to conventional diagnostic methods for identifying infection and organ dysfunction. Despite recent advancements, fundamental nanotechnology principles are often presented in technical formats that presuppose advanced chemistry, physics, and engineering knowledge. Consequently, clinicians may not grasp the underlying science, hindering interdisciplinary collaborations and successful translation from bench to bedside. In this review, we abridge some of the most recent and most promising nanotechnology-based solutions for sepsis diagnosis and management using an intelligible format to stimulate a seamless collaboration between engineers, scientists, and clinicians.
脓毒症是一种由宿主对入侵病原体(如多重耐药细菌)的反应失调引起的危及生命的病症。尽管最近取得了进展,但脓毒症仍是发病和死亡的主要原因,在全球造成了重大影响和负担。这种病症影响所有年龄组,临床结果主要取决于及时诊断和适当的早期治疗干预。由于纳米系统的独特特性,人们对开发和设计新的解决方案越来越感兴趣。纳米工程材料能够靶向和控制生物活性剂的释放,从而在副作用最小的情况下提高疗效。此外,基于纳米颗粒的传感器为识别感染和器官功能障碍的传统诊断方法提供了一种更快、更可靠的替代方案。尽管最近取得了进展,但基本的纳米技术原理通常以预设了先进化学、物理和工程知识的技术形式呈现。因此,临床医生可能无法掌握其基础科学知识,这阻碍了跨学科合作以及从实验室到临床的成功转化。在本综述中,我们以易懂的形式概述了一些用于脓毒症诊断和管理的最新且最有前景的基于纳米技术的解决方案,以促进工程师、科学家和临床医生之间的无缝合作。