School of Materials Science and Engineering, Beijing Institute of Technology, Beijing, 100081, People's Republic of China.
Department of Cardiology, Shanghai Tenth People's Hospital, Tongji University, School of Medicine, Shanghai, 200072, People's Republic of China.
Int J Nanomedicine. 2023 Jul 13;18:3851-3878. doi: 10.2147/IJN.S402678. eCollection 2023.
Atherosclerosis (AS) is a chronic inflammatory disease, which may lead to high morbidity and mortality. Currently, the clinical treatment strategy for AS is administering drugs and performing surgery. However, advanced therapy strategies are urgently required because of the deficient therapeutic effects of current managements. Increased number of energy conversion-based organic or inorganic materials has been used in cancer and other major disease treatments, bringing hope to patients with the development of nanomedicine and materials. These treatment strategies employ specific nanomaterials with specific own physiochemical properties (external stimuli: light or ultrasound) to promote foam cell apoptosis and cholesterol efflux. Based on the pathological characteristics of vulnerable plaques, energy conversion-based nano-therapy has attracted increasing attention in the field of anti-atherosclerosis. Therefore, this review focuses on recent advances in energy conversion-based treatments. In addition to summarizing the therapeutic effects of various techniques, the regulated pathological processes are highlighted. Finally, the challenges and prospects for further development of dynamic treatment for AS are discussed.
动脉粥样硬化(AS)是一种慢性炎症性疾病,可导致高发病率和死亡率。目前,AS 的临床治疗策略是药物治疗和手术治疗。然而,由于目前治疗效果不佳,迫切需要先进的治疗策略。越来越多的基于能量转换的有机或无机材料已被用于癌症和其他重大疾病的治疗,为纳米医学和材料的发展带来了希望。这些治疗策略采用具有特定物理化学性质的特定纳米材料(外部刺激:光或超声)来促进泡沫细胞凋亡和胆固醇外流。基于易损斑块的病理特征,基于能量转换的纳米治疗在抗动脉粥样硬化领域引起了越来越多的关注。因此,本综述重点介绍了基于能量转换的治疗方法的最新进展。除了总结各种技术的治疗效果外,还强调了调节的病理过程。最后,讨论了 AS 动态治疗进一步发展的挑战和前景。