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基于纳米技术的 SARS-CoV-2 治疗和预防策略。

Nanotechnology-based theranostic and prophylactic approaches against SARS-CoV-2.

机构信息

National Institute of Immunology, New Delhi, India, 110067.

Department of Zoology, Patna Science College, Patna University, Patna, Bihar, India.

出版信息

Immunol Res. 2024 Feb;72(1):14-33. doi: 10.1007/s12026-023-09416-x. Epub 2023 Sep 8.


DOI:10.1007/s12026-023-09416-x
PMID:37682455
Abstract

SARS-CoV-2 (COVID-19) pandemic has been an unpredicted burden on global healthcare system by infecting over 700 million individuals, with approximately 6 million deaths worldwide. COVID-19 significantly impacted all sectors, but it very adversely affected the healthcare system. These effects were much more evident in the resource limited part of the world. Individuals with acute conditions were also severely impacted. Although classical COVID-19 diagnostics such as RT-PCR and rapid antibody testing have played a crucial role in reducing the spread of infection, these diagnostic techniques are associated with certain limitations. For instance, drawback of RT-PCR diagnostics is that due to degradation of viral RNA during shipping, it can give false negative results. Also, rapid antibody testing majorly depends on the phase of infection and cannot be performed on immune compromised individuals. These limitations in current diagnostic tools require the development of nanodiagnostic tools for early detection of COVID-19 infection. Therefore, the SARS-CoV-2 outbreak has necessitated the development of specific, responsive, accurate, rapid, low-cost, and simple-to-use diagnostic tools at point of care. In recent years, early detection has been a challenge for several health diseases that require prompt attention and treatment. Disease identification at an early stage, increased imaging of inner health issues, and ease of diagnostic processes have all been established using a new discipline of laboratory medicine called nanodiagnostics, even before symptoms have appeared. Nanodiagnostics refers to the application of nanoparticles (material with size equal to or less than 100 nm) for medical diagnostic purposes. The special property of nanomaterials compared to their macroscopic counterparts is a lesser signal loss and an enhanced electromagnetic field. Nanosize of the detection material also enhances its sensitivity and increases the signal to noise ratio. Microchips, nanorobots, biosensors, nanoidentification of single-celled structures, and microelectromechanical systems are some of the most modern nanodiagnostics technologies now in development. Here, we have highlighted the important roles of nanotechnology in healthcare sector, with a detailed focus on the management of the COVID-19 pandemic. We outline the different types of nanotechnology-based diagnostic devices for SARS-CoV-2 and the possible applications of nanomaterials in COVID-19 treatment. We also discuss the utility of nanomaterials in formulating preventive strategies against SARS-CoV-2 including their use in manufacture of protective equipment, formulation of vaccines, and strategies for directly hindering viral infection. We further discuss the factors hindering the large-scale accessibility of nanotechnology-based healthcare applications and suggestions for overcoming them.

摘要

SARS-CoV-2(COVID-19)大流行对全球医疗系统造成了前所未有的负担,已感染超过 7 亿人,全球约有 600 万人死亡。COVID-19 严重影响了所有部门,但对医疗系统的影响非常不利。这些影响在资源有限的世界部分地区更为明显。患有急性疾病的个人也受到了严重影响。尽管 RT-PCR 和快速抗体检测等经典 COVID-19 诊断方法在减少感染传播方面发挥了关键作用,但这些诊断技术存在一定的局限性。例如,RT-PCR 诊断的缺点是由于病毒 RNA 在运输过程中降解,可能会导致假阴性结果。此外,快速抗体检测主要取决于感染阶段,不能用于免疫功能低下的个体。目前诊断工具的这些局限性需要开发纳米诊断工具,以便早期检测 COVID-19 感染。因此,SARS-CoV-2 爆发需要在即时护理点开发特定、响应迅速、准确、快速、低成本和易于使用的诊断工具。近年来,早期检测一直是一些需要及时关注和治疗的健康疾病的挑战。通过一种称为纳米诊断学的新的实验室医学学科,在症状出现之前,就已经能够实现疾病的早期发现、对内健康问题的更深入成像以及诊断过程的简化。纳米诊断是指将纳米颗粒(尺寸等于或小于 100nm 的材料)应用于医疗诊断目的。与宏观对应物相比,纳米材料的特殊性质是信号损失较小和电磁场增强。检测材料的纳米尺寸还提高了其灵敏度并增加了信噪比。微芯片、纳米机器人、生物传感器、单细胞结构的纳米识别和微机电系统是目前正在开发的一些最现代的纳米诊断技术。在这里,我们强调了纳米技术在医疗保健领域的重要作用,并详细介绍了 COVID-19 大流行的管理。我们概述了用于 SARS-CoV-2 的基于不同类型的纳米技术的诊断设备,以及纳米材料在 COVID-19 治疗中的可能应用。我们还讨论了纳米材料在制定针对 SARS-CoV-2 的预防策略中的应用,包括在制造防护设备、疫苗配方以及直接阻止病毒感染方面的应用。我们进一步讨论了阻碍纳米技术为基础的医疗保健应用大规模普及的因素以及克服这些因素的建议。

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引用本文的文献

[1]
Cellular Nanoparticles Treat Coronavirus Infection .

Nano Lett. 2024-11-27

[2]
Role of Immunoglobulin A in COVID-19 and Influenza Infections.

Vaccines (Basel). 2023-10-27

[3]
Update on the status of COVID-19 vaccination in Italy-April 2023.

Immunol Res. 2023-10

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Anal Chim Acta. 2023-9-22

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ACS Appl Mater Interfaces. 2023-8-2

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