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纳米医学用于动脉粥样硬化的诊断和治疗。

Nanomedicine for Diagnosis and Treatment of Atherosclerosis.

机构信息

Department of Ultrasound, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200080, P. R. China.

Materdicine Lab, School of Life Sciences, Shanghai University, Shanghai, 200444, P. R. China.

出版信息

Adv Sci (Weinh). 2023 Dec;10(36):e2304294. doi: 10.1002/advs.202304294. Epub 2023 Oct 28.

Abstract

With the changing disease spectrum, atherosclerosis has become increasingly prevalent worldwide and the associated diseases have emerged as the leading cause of death. Due to their fascinating physical, chemical, and biological characteristics, nanomaterials are regarded as a promising tool to tackle enormous challenges in medicine. The emerging discipline of nanomedicine has filled a huge application gap in the atherosclerotic field, ushering a new generation of diagnosis and treatment strategies. Herein, based on the essential pathogenic contributors of atherogenesis, as well as the distinct composition/structural characteristics, synthesis strategies, and surface design of nanoplatforms, the three major application branches (nanodiagnosis, nanotherapy, and nanotheranostic) of nanomedicine in atherosclerosis are elaborated. Then, state-of-art studies containing a sequence of representative and significant achievements are summarized in detail with an emphasis on the intrinsic interaction/relationship between nanomedicines and atherosclerosis. Particularly, attention is paid to the biosafety of nanomedicines, which aims to pave the way for future clinical translation of this burgeoning field. Finally, this comprehensive review is concluded by proposing unresolved key scientific issues and sharing the vision and expectation for the future, fully elucidating the closed loop from atherogenesis to the application paradigm of nanomedicines for advancing the early achievement of clinical applications.

摘要

随着疾病谱的变化,动脉粥样硬化在全球范围内日益流行,相关疾病已成为主要死亡原因。由于纳米材料具有迷人的物理、化学和生物学特性,被视为解决医学领域巨大挑战的有前途的工具。新兴的纳米医学学科填补了动脉粥样硬化领域的巨大应用空白,迎来了新一代的诊断和治疗策略。在此,基于动脉粥样硬化形成的基本致病贡献者,以及纳米平台的独特组成/结构特征、合成策略和表面设计,阐述了纳米医学在动脉粥样硬化中的三个主要应用分支(纳米诊断、纳米治疗和纳米诊疗一体化)。然后,详细总结了一系列具有代表性和重要意义的最新研究,重点关注纳米药物与动脉粥样硬化之间的内在相互作用/关系。特别关注纳米药物的生物安全性,旨在为这一新兴领域的未来临床转化铺平道路。最后,通过提出未解决的关键科学问题并分享对未来的展望,从动脉粥样硬化形成到纳米药物应用范式的全面综述,充分阐明了从动脉粥样硬化形成到纳米药物应用范式的闭环,以推进临床应用的早期实现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfd7/10754137/32263ba46eb4/ADVS-10-2304294-g013.jpg

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