State Key Laboratory of Digital Medical Engineering, Jiangsu Key Laboratory for Biomaterials and Devices, School of Biological Sciences & Medical Engineering, Southeast University, Nanjing, 210009, P. R. China.
School of Medicine, Nanjing University, Nanjing, 210093, P. R. China.
Adv Sci (Weinh). 2024 May;11(17):e2308298. doi: 10.1002/advs.202308298. Epub 2024 Feb 17.
Atherosclerosis, a multifaceted chronic inflammatory disease, has a profound impact on cardiovascular health. However, the critical limitations of atherosclerosis management include the delayed detection of advanced stages, the intricate assessment of plaque stability, and the absence of efficacious therapeutic strategies. Nanotheranostic based on nanotechnology offers a novel paradigm for addressing these challenges by amalgamating advanced imaging capabilities with targeted therapeutic interventions. Meanwhile, iron oxide nanoparticles have emerged as compelling candidates for theranostic applications in atherosclerosis due to their magnetic resonance imaging capability and biosafety. This review delineates the current state and prospects of iron oxide nanoparticle-based nanotheranostics in the realm of atherosclerosis, including pivotal aspects of atherosclerosis development, the pertinent targeting strategies involved in disease pathogenesis, and the diagnostic and therapeutic roles of iron oxide nanoparticles. Furthermore, this review provides a comprehensive overview of theranostic nanomedicine approaches employing iron oxide nanoparticles, encompassing chemical therapy, physical stimulation therapy, and biological therapy. Finally, this review proposes and discusses the challenges and prospects associated with translating these innovative strategies into clinically viable anti-atherosclerosis interventions. In conclusion, this review offers new insights into the future of atherosclerosis theranostic, showcasing the remarkable potential of iron oxide-based nanoparticles as versatile tools in the battle against atherosclerosis.
动脉粥样硬化是一种多因素的慢性炎症性疾病,对心血管健康有深远影响。然而,动脉粥样硬化管理的关键局限性包括晚期阶段的检测延迟、斑块稳定性的复杂评估以及缺乏有效的治疗策略。基于纳米技术的纳米治疗学通过将先进的成像能力与靶向治疗干预相结合,为应对这些挑战提供了新的范例。同时,由于氧化铁纳米粒子具有磁共振成像能力和生物安全性,因此它们已成为动脉粥样硬化治疗应用中极具吸引力的候选者。
本综述详细阐述了基于氧化铁纳米粒子的纳米治疗学在动脉粥样硬化领域的现状和前景,包括动脉粥样硬化发展的关键方面、疾病发病机制中涉及的相关靶向策略,以及氧化铁纳米粒子的诊断和治疗作用。此外,本综述还全面概述了使用氧化铁纳米粒子的治疗性纳米医学方法,包括化学疗法、物理刺激疗法和生物疗法。最后,本综述提出并讨论了将这些创新策略转化为临床可行的抗动脉粥样硬化干预措施所面临的挑战和前景。
总之,本综述为动脉粥样硬化治疗学的未来提供了新的见解,展示了氧化铁基纳米粒子作为对抗动脉粥样硬化的多功能工具的巨大潜力。