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受血小板启发的冠心病靶向递送

Platelet-inspired targeting delivery for coronary heart disease.

作者信息

Jiang Yu, Wei Zhi-Yao, Song Zhi-Feng, Qian Hai-Yan

机构信息

Center for Coronary Heart Disease, Department of Cardiology, Fu Wai Hospital, National Center for Cardiovascular Diseases of China, State Key Laboratory of Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

出版信息

Heliyon. 2024 Feb 27;10(5):e27166. doi: 10.1016/j.heliyon.2024.e27166. eCollection 2024 Mar 15.

Abstract

Platelets play a pivotal role in many physiological and pathological processes, with their special targeting/adhering properties towards infarcted myocardium, injured or dysfunctional endothelium, and growing thrombus. Leveraging the site-targeting/adhering property, a variety of platelet-inspired targeting delivery(PITD)designs have been developed, the majority of which are reached by hitchhiking live platelets, cloaking nanoparticles with platelet membranes and mimicking platelet functions. With PITD, drugs or regenerative cells can directly reach targeted sites with minimized systematical distribution thus being of great clinical benefits. Coronary heart disease (CHD) is a major health burden worldwide. Plenty of PITD designs have shown promising outcomes for the treatment of CHD in preclinical models, especially in thrombolysis and post-percutaneous coronary intervention (post-PCI) anti-restenosis. Besides, PITD applications in cardiac protection and atherosclerotic plaque imaging are also under investigation. What's more, the potential benefits of PITD in the field of cell-based therapy are also attracting growing attention since it may resolve the problem of low arriving and retention efficiency, which are also particularly discussed in this review. In brief, our focus is putting on PITD strategies designed for the treatment of CHD, which hopefully can facilitate further optimization of this direction.

摘要

血小板在许多生理和病理过程中发挥着关键作用,因其对梗死心肌、受损或功能失调的内皮以及正在形成的血栓具有特殊的靶向/黏附特性。利用这种位点靶向/黏附特性,人们开发了多种受血小板启发的靶向递送(PITD)设计,其中大多数是通过搭载活血小板、用血小板膜包裹纳米颗粒以及模拟血小板功能来实现的。借助PITD,药物或再生细胞能够直接到达靶位点,同时将系统分布降至最低,因此具有重大的临床益处。冠心病(CHD)是全球主要的健康负担。大量的PITD设计在临床前模型中已显示出治疗冠心病的良好前景,尤其是在溶栓和经皮冠状动脉介入治疗(PCI)后抗再狭窄方面。此外,PITD在心脏保护和动脉粥样硬化斑块成像中的应用也在研究中。更重要的是,PITD在基于细胞的治疗领域的潜在益处也越来越受到关注,因为它可能解决细胞到达和保留效率低的问题,本综述也将对此进行特别讨论。简而言之,我们重点关注为治疗冠心病而设计的PITD策略,希望这能促进该方向的进一步优化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4645/10915553/893df351e6d1/gr1.jpg

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