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主动靶向纳米药物:治疗妊娠相关疾病的新视角。

Actively Targeted Nanomedicines: A New Perspective for the Treatment of Pregnancy-Related Diseases.

机构信息

Department of Obstetrics and Gynecology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, 324 Jingwu Road, Jinan, 250021, China.

Shandong Key Laboratory of Reproductive Medicine, Department of Obstetrics and Gynecology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 324 Jingwu Road, Jinan, 250021, China.

出版信息

Reprod Sci. 2024 Sep;31(9):2560-2575. doi: 10.1007/s43032-024-01520-z. Epub 2024 Mar 29.

Abstract

More than 20% of pregnant women experience serious complications during pregnancy, that gravely affect the safety of both the mother and the child. Due to the unique state of pregnancy, medication during pregnancy is subject to various restrictions. Nanotechnology is an emerging technology that has been the focus of extensive medical research, and great progress has recently been made in developing sensitive diagnostic modalities and efficient medical treatment. Accumulating evidence has shown that nanodrug delivery systems can significantly improve the targeting, reduce the toxicity and improve the bioavailability of drugs. Recently, some actively targeted nanomedicines have been explored in the treatment of pregnancy-related diseases. This article reviews common types of nanocarriers and active targeting ligands in common pregnancy-related diseases and complications such as preeclampsia, preterm birth, fetal growth restriction, and choriocarcinoma. Finally, the challenges and future prospects in the development of these nanomaterials are discussed, with the aim of providing guidance for future research directions.

摘要

超过 20%的孕妇在怀孕期间会经历严重的并发症,这严重影响母婴安全。由于妊娠的特殊状态,怀孕期间的药物治疗受到各种限制。纳米技术是一项新兴技术,一直是广泛医学研究的焦点,最近在开发敏感诊断模式和高效治疗方法方面取得了重大进展。越来越多的证据表明,纳米药物传递系统可以显著提高靶向性、降低毒性并提高药物的生物利用度。最近,一些主动靶向纳米药物已被探索用于治疗与妊娠相关的疾病。本文综述了常见类型的纳米载体和主动靶向配体,以及它们在子痫前期、早产、胎儿生长受限和绒癌等常见妊娠相关疾病和并发症中的应用。最后,讨论了这些纳米材料开发所面临的挑战和未来前景,旨在为未来的研究方向提供指导。

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