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基于纳米酶的心肌梗死可视化诊断与治疗:应用与策略

Nanozyme-based visual diagnosis and therapeutics for myocardial infarction: The application and strategy.

作者信息

Zhang Yuan, Yu Wanpeng, Zhang Lei, Li Peifeng

机构信息

Institute for Translational Medicine, The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao, China.

Medical Collage, Qingdao University, Qingdao, China.

出版信息

J Adv Res. 2025 Apr;70:187-201. doi: 10.1016/j.jare.2024.04.019. Epub 2024 Apr 23.

Abstract

BACKGROUND

Myocardial infarction (MI) is a heart injury caused by ischemia and low oxygen conditions. The occurrence of MI lead to the activation of a large number of neutrophils and macrophages, inducing severe inflammatory injury. Meanwhile, the inflammatory response produces much more free radicals, further exacerbating the inflammatory response and tissue damage. Efforts are being dedicated to developing antioxidants and enzymes, as well as small molecule drugs, for treating myocardial ischemia. However, poor pharmacokinetics and potential side effects limit the clinical application of these drugs. Recent advances in nanotechnology have paved new pathways in biomedical and healthcare environments. Nanozymes exhibit the advantages of biological enzymes and nanomaterials, including with higher catalytic activity and stability than natural enzymes. Thus, nanozymes provide new possibilities for the diagnosis and treatment of oxidative stress and inflammation-related diseases.

AIM OF REVIEW

We describe the application of nanozymes in the diagnosis and therapy of MI, aiming to bridge the gap between the diagnostic and therapeutic needs of MI.

KEY SCIENTIFIC CONCEPTS OF REVIEW

We describe the application of nanozymes in the diagnosis and therapy of MI, and discuss the new strategies for improving the diagnosis and treatment of MI. We review in detail the applications of nanozymes to achieve highly sensitive detection of biomarkers of MI. Due to their unique enzyme catalytic capabilities, nanozymes have the ability to sensitively detect biomolecules through colorimetric, fluorescent, and electrochemical assays. In addition, nanozymes exhibit excellent antioxidase-mimicking activity to treat MI by modulating reduction/oxidation (REDOX) homeostasis. Nanozymes can also passively or actively target MI tissue sites, thereby protecting ischemic myocardial tissue and reducing the infarct area. These innovative applications of nanozymes in the field of biomedicine have shown promising results in the diagnosis and treatment of MI, offering a novel therapeutic strategy.

摘要

背景

心肌梗死(MI)是由缺血和低氧状态引起的心脏损伤。MI的发生会导致大量中性粒细胞和巨噬细胞活化,引发严重的炎症损伤。同时,炎症反应会产生更多自由基,进一步加剧炎症反应和组织损伤。人们致力于开发抗氧化剂、酶以及小分子药物来治疗心肌缺血。然而,不良的药代动力学和潜在的副作用限制了这些药物的临床应用。纳米技术的最新进展为生物医学和医疗保健领域开辟了新途径。纳米酶兼具生物酶和纳米材料的优点,包括比天然酶具有更高的催化活性和稳定性。因此,纳米酶为氧化应激和炎症相关疾病的诊断和治疗提供了新的可能性。

综述目的

我们描述纳米酶在MI诊断和治疗中的应用,旨在弥合MI诊断和治疗需求之间的差距。

综述的关键科学概念

我们描述纳米酶在MI诊断和治疗中的应用,并讨论改善MI诊断和治疗的新策略。我们详细综述纳米酶在实现MI生物标志物高灵敏检测方面的应用。由于其独特的酶催化能力,纳米酶能够通过比色、荧光和电化学分析灵敏地检测生物分子。此外,纳米酶表现出优异的模拟抗氧化酶活性,通过调节氧化还原稳态来治疗MI。纳米酶还可以被动或主动靶向MI组织部位,从而保护缺血心肌组织并减小梗死面积。纳米酶在生物医学领域的这些创新应用在MI的诊断和治疗中已显示出有前景的结果,提供了一种新的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8466/11976412/1085c23b2248/ga1.jpg

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