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工程纳米粒子通过促进血管生成治疗缺血性中风的研究进展。

Advances in Engineered Nanoparticles for the Treatment of Ischemic Stroke by Enhancing Angiogenesis.

机构信息

Teaching Center of Pathogenic Biology, School of Basic Medical Sciences, Harbin Medical University, Harbin, Heilongjiang, 150081, People's Republic of China.

Department of Microbiology, School of Basic Medical Sciences, Harbin Medical University, Harbin, Heilongjiang, 150081, People's Republic of China.

出版信息

Int J Nanomedicine. 2024 May 17;19:4377-4409. doi: 10.2147/IJN.S463333. eCollection 2024.

Abstract

Angiogenesis, or the formation of new blood vessels, is a natural defensive mechanism that aids in the restoration of oxygen and nutrition delivery to injured brain tissue after an ischemic stroke. Angiogenesis, by increasing vessel development, may maintain brain perfusion, enabling neuronal survival, brain plasticity, and neurologic recovery. Induction of angiogenesis and the formation of new vessels aid in neurorepair processes such as neurogenesis and synaptogenesis. Advanced nano drug delivery systems hold promise for treatment stroke by facilitating efficient transportation across the the blood-brain barrier and maintaining optimal drug concentrations. Nanoparticle has recently been shown to greatly boost angiogenesis and decrease vascular permeability, as well as improve neuroplasticity and neurological recovery after ischemic stroke. We describe current breakthroughs in the development of nanoparticle-based treatments for better angiogenesis therapy for ischemic stroke employing polymeric nanoparticles, liposomes, inorganic nanoparticles, and biomimetic nanoparticles in this study. We outline new nanoparticles in detail, review the hurdles and strategies for conveying nanoparticle to lesions, and demonstrate the most recent advances in nanoparticle in angiogenesis for stroke treatment.

摘要

血管生成,即新血管的形成,是一种自然的防御机制,有助于在缺血性中风后为受伤的脑组织提供氧气和营养物质的输送。血管生成通过增加血管的发育,可以维持脑灌注,使神经元存活、脑可塑性和神经功能恢复。血管生成的诱导和新血管的形成有助于神经修复过程,如神经发生和突触发生。先进的纳米药物输送系统通过促进穿过血脑屏障的有效运输和维持最佳药物浓度,有望治疗中风。最近的研究表明,纳米颗粒可以极大地促进血管生成,降低血管通透性,改善缺血性中风后的神经可塑性和神经功能恢复。我们在本研究中描述了基于纳米颗粒的治疗方法在改善缺血性中风血管生成治疗方面的最新进展,包括聚合物纳米颗粒、脂质体、无机纳米颗粒和仿生纳米颗粒。我们详细介绍了新的纳米颗粒,综述了将纳米颗粒递送到病变部位的障碍和策略,并展示了纳米颗粒在中风治疗中的血管生成方面的最新进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b497/11108071/63f57376b792/IJN-19-4377-g0001.jpg

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