Cell Biology, Neurobiology and Anatomy, Medical College of Wisconsin, Milwaukee, WI, 53226, USA.
Department of Microbiology, GSL Medical College, Rajahmahendravaram, Andhra Pradesh, 533296, India.
Eur J Pharmacol. 2024 Nov 5;982:176969. doi: 10.1016/j.ejphar.2024.176969. Epub 2024 Aug 30.
Cardiovascular disease (CVD) represents a significant global health challenge, remaining the leading cause of illness and mortality worldwide. The adult heart's limited regenerative capacity poses a major obstacle in repairing extensive damage caused by conditions like myocardial infarction. In response to these challenges, nanomedicine has emerged as a promising field aimed at improving treatment outcomes through innovative drug delivery strategies. Nanocarriers, such as nanoparticles (NPs), offer a revolutionary approach by facilitating targeted delivery of therapeutic agents directly to the heart. This precise delivery system holds immense potential for treating various cardiac conditions by addressing underlying mechanisms such as inflammation, oxidative stress, cell death, extracellular matrix remodeling, prosurvival signaling, and angiogenic pathways associated with ischemia-reperfusion injury. In this review, we provide a concise summary of the fundamental mechanisms involved in cardiac remodeling and regeneration. We explore how nanoparticle-based drug delivery systems can effectively target the afore-mentioned mechanisms. Furthermore, we discuss clinical trials that have utilized nanoparticle-based drug delivery systems specifically designed for cardiac applications. These trials demonstrate the potential of nanomedicine in clinical settings, paving the way for future advancements in cardiac therapeutics through precise and efficient drug delivery. Overall, nanomedicine holds promise in revolutionizing the treatment landscape of cardiovascular diseases by offering targeted and effective therapeutic strategies that address the complex pathophysiology of cardiac injuries.
心血管疾病 (CVD) 是全球面临的重大健康挑战,仍然是全球范围内导致疾病和死亡的主要原因。成年人的心脏再生能力有限,这对修复心肌梗死等疾病引起的广泛损伤构成了重大障碍。为应对这些挑战,纳米医学作为一个有前途的领域应运而生,旨在通过创新的药物输送策略来改善治疗效果。纳米载体,如纳米颗粒 (NPs),通过将治疗剂靶向递送到心脏,提供了一种革命性的方法。这种精确的递药系统通过解决与缺血再灌注损伤相关的炎症、氧化应激、细胞死亡、细胞外基质重塑、生存信号和血管生成途径等潜在机制,为治疗各种心脏疾病提供了巨大的潜力。在这篇综述中,我们简要总结了与心脏重构和再生相关的基本机制。我们探讨了基于纳米颗粒的药物输送系统如何能够有效地靶向上述机制。此外,我们还讨论了专门针对心脏应用的基于纳米颗粒的药物输送系统的临床试验。这些试验表明了纳米医学在临床环境中的潜力,为通过精确和有效的药物输送实现心脏治疗的未来进展铺平了道路。总的来说,纳米医学通过提供针对心脏损伤的复杂病理生理学的靶向和有效的治疗策略,有望彻底改变心血管疾病的治疗格局。