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纳米技术在诊断和治疗内分泌紊乱中的应用:当前趋势、毒理学和未来展望的综述。

The Application of Nanotechnology for the Diagnosis and Treatment of Endocrine Disorders: A Review of Current Trends, Toxicology and Future Perspective.

机构信息

Department of Endocrinology, The Second Hospital of Jilin University, Changchun, 13000, People's Republic of China.

出版信息

Int J Nanomedicine. 2024 Sep 25;19:9921-9942. doi: 10.2147/IJN.S477835. eCollection 2024.

Abstract

The endocrine system regulates many biological systems, and disruptions may result in disorders, such as diabetes, thyroid dysfunction, Cushing's syndrome, and obesity. The total incidence of endocrine illnesses was found to be 47.4%, excluding type 2 diabetes mellitus, with a significant frequency of newly diagnosed endocrine disorders. Nanotechnology manipulates particles at the atomic and molecular levels, opening up new paths for studying disease etiology and therapeutic alternatives. The goal of using nanomaterials in the treatment of endocrine illnesses is to create endogenous nano-biosensors that can detect even modest changes in hormone levels and react spontaneously to restore normal function. The size and surface characteristics of nanoparticles enhances the sensitivity in nano-sensors and are functionalized for targeted drug delivery. Nano-sized carriers composed of lipids, polymers, carbon, or metals have been shown to work much better than standard drug delivery methods. Nanoparticles (NPs) offer various advantages over current methods for diagnosing and treating endocrine disorders, acting as hydrogels for insulin delivery and wound healing. Incorporating selenium NPs into inorganic nanoparticles enhances their bioactivity and targeted delivery. Gold NPs show a promising precise insulin delivery. Mesoporous silica NPs maintain glycemic level effectively and lipid and polymeric NPs protect drugs from degradation in the gastrointestinal tract. Carbon nanotubes (CNTs) have become popular in thyroid surgeries. These characteristics make nanoparticles valuable for developing effective diagnostic and therapeutic systems. NP-based medicines have been thoroughly researched in order to identify the beginning point for the creation of theranostics, which may function in two ways: as imaging agents or therapeutics. The study posits that nanotechnology bridges diagnostics and therapies, potentially revolutionizing endocrine disorder treatments. This review delves into nanotechnology techniques, emphasizing their applications in diagnosing and treating diabetes mellitus.

摘要

内分泌系统调节着许多生物系统,其功能紊乱可能导致各种疾病,如糖尿病、甲状腺功能障碍、库欣综合征和肥胖症等。研究发现,不包括 2 型糖尿病在内,内分泌疾病的总发病率为 47.4%,且新诊断出的内分泌疾病发病率较高。纳米技术可在原子和分子水平上操纵颗粒,为研究疾病病因和治疗替代方法开辟了新途径。利用纳米材料治疗内分泌疾病的目的是创造内源性纳米生物传感器,以检测激素水平的微小变化,并能自发反应以恢复正常功能。纳米材料的尺寸和表面特性提高了纳米传感器的灵敏度,并进行了功能化以实现靶向药物输送。由脂质、聚合物、碳或金属组成的纳米级载体已被证明比标准药物输送方法效果更好。与当前用于诊断和治疗内分泌疾病的方法相比,纳米颗粒(NPs)具有多种优势,可作为胰岛素输送和伤口愈合的水凝胶。将硒纳米颗粒纳入无机纳米颗粒中可以提高其生物活性和靶向输送能力。金纳米颗粒显示出有前途的精确胰岛素输送。介孔硅纳米颗粒可有效维持血糖水平,而脂质和聚合物纳米颗粒可保护药物免受胃肠道降解。碳纳米管(CNTs)已在甲状腺手术中得到广泛应用。这些特性使得纳米颗粒在开发有效诊断和治疗系统方面具有很高的价值。为了确定治疗学的起点,已经对基于 NP 的药物进行了深入研究,治疗学可以双向作用:作为成像剂或治疗剂。该研究认为,纳米技术架起了诊断和治疗之间的桥梁,有可能彻底改变内分泌疾病的治疗方法。本文深入探讨了纳米技术技术,重点介绍了它们在诊断和治疗糖尿病方面的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed2a/11439355/ae99efa0791a/IJN-19-9921-g0001.jpg

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