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纳米材料在治疗早产儿视网膜病变中的创新应用。

Innovative Use of Nanomaterials in Treating Retinopathy of Prematurity.

作者信息

Wu Kevin Y, Wang Xingao C, Anderson Maude, Tran Simon D

机构信息

Department of Surgery, Division of Ophthalmology, University of Sherbrooke, Sherbrooke, QC J1G 2E8, Canada.

Faculty of Medicine and Health Sciences, McGill University, Montreal, QC H3T 1J4, Canada.

出版信息

Pharmaceuticals (Basel). 2024 Oct 16;17(10):1377. doi: 10.3390/ph17101377.

Abstract

BACKGROUND/OBJECTIVES: Retinopathy of prematurity (ROP) is a severe condition primarily affecting premature infants with a gestational age (GA) of 30 weeks or less and a birth weight (BW) of 1500 g or less. The objective of this review is to examine the risk factors, pathogenesis, and current treatments for ROP, such as cryotherapy, laser photocoagulation, and anti-VEGF therapy, while exploring the limitations of these approaches. Additionally, this review evaluates emerging nanotherapeutic strategies to address these challenges, aiming to improve ROP management.

METHODS

A comprehensive literature review was conducted to gather data on the pathogenesis, traditional treatment methods, and novel nanotherapeutic approaches for ROP. This included assessing the efficacy and safety profiles of cryotherapy, laser treatment, anti-VEGF therapy, and nanotherapies currently under investigation.

RESULTS

Traditional treatments, while effective in reducing disease progression, exhibit limitations, including long-term complications, tissue damage, and systemic side effects. Nanotherapeutic approaches, on the other hand, have shown potential in offering targeted drug delivery with reduced systemic toxicity, improved ocular drug penetration, and sustained release, which could decrease the frequency of treatments and enhance therapeutic outcomes.

CONCLUSIONS

Nanotherapies represent a promising advancement in ROP treatment, offering safer and more effective management strategies. These innovations could address the limitations of traditional therapies, reducing complications and improving outcomes for premature infants affected by ROP. Further research is needed to confirm their efficacy and safety in clinical practice.

摘要

背景/目的:早产儿视网膜病变(ROP)是一种主要影响胎龄30周及以下、出生体重1500克及以下早产儿的严重病症。本综述的目的是研究ROP的危险因素、发病机制以及当前的治疗方法,如冷冻疗法、激光光凝疗法和抗VEGF治疗,同时探讨这些方法的局限性。此外,本综述评估了应对这些挑战的新兴纳米治疗策略,旨在改善ROP的管理。

方法

进行了全面的文献综述,以收集有关ROP发病机制、传统治疗方法和新型纳米治疗方法的数据。这包括评估冷冻疗法、激光治疗、抗VEGF治疗以及目前正在研究的纳米疗法的疗效和安全性。

结果

传统治疗虽然在减少疾病进展方面有效,但存在局限性,包括长期并发症、组织损伤和全身副作用。另一方面,纳米治疗方法已显示出在提供靶向药物递送方面的潜力,具有降低的全身毒性、改善的眼部药物渗透和持续释放,这可以减少治疗频率并提高治疗效果。

结论

纳米疗法是ROP治疗中一项有前景的进展,提供了更安全、更有效的管理策略。这些创新可以解决传统疗法存在的局限性,减少并发症并改善受ROP影响的早产儿的治疗结果。需要进一步研究以确认它们在临床实践中的疗效和安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04a7/11509985/99aa8a45a634/pharmaceuticals-17-01377-g001.jpg

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