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纳米马达作为治疗剂:推进炎症相关疾病的治疗策略

Nanomotors as Therapeutic Agents: Advancing Treatment Strategies for Inflammation-Related Diseases.

作者信息

Luo Min, Zhao Fu-Kun, Wang Yuan-Min, Luo Yong

机构信息

The Third Affiliated Hospital of Zunyi Medical University, The First People's Hospital of Zunyi, Zunyi, Guizhou, 563000, China.

出版信息

Chem Rec. 2024 Dec;24(12):e202400162. doi: 10.1002/tcr.202400162. Epub 2024 Nov 5.

Abstract

Inflammation is a physiological response of the body to harmful stimuli such as pathogens, damaged cells, or irritants, involving a series of cellular and molecular events. It is associated with various diseases including neurodegenerative disorders, cancer, and atherosclerosis, and is a leading cause of global mortality. Key inflammatory factors, such as Tumor Necrosis Factor-alpha (TNF-α), Interleukin-1 (IL-1), Interleukin-6 (IL-6), Monocyte Chemoattractant Protein-1 (MCP-1/CCL2), RANTES (CCL5), and prostaglandins, play central roles in inflammation and disease progression. Traditional treatments such as NSAIDs, steroids, biologic agents, and antioxidants have limitations. Recent advancements in nanomaterials present promising solutions for treating inflammation-related diseases. Unlike nanomaterials that rely on passive targeting and face challenges in precise drug delivery, nanomotors, driven by chemical or optical stimuli, offer a more dynamic approach by actively navigating to inflammation sites, thereby enhancing drug delivery efficiency and therapeutic outcomes. Nanomotors allow for controlled drug release in response to specific environmental changes, such as pH and inflammatory factors, ensuring effective drug concentrations at disease sites. This active targeting capability enables the use of smaller drug doses, which reduces overall drug usage, costs, and potential side effects compared to traditional treatments. By improving precision and efficiency, nanomotors address the limitations of conventional therapies and represent a significant advancement in the treatment of inflammation-related diseases. This review summarizes the latest research on nanomotor-mediated treatment of inflammation-related diseases and discusses the challenges and future directions for optimizing their clinical translation.

摘要

炎症是机体对病原体、受损细胞或刺激物等有害刺激的生理反应,涉及一系列细胞和分子事件。它与包括神经退行性疾病、癌症和动脉粥样硬化在内的多种疾病相关,是全球死亡的主要原因。关键炎症因子,如肿瘤坏死因子-α(TNF-α)、白细胞介素-1(IL-1)、白细胞介素-6(IL-6)、单核细胞趋化蛋白-1(MCP-1/CCL2)、调节激活正常T细胞表达和分泌因子(RANTES,CCL5)以及前列腺素,在炎症和疾病进展中起核心作用。非甾体抗炎药、类固醇、生物制剂和抗氧化剂等传统治疗方法存在局限性。纳米材料的最新进展为治疗炎症相关疾病提供了有前景的解决方案。与依赖被动靶向且在精确药物递送方面面临挑战的纳米材料不同,由化学或光刺激驱动的纳米马达通过主动导航至炎症部位提供了一种更具动态性的方法,从而提高药物递送效率和治疗效果。纳米马达能够响应特定环境变化(如pH值和炎症因子)实现可控药物释放,确保疾病部位有有效的药物浓度。这种主动靶向能力使得可以使用更小的药物剂量,与传统治疗相比,这降低了总体药物用量、成本和潜在副作用。通过提高精准度和效率,纳米马达解决了传统疗法的局限性,代表了炎症相关疾病治疗的重大进展。本综述总结了纳米马达介导治疗炎症相关疾病的最新研究,并讨论了优化其临床转化面临的挑战和未来方向。

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