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基于纳米酶的类风湿性关节炎治疗策略。

Nanozyme-based therapeutic strategies for rheumatoid arthritis.

作者信息

Zhang Jucong, Wang Chenxi, Wu Xiaochuan, Shen Qiying, Du Yongzhong

机构信息

Institute of Pharmaceutics, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou 310058, China.

School of Pharmacy, Hangzhou Normal University, Hangzhou 311121, China.

出版信息

J Control Release. 2025 Jan 10;377:716-734. doi: 10.1016/j.jconrel.2024.11.072. Epub 2024 Dec 3.

Abstract

Rheumatoid arthritis (RA) is a prevalent chronic autoimmune disease that leads to severe joint damage and disability. Conventional treatment options are limited by their efficacy and side effect profiles. Nanozymes, nanomaterials with enzyme-like activities, offer a novel therapeutic approach for RA. This review summarizes recent advances in nanozyme-based treatments, focusing on their antioxidant and immunomodulatory roles in mitigating RA. We discuss various nanozymes, including those based on cerium, iron, manganese, silver, copper, platinum, rhodium, and multi-metallic nanozymes, which mimic natural enzymes such as superoxide dismutase, catalase, and peroxidase to reduce oxidative stress. Additionally, we explore nanozyme-based combination therapies that integrate with other strategies, such as vesicles and phototherapy, to achieve synergistic effects and enhance efficacy. This review highlights the significant potential of nanozymes in improving RA treatment, offering a new perspective for future research and clinical applications.

摘要

类风湿性关节炎(RA)是一种常见的慢性自身免疫性疾病,会导致严重的关节损伤和残疾。传统治疗方案在疗效和副作用方面存在局限性。纳米酶,即具有类酶活性的纳米材料,为类风湿性关节炎提供了一种新的治疗方法。本综述总结了基于纳米酶治疗的最新进展,重点关注其在减轻类风湿性关节炎方面的抗氧化和免疫调节作用。我们讨论了各种纳米酶,包括基于铈、铁、锰、银、铜、铂、铑的纳米酶以及多金属纳米酶,它们模拟超氧化物歧化酶、过氧化氢酶和过氧化物酶等天然酶以减轻氧化应激。此外,我们还探讨了基于纳米酶的联合疗法,这些疗法与其他策略(如囊泡和光疗)相结合,以实现协同效应并提高疗效。本综述强调了纳米酶在改善类风湿性关节炎治疗方面的巨大潜力,为未来的研究和临床应用提供了新的视角。

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