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纳米材料在缺血性中风治疗变革中的作用:当前趋势与未来前景

The role of nanomaterials in revolutionizing ischemic stroke treatment: Current trends and future prospects.

作者信息

Wang Yong, Che Huiying, Qu Linzhuo, Lu Xin, Dong Mingzhen, Sun Bo, Guan Hongjian

机构信息

Stroke Center, Department of Neurology, Yanbian University Hospital, Yanji 133002, China.

Department of General Practice, Yanbian University Hospital, Yanji 133002, China.

出版信息

iScience. 2024 Nov 15;27(12):111373. doi: 10.1016/j.isci.2024.111373. eCollection 2024 Dec 20.

Abstract

Ischemic stroke has a high disability rate, which leads to irreversible neuronal death. The efficacy of conventional stroke treatments, including thrombolytic and neuroprotective therapies, is constrained by a number of factors, including safety concerns and inefficient drug delivery. The advent of nanomaterials has created new avenues for stroke therapy, facilitating enhanced pharmacokinetic behavior of drugs, effective drug accumulation at the target site, augmented therapeutic efficacy, and concomitant reduction in side effects. Therefore, this paper pioneers a research approach that summarized the development trend and clinical value of nanomaterials in the field of ischemic stroke through bibliometric analysis. This review provides an overview of the pathophysiological mechanisms of stroke and examines the current research trends in the use of nanomaterials in stroke management. It encompasses a multitude of domains, including targeted drug delivery systems, biosensors for the sensitive detection of biomarkers, and neuroprotective nanotechnologies capable of traversing the blood-brain barrier. Moreover, we investigate the challenges that nanomaterials encounter in the clinical translation context, including those pertaining to biocompatibility and long-term safety. These results have provided the clinical value and limitations of nanomaterials in the diagnosis and treatment of ischemic stroke from double perspectives, thereby offering new avenues for the further development of innovative nanotherapeutic tools.

摘要

缺血性中风致残率高,会导致不可逆的神经元死亡。包括溶栓和神经保护疗法在内的传统中风治疗方法的疗效受到多种因素的限制,如安全性问题和药物递送效率低下。纳米材料的出现为中风治疗开辟了新途径,有助于增强药物的药代动力学行为、使药物在靶部位有效蓄积、提高治疗效果并同时减少副作用。因此,本文开创了一种研究方法,通过文献计量分析总结纳米材料在缺血性中风领域的发展趋势和临床价值。本综述概述了中风的病理生理机制,并审视了纳米材料在中风治疗应用中的当前研究趋势。它涵盖多个领域,包括靶向给药系统、用于生物标志物灵敏检测的生物传感器以及能够穿越血脑屏障的神经保护纳米技术。此外,我们研究了纳米材料在临床转化过程中遇到的挑战,包括与生物相容性和长期安全性相关的挑战。这些结果从双重角度提供了纳米材料在缺血性中风诊断和治疗中的临床价值及局限性,从而为创新纳米治疗工具的进一步发展提供了新途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70f3/11634991/1c5d655088de/fx1.jpg

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