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靶向免疫细胞的纳米材料在慢性炎症治疗中的应用

Application of Nanomaterials Targeting Immune Cells in the Treatment of Chronic Inflammation.

作者信息

Ci Zhen, Wang Hanchi, Luo Jiaxin, Wei Chuqiao, Chen Jingxia, Wang Dongyang, Zhou Yanmin

机构信息

Department of Oral Implantology, Hospital of Stomatology, Jilin University, Changchun, 130021, People's Republic of China.

Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Hospital of Stomatology, Jilin University, Changchun, 130021, People's Republic of China.

出版信息

Int J Nanomedicine. 2024 Dec 25;19:13925-13946. doi: 10.2147/IJN.S497590. eCollection 2024.

Abstract

Chronic inflammation is a common characteristic of all kinds of diseases, including autoimmune diseases, metabolic diseases, and tumors. It is distinguished by the presence of low concentrations of inflammatory factors stimulating the body for an extended period, resulting in a persistent state of infection. This condition is manifested by the aggregation and infiltration of mononuclear cells, lymphocytes, and other immune cells, leading to tissue hyperplasia and lesions. Although various anti-inflammatory medications, including glucocorticoids and non-steroidal anti-inflammatory drugs (NSAIDs), have shown strong therapeutic effects, they lack specificity and targeting ability, and require high dosages, which can lead to severe adverse reactions. Nanoparticle drug delivery mechanisms possess the capacity to minimize the effect on healthy cells or tissues due to their targeting capabilities and sustained drug release properties. However, most nanosystems can only target the inflammatory sites rather than specific types of immune cells, leaving room for further improvement in the therapeutic effects of nanomaterials. This article reviews the current research progress on the role of diverse immune cells in inflammation, focusing on the functions of neutrophils and macrophages during inflammation. It provides an overview of the domestic and international applications of nanomaterials in targeted therapy for inflammation, aiming to establish a conceptual foundation for the utilization of nanomaterials targeting immune cells in the treatment of chronic inflammation and offer new perspectives for the avoidance and management of inflammation.

摘要

慢性炎症是各类疾病的常见特征,包括自身免疫性疾病、代谢性疾病和肿瘤。其特点是低浓度炎症因子长期刺激机体,导致持续感染状态。这种情况表现为单核细胞、淋巴细胞等免疫细胞的聚集和浸润,进而导致组织增生和病变。尽管包括糖皮质激素和非甾体抗炎药(NSAIDs)在内的各种抗炎药物已显示出强大的治疗效果,但它们缺乏特异性和靶向能力,且需要高剂量使用,这可能导致严重的不良反应。纳米颗粒药物递送机制因其靶向能力和药物缓释特性,有能力将对健康细胞或组织的影响降至最低。然而,大多数纳米系统只能靶向炎症部位,而非特定类型的免疫细胞,这使得纳米材料的治疗效果仍有进一步提升的空间。本文综述了不同免疫细胞在炎症中作用的当前研究进展,重点关注炎症期间中性粒细胞和巨噬细胞的功能。它概述了纳米材料在炎症靶向治疗中的国内外应用,旨在为利用靶向免疫细胞的纳米材料治疗慢性炎症奠定概念基础,并为炎症的预防和管理提供新的视角。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f00/11682674/90c339540072/IJN-19-13925-g0001.jpg

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