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开拓新领域:DNA纳米技术对急性肾损伤诊断和治疗的影响。

Unlocking new frontiers: DNA nanotechnology's impact on acute kidney injury diagnosis and treatment.

作者信息

Zhou Xue, Yao Jingrui, Fan Liping, Wang Ning, Tian Yuanqing

机构信息

Department of Nephrology, Haihe Hospital, Tianjin University, Tianjin, China.

Department of Nephrology, Tianjin Haihe Hospital, Tianjin, China.

出版信息

Nanomedicine (Lond). 2025 Jul;20(13):1637-1645. doi: 10.1080/17435889.2025.2510192. Epub 2025 May 23.

Abstract

Acute kidney injury (AKI) serves as an independent risk factor for chronic kidney disease (CKD) and hastens its progression. However, effective early diagnosis and treatment methods for AKI are still limited in clinical practice. There is a pressing need to develop fast, effective, and noninvasive diagnostic methods for AKI, as well as treatments that reduce nephrotoxicity. DNA nanotechnology, utilizing the programmable properties of DNA to engineer nanostructures and nanodevices, has achieved significant advancements in disease diagnosis and treatment. The application of DNA nanotechnology for kidney disease, particularly AKI, has been increasingly explored. This review encompasses the advancement of rapid and highly sensitive detection methods for AKI biomarkers, alongside the development of targeted drug delivery systems to the kidneys. These innovations facilitate precise treatment while minimizing adverse drug effects. The review underscores the progress in employing DNA nanotechnology for AKI diagnosis and treatment. Initially, we examine DNA nanotechnology-based strategies for AKI diagnosis, with an emphasis on biomarker detection. Subsequently, we delve into the therapeutic applications of DNA nanotechnology in AKI, highlighting targeted drug delivery and reduced toxicity. Finally, we offer insights into the challenges and opportunities associated with the clinical application of DNA nanotechnology in AKI management.

摘要

急性肾损伤(AKI)是慢性肾脏病(CKD)的独立危险因素,并加速其进展。然而,在临床实践中,AKI有效的早期诊断和治疗方法仍然有限。迫切需要开发快速、有效且无创的AKI诊断方法,以及降低肾毒性的治疗方法。DNA纳米技术利用DNA的可编程特性来构建纳米结构和纳米器件,在疾病诊断和治疗方面取得了重大进展。DNA纳米技术在肾脏疾病,特别是AKI中的应用已得到越来越多的探索。本综述涵盖了AKI生物标志物快速、高灵敏度检测方法的进展,以及肾脏靶向给药系统的开发。这些创新有助于精准治疗,同时将药物不良反应降至最低。该综述强调了DNA纳米技术在AKI诊断和治疗方面的进展。首先,我们研究基于DNA纳米技术的AKI诊断策略,重点是生物标志物检测。随后,我们深入探讨DNA纳米技术在AKI中的治疗应用,突出靶向给药和降低毒性。最后,我们深入了解DNA纳米技术在AKI管理临床应用中面临的挑战和机遇。

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