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基于纳米颗粒的血管炎症管理高血压方法:推进分子机制和治疗策略

Nanoparticle-based approaches for vascular inflammation in managing hypertension: advancing molecular mechanisms and treatment strategies.

作者信息

K P Althaf Umar, Anil Anagha R, Nair Sreeja C, S K Kanthlal

机构信息

Department of Pharmacology, Amrita School of Pharmacy, Amrita Vishwa Vidyapeetham, Kochi, 682041, Kerala, India.

Department of Pharmaceutics, Amrita School of Pharmacy, Amrita Vishwa Vidyapeetham, Kochi, 682041, Kerala, India.

出版信息

Drug Deliv Transl Res. 2025 Jun 10. doi: 10.1007/s13346-025-01881-1.

Abstract

Hypertension is a global health challenge associated with significant morbidity and mortality resulting from vascular inflammation and endothelial dysfunction. Chronic hypertension is characterised by endothelial dysfunction, oxidative stress, immune cell recruitment, and cytokine release, all of which exacerbate vascular inflammation. Despite the availability of various antihypertensive therapies, limitations such as drug resistance and suboptimal targeting hinder their efficacy and reveal their side effects. Nanoparticle-based strategies could present innovative solutions by enabling precise drug delivery, minimising off-target effects, and enhancing therapeutic outcomes. Dual-targeting approaches that focus on molecular mechanistic pathways for managing hypertension using nanoparticle-based methods allow targeted modulation of inflammatory pathways as well. This advancement aids in redefining the management of vascular inflammation as a transformative frontier in antihypertensive therapy, addressing the unmet need for targeted, efficient, and patient-tailored treatment strategies. This review outlines the inflammatory pathophysiology underlying vascular hypertension and underscores the necessity of integrating knowledge gaps while inspiring innovative approaches to combat hypertension effectively. It concludes by identifying potential obstacles and solutions to overcome in order to successfully translate such nano-derived therapies into clinical practice applications.

摘要

高血压是一项全球性的健康挑战,与血管炎症和内皮功能障碍导致的重大发病率和死亡率相关。慢性高血压的特征是内皮功能障碍、氧化应激、免疫细胞募集和细胞因子释放,所有这些都会加剧血管炎症。尽管有各种抗高血压疗法,但诸如耐药性和靶向性欠佳等局限性阻碍了它们的疗效,并暴露出其副作用。基于纳米颗粒的策略可以通过实现精确给药、将脱靶效应降至最低以及提高治疗效果来提供创新解决方案。使用基于纳米颗粒的方法专注于管理高血压的分子机制途径的双靶向方法也允许对炎症途径进行靶向调节。这一进展有助于将血管炎症的管理重新定义为抗高血压治疗中的一个变革性前沿领域,满足对靶向、高效和针对患者的治疗策略的未满足需求。本综述概述了血管性高血压背后的炎症病理生理学,并强调了整合知识空白的必要性,同时激发有效对抗高血压的创新方法。它最后指出了为成功将此类纳米衍生疗法转化为临床实践应用而需要克服的潜在障碍和解决方案。

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