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抗氧化纳米颗粒在免疫介导的炎症性疾病中的应用

Applications of Antioxidant Nanoparticles in Immune-Mediated Inflammatory Diseases.

作者信息

Shi Hong-Wei, Yang Bo-Cheng, Ren Yun-Qing, Xue Yi

机构信息

Department of Radiology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou 310058, China.

Department of Plastic Surgery, Zhongshan Hospital Affiliated to Xiamen University, School of Medicine, Xiamen University, Xiamen 361005, China.

出版信息

Antioxidants (Basel). 2025 Sep 18;14(9):1128. doi: 10.3390/antiox14091128.

Abstract

Immune-mediated inflammatory diseases (IMIDs) encompass a wide range of disorders, including autoimmune, acute, and chronic inflammatory conditions, which are often characterized by immune dysregulation and excessive oxidative stress. Oxidative stress plays a pivotal role in the initiation and progression of these diseases by promoting tissue damage and sustaining inflammation. However, conventional antioxidant therapies are limited by poor bioavailability, inadequate targeting, and short-lived efficacy. In recent years, nano-antioxidants have emerged as a promising therapeutic approach due to their enhanced stability, targeted delivery capabilities, and multifunctional therapeutic effects. This review provides a comprehensive overview of recent advances in the application of nano-antioxidants in the treatment of IMIDs. Their therapeutic roles are categorized into three major groups: autoimmune diseases, acute inflammatory diseases, and chronic inflammatory diseases. In autoimmune disorders such as alopecia areata and multiple sclerosis, nano-antioxidants have demonstrated the ability to reduce oxidative damage, modulate immune responses, and alleviate clinical symptoms. In acute inflammatory conditions, including acute kidney injury and acute liver injury, these nanomaterials exert protective effects by scavenging ROS, mitigating tissue injury, and restoring organ function. In chronic inflammatory diseases such as inflammatory bowel disease and ulcerative colitis, nano-antioxidants contribute to maintaining mucosal integrity, suppressing chronic inflammation, and improving therapeutic outcomes through localized delivery and sustained release. In summary, nano-antioxidants represent a novel and promising therapeutic strategy for the management of IMIDs. Their unique physicochemical properties offer significant advantages over traditional treatments. Further research is needed to optimize their delivery platforms, evaluate long-term safety, and facilitate clinical translation.

摘要

免疫介导的炎症性疾病(IMIDs)涵盖了广泛的病症,包括自身免疫性、急性和慢性炎症性疾病,这些疾病通常以免疫失调和过度氧化应激为特征。氧化应激通过促进组织损伤和维持炎症,在这些疾病的发生和发展中起关键作用。然而,传统的抗氧化疗法受到生物利用度差、靶向性不足和疗效持续时间短的限制。近年来,纳米抗氧化剂因其增强的稳定性、靶向递送能力和多功能治疗效果,已成为一种有前景的治疗方法。本综述全面概述了纳米抗氧化剂在治疗IMIDs方面的最新进展。它们的治疗作用分为三大类:自身免疫性疾病、急性炎症性疾病和慢性炎症性疾病。在斑秃和多发性硬化症等自身免疫性疾病中,纳米抗氧化剂已证明具有减少氧化损伤、调节免疫反应和缓解临床症状的能力。在急性炎症性病症中,包括急性肾损伤和急性肝损伤,这些纳米材料通过清除活性氧、减轻组织损伤和恢复器官功能发挥保护作用。在炎症性肠病和溃疡性结肠炎等慢性炎症性疾病中,纳米抗氧化剂通过局部递送和持续释放,有助于维持粘膜完整性、抑制慢性炎症并改善治疗效果。总之,纳米抗氧化剂代表了一种用于管理IMIDs的新颖且有前景的治疗策略。它们独特的物理化学性质比传统治疗具有显著优势。需要进一步研究以优化其递送平台、评估长期安全性并促进临床转化。

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