Australian Institute for Bioengineering and Nanotechnology (K.X.V.-P., Z.P.X., H.T.T.), the University of Queensland, Australia.
School of Pharmacy, Pharmacy Australia Centre of Excellence (K.X.V.-P., J.L., D.K., P.J.L.), the University of Queensland, Australia.
Arterioscler Thromb Vasc Biol. 2021 Feb;41(2):601-613. doi: 10.1161/ATVBAHA.120.315404. Epub 2020 Dec 24.
Cardiovascular disease is one of the major contributors to global disease burden. Atherosclerosis is an inflammatory process that involves the accumulation of lipids and fibrous elements in the large arteries, forming an atherosclerotic plaque. Rupture of unstable plaques leads to thrombosis that triggers life-threatening complications such as myocardial infarction. Current diagnostic methods are invasive as they require insertion of a catheter into the coronary artery. Molecular imaging techniques, such as magnetic resonance imaging, have been developed to image atherosclerotic plaques and thrombosis due to its high spatial resolution and safety. The sensitivity of magnetic resonance imaging can be improved with contrast agents, such as iron oxide nanoparticles. This review presents the most recent advances in atherosclerosis, thrombosis, and myocardial infarction molecular imaging using iron oxide-based nanoparticles. While some studies have shown their effectiveness, many are yet to undertake comprehensive testing of biocompatibility. There are still potential hazards to address and complications to diagnosis, therefore strategies for overcoming these challenges are required.
心血管疾病是全球疾病负担的主要因素之一。动脉粥样硬化是一种炎症过程,涉及到大动脉中脂质和纤维元素的积累,形成动脉粥样硬化斑块。不稳定斑块的破裂导致血栓形成,引发危及生命的并发症,如心肌梗死。目前的诊断方法具有侵入性,因为它们需要将导管插入冠状动脉。分子成像技术,如磁共振成像,已经被开发出来用于成像动脉粥样硬化斑块和血栓,因为它具有高空间分辨率和安全性。通过使用氧化铁纳米颗粒等对比剂,可以提高磁共振成像的灵敏度。这篇综述介绍了使用基于氧化铁的纳米颗粒进行动脉粥样硬化、血栓形成和心肌梗死分子成像的最新进展。虽然一些研究已经表明它们的有效性,但许多研究仍有待全面测试其生物相容性。仍然存在需要解决的潜在危害和需要诊断的并发症,因此需要克服这些挑战的策略。