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用于精准医学的工程化刺激响应材料。

Engineering Stimuli-Responsive Materials for Precision Medicine.

作者信息

Zheng Ruixuan, Yu Chang, Yao Dan, Cai Mengsi, Zhang Lexiang, Ye Fangfu, Huang Xiaoying

机构信息

Joint Centre of Translational Medicine, Division of Pulmonary Medicine, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China.

Wenzhou Key Laboratory of Interdiscipline and Translational Medicine, The First Affiliated Hospital of Wenzhou Medical University Wenzhou, Wenzhou, Zhejiang, 325000, China.

出版信息

Small. 2025 Jan;21(1):e2406439. doi: 10.1002/smll.202406439. Epub 2024 Oct 23.

Abstract

Over the past decade, precision medicine has garnered increasing attention, making significant strides in discovering new therapeutic drugs and mechanisms, resulting in notable achievements in symptom alleviation, pain reduction, and extended survival rates. However, the limited target specificity of primary drugs and inter-individual differences have often necessitated high-dosage strategies, leading to challenges such as restricted deep tissue penetration rates and systemic side effects. Material science advancements present a promising avenue for these issues. By leveraging the distinct internal features of diseased regions and the application of specific external stimuli, responsive materials can be tailored to achieve targeted delivery, controllable release, and specific biochemical reactions. This review aims to highlight the latest advancements in stimuli-responsive materials and their potential in precision medicine. Initially, we introduce disease-related internal stimuli and capable external stimuli, elucidating the reaction principles of responsive functional groups. Subsequently, we provide a detailed analysis of representative pre-clinical achievements of stimuli responsive materials across various clinical applications, including enhancements in the treatment of cancers, injury diseases, inflammatory diseases, infection diseases, and high-throughput microfluidic biosensors. Finally, we discuss some clinical challenges, such as off-target effects, long-term impacts of nano-materials, potential ethical concerns, and offer insights into future perspectives of stimuli-responsive materials.

摘要

在过去十年中,精准医学越来越受到关注,在发现新的治疗药物和机制方面取得了重大进展,在缓解症状、减轻疼痛和提高生存率方面取得了显著成就。然而,主要药物有限的靶点特异性和个体差异常常需要高剂量策略,导致诸如深部组织渗透率受限和全身副作用等挑战。材料科学的进步为解决这些问题提供了一条有前景的途径。通过利用患病区域独特的内部特征和特定外部刺激的应用,可以定制响应材料以实现靶向递送、可控释放和特定的生化反应。本综述旨在突出刺激响应材料的最新进展及其在精准医学中的潜力。首先,我们介绍与疾病相关的内部刺激和有效的外部刺激,阐明响应功能基团的反应原理。随后,我们详细分析了刺激响应材料在各种临床应用中的代表性临床前成果,包括在癌症、损伤疾病、炎症性疾病、感染性疾病治疗以及高通量微流控生物传感器方面的改进。最后,我们讨论了一些临床挑战,如脱靶效应、纳米材料的长期影响、潜在的伦理问题,并对刺激响应材料的未来前景提供见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b74/11707583/ffd536a1caad/SMLL-21-2406439-g005.jpg

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