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用于血栓诊断与治疗的新型弹性微纳材料

Emerging Elastic Micro-Nano Materials for Diagnosis and Treatment of Thrombosis.

作者信息

Lu Chenxin, Li Chunjian, Gu Ning, Yang Fang

机构信息

State Key Laboratory of Digital Medical Engineering, Jiangsu Laboratory for Biomaterials and Devices, School of Biological Science and Medical Engineering, Southeast University, Nanjing 210096, P. R. China.

Department of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, P. R. China.

出版信息

Research (Wash D C). 2025 Feb 28;8:0614. doi: 10.34133/research.0614. eCollection 2025.

Abstract

Thrombus is a blood clot that forms in a blood vessel at the point of flaking. Thrombosis is closely associated with cardiovascular diseases caused by different sources and factors. However, the current clinical methods of thrombus diagnosis and treatment still have problems with targeting, permeability, stability, and biosafety. Therefore, in recent years, based on the development of micro/nano technology, researchers have tried to develop some new strategies for the diagnosis and treatment of thrombosis. Due to the unique structural characteristics, the micro-nano materials in physiological environments show excellent transport and delivery properties such as better in vivo circulation, longer life span, better targeting ability, and controllable cellular internalization. Especially, elasticity and stiffness are inherent mechanical properties of some well-designed micro-nano materials, which can make them better adapted to the needs of thrombosis diagnosis and treatment. Herein, this review first introduces the thrombotic microenvironment to characterize the thrombus development process. Then, to fine-tune the pathological occurrence and development of thrombosis, the role of elastic micro-nano materials for thrombus diagnosis and treatment is summarized. The properties, preparation methods, and biological fate of these materials have been discussed in detail. Following, the applications of elastic micro-nano materials in biomedical imaging, drug delivery, and therapy of thrombosis are highlighted. Last, the shortcomings and future design strategies of elastic micro-nano materials in diagnosis and treatment of clinical thrombosis are discussed. This review will provide new ideas for the use of nanotechnology in clinical diagnosis and treatment of thrombus in the future.

摘要

血栓是在血管破损处形成的血凝块。血栓形成与由不同来源和因素引起的心血管疾病密切相关。然而,目前血栓诊断和治疗的临床方法在靶向性、渗透性、稳定性和生物安全性方面仍然存在问题。因此,近年来,基于微纳技术的发展,研究人员试图开发一些新的血栓诊断和治疗策略。由于其独特的结构特征,生理环境中的微纳材料表现出优异的运输和递送性能,如更好的体内循环、更长的寿命、更好的靶向能力和可控的细胞内化。特别是,弹性和刚度是一些精心设计的微纳材料的固有机械性能,这可以使它们更好地适应血栓诊断和治疗的需求。在此,本综述首先介绍血栓形成的微环境,以表征血栓的发展过程。然后,为了微调血栓形成的病理发生和发展,总结了弹性微纳材料在血栓诊断和治疗中的作用。详细讨论了这些材料的性质、制备方法和生物学命运。随后,重点介绍了弹性微纳材料在生物医学成像、药物递送和血栓治疗中的应用。最后,讨论了弹性微纳材料在临床血栓诊断和治疗中的缺点及未来的设计策略。本综述将为未来纳米技术在临床血栓诊断和治疗中的应用提供新的思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07c3/11868703/0cb5f36301b7/research.0614.fig.001.jpg

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