纳米颗粒重建骨质疏松微环境促进新骨形成
骨质疏松症(OP)是一种全身性骨病,以骨密度降低和骨微结构改变为特征,增加全身骨折的易感性。尽管对 OP 的治疗方案多种多样,但对患者长期治疗后安全性考虑,其疗效与患者依从性有很大的相关性。目前治疗OP 的临床方法主要是针对破骨细胞和成骨细胞,而忽略了免疫细胞、细胞因子和无机成分在构建异常骨质疏松微环境中的作用。纳米技术改变了治疗多种疾病的概念,对药物和基因的传递产生了巨大的影响,目前对于 OP 的药物治疗存在相应的不良反应,因此,急需新的治疗方式,现使用纳米粒子来调节破骨细胞活性、分化、凋亡和对成骨细胞进行干预的治疗方式已经出现,纳米粒子通过负载抗吸收药物或包含破骨细胞基因调控分子来发挥其治疗作用。本文综述多种纳米粒子对成骨和破骨细胞相关基因表达,重建骨质疏松微环境,改善骨微结构,以期为骨质疏松的治疗提供新的治疗方式。
OsteoporosisOPis a systemic skeletal disorder characterized by reduced bone density and altered bone microarchitectureincreasing susceptibility to fractures throughout the body. Although numerous treatment options for OP exist their long-term safety heavily impacts their effectiveness and patient compliance. Clinical practices primarily focus on osteoclasts and osteoblastsfrequently neglecting the contribution of immune cellscytokinesand inorganic elements in constructing the abnormal osteoporotic microenvironment. Nanotechnology has transformed disease treatment modalitiesespecially in drug and gene delivery. The adverse side effects of present pharmacological treatments for OP necessitate the development of innovative therapeutic strategies. Recent advancements have seen the use of nanoparticles to modulate osteoclast activitydifferentiation apoptosisand intervene in osteoblast functions. These nanoparticles exert their therapeutic effects by carrying anti-resorptive drugs or encompassing genes that regulate osteoclasts. This article offers a comprehensive review of various nanoparticles and their effects on gene expression associated with osteoblastogenesis and osteoclast activity. It examines how these particles contribute to the reconstruction of the osteoporotic microenvironment and the enhancement of bone microstructure. Consequentlythis research paves the way for new therapeutic avenues in the treatment of osteoporosis.
张彦军、姚鹏程、常斌、邓强、彭冉东、马斌祥
基础医学生物工程学药学
骨质疏松纳米颗粒成骨细胞破骨细胞
张彦军,姚鹏程,常斌,邓强,彭冉东,马斌祥.纳米颗粒重建骨质疏松微环境促进新骨形成[EB/OL].(2024-05-10)[2025-08-02].https://chinaxiv.org/abs/202405.00071.点此复制
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