Stimuli-Responsive Nanotherapeutics for Treatment and Diagnosis of Stroke.
Manisha ChoudharySayali ChaudhariTanisha GuptaDnyaneshwar KalyaneBhagwat SirsatUmesh KatharPinaki SenguptaRakesh Kumar TekadePublished in: Pharmaceutics (2023)
Stroke is the second most common medical emergency and constitutes a significant cause of global morbidity. The conventional stroke treatment strategies, including thrombolysis, antiplatelet therapy, endovascular thrombectomy, neuroprotection, neurogenesis, reducing neuroinflammation, oxidative stress, excitotoxicity, hemostatic treatment, do not provide efficient relief to the patients due to lack of appropriate delivery systems, large doses, systemic toxicity. In this context, guiding the nanoparticles toward the ischemic tissues by making them stimuli-responsive can be a turning point in managing stroke. Hence, in this review, we first outline the basics of stroke, including its pathophysiology, factors affecting its development, current treatment therapies, and their limitations. Further, we have discussed stimuli-responsive nanotherapeutics used for diagnosing and treating stroke with challenges ahead for the safe use of nanotherapeutics.
Keyphrases
- atrial fibrillation
- cerebral ischemia
- oxidative stress
- healthcare
- emergency department
- cancer therapy
- gene expression
- acute coronary syndrome
- percutaneous coronary intervention
- public health
- ischemia reperfusion injury
- blood brain barrier
- cognitive impairment
- combination therapy
- inflammatory response
- induced apoptosis
- heat shock
- ejection fraction
- replacement therapy
- heat stress
- patient reported
- walled carbon nanotubes