Abstract

An abdominal aortic aneurysm (AAA) is a localized dilatation of the aorta related to the regional weakening of the wall structure, resulting in substantial morbidity and mortality with the aortic ruptures as complications. Ruptured AAA is a dramatic catastrophe, and aortic emergencies constitute one of the leading causes of acute death in older adults. AAA management has been centered on surgical repair of larger aneurysms to mitigate the risks of rupture, and curative early diagnosis and effective pharmacological treatments for this condition are still lacking. Nanoscience provided a possibility of more targeted imaging and drug delivery system. Multifunctional nanoparticles (NPs) may be modified with ligands or biomembranes to target agents' delivery to the lesion site, thus reducing systemic toxicity. Furthermore, NPs can improve drug solubility, circulation time, bioavailability, and efficacy after systemic administration. The varied judiciously engineered nano-biomaterials can exist stably in the blood vessels for a long time without being taken up by cells. Here, in this review, we focused on the NP application in the imaging and treatment of AAA. We hope to make an overview of NP-assisted diagnoses and therapy in AAA and discussed the potential of NP-assisted treatment.

Highlights

  • An abdominal aortic aneurysm (AAA) is a localized dilatation of the aorta related to the regional weakening of the wall structure, resulting in substantial morbidity and mortality with the aortic ruptures as complications

  • Superparamagnetic iron oxide (SPIO) particles were used in a previous study as a marker to detect macrophage activities in an angiotensin II (ANG II)-induced early-stage AAA model, and the results indicated that SPIO could be used in imaging inflammation associated with AAA [31]

  • This nanoprobe is composed of a hydrophilic polyethylene glycol (PEG) coating layer immobilized on the external surface of hydrophobic core/shell Fe/iron oxide NPs (Fe/IONPs); between them, there is a grafted Matrix metalloproteinase (MMP) peptide substrate

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Summary

Frontiers in Medicine

An abdominal aortic aneurysm (AAA) is a localized dilatation of the aorta related to the regional weakening of the wall structure, resulting in substantial morbidity and mortality with the aortic ruptures as complications. AAA management has been centered on surgical repair of larger aneurysms to mitigate the risks of rupture, and curative early diagnosis and effective pharmacological treatments for this condition are still lacking. Nanoscience provided a possibility of more targeted imaging and drug delivery system. Multifunctional nanoparticles (NPs) may be modified with ligands or biomembranes to target agents’ delivery to the lesion site, reducing systemic toxicity. NPs can improve drug solubility, circulation time, bioavailability, and efficacy after systemic administration. In this review, we focused on the NP application in the imaging and treatment of AAA.

INTRODUCTION
NANOPARTICLES IN ABDOMINAL AORTIC ANEURYSM IMAGING
Nanoparticles in Computed Tomography
Nanoparticles in Positron Emission Tomography
Murine models
Porcine pancreatic
Male Fisher rats implanted with ECM tubes
AAA patients within two weeks after EVAR
Nanoparticles in Magnetic Resonance Imaging
Nanoparticles in Other Imaging Techniques
NANOPARTICLES IN ABDOMINAL AORTIC ANEURYSM TREATMENT
Nanoparticles Targeting the Elastic Laminae
Nanoparticles Targeting Inflammation and Vascular Smooth Muscle Cell Dysfunction
Porcine pancreatic elastase mice Porcine pancreatic elastase mice
Porcine pancreatic elastase rats
NANOPARTICLES IN ABDOMINAL AORTIC ANEURYSM STENT GRAFT
Findings
DISCUSSION
Full Text
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