[冠状动脉介入装置用中药活性化合物和提取物涂层的研究进展]。

Q3 Pharmacology, Toxicology and Pharmaceutics Zhongguo Zhongyao Zazhi Pub Date : 2024-08-01 DOI:10.19540/j.cnki.cjcmm.20240419.601
Si-Jia Lai, Da-Yang Wang, Bao-Fu Wang, Jing-Yi Tu, Xian Wang
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引用次数: 0

摘要

近年来,中国心血管疾病的发病率和死亡率持续上升,疾病负担未见明显减轻。经皮冠状动脉介入治疗(PCI)是治疗冠心病的有效方法。药物洗脱支架和药物涂层球囊是目前临床上最常用的 PCI 设备。然而,再狭窄和晚期血栓事件的挑战依然存在。抑制血管平滑肌细胞的增殖,同时增强内皮细胞的活性,对于减少再狭窄和预防血栓形成至关重要,而这仍然是研究中的一项挑战。传统中药的活性化合物和提取物,尤其是活性化合物在包衣中的组合,具有多靶点潜力,可作为合成化合物制备的包衣的补充。本综述阐明了近年来中药活性化合物(如三氧化二砷、紫杉醇、水蛭素、四甲基吡嗪、大黄素、氧化苦参碱和姜黄素)、中药活性化合物复方(紫杉醇/水蛭素、基尼泊苷/黄芩苷)和中药提取物(如莪术提取物和三尖杉提取物)在 PCI 设备涂层中的应用。此外,本综述还阐述了该领域当前面临的挑战和未来前景,为 PCI 设备的创新提供了启示。
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[Research progress in coatings with active compounds and extracts of traditional Chinese medicines for coronary intervention devices].

In recent years, the incidence and mortality rates of cardiovascular diseases in China have kept rising, with no significant reduction in disease burden observed. Percutaneous coronary intervention(PCI) is an effective approach for treating coronary artery disease. Drug-eluting stents and drug-coated balloons are currently the most common PCI devices used in clinical practice. However, challenges with restenosis and late-stage thrombotic events persist. Inhibiting the proliferation of vascular smooth muscle cells while enhancing endothelial cell activity is crucial for reducing restenosis and preventing thrombosis, and it remains a challenge in research. The active compounds and extracts of traditional Chinese medicine(TCM), particularly the combinations of active compounds in coatings, possess multi-target potential and serve as a supplement to coatings prepared from synthetic compounds. This review elucidates the application of TCM active compounds(such as arsenic trioxide, paclitaxel, hirudin, tetramethylpyrazine, emodin, oxymatrine, and curcumin), combinations of TCM active compounds(paclitaxel/hirudin, geniposide/baicalin), and TCM extracts(such as Curcumae Rhizoma extract and Tripterygium hypoglaucum extract) in the coatings for PCI devices in recent years. Furthermore, this review expounds the current challenges and future prospects in this field, giving insights into the innovation of PCI devices.

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来源期刊
Zhongguo Zhongyao Zazhi
Zhongguo Zhongyao Zazhi Pharmacology, Toxicology and Pharmaceutics-Pharmacology, Toxicology and Pharmaceutics (all)
CiteScore
1.50
自引率
0.00%
发文量
581
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