生物相容性磁铁矿(Fe3O4)纳米颗粒在多发性硬化症复杂治疗中有效应用的临床实例

Andrey Belousov
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引用次数: 0

摘要

多发性硬化症(MS)是一种多因素疾病,具有多种致病机制和途径。多发性硬化症的成功治疗需要从根本上解决与疾病发病机制相关的许多问题的新方法。当前,纳米技术开启了创新医学的新阶段。生物相容性磁铁矿(Fe3 O4)纳米颗粒的临床应用经验的积累,以及其对生物环境和生物体系统的作用机制的研究,为其在多发性硬化症的复杂治疗中有效应用创造了前提条件。通过在复合治疗中加入生物相容性Micromage-B磁铁矿纳米颗粒,减少大脑脱髓鞘病灶的动态变化。应用Micromage-B纳米颗粒治疗多发性硬化症后,观察到神经状态的客观改善,下肢僵硬和快速疲劳的减少。步态和协调性改善,手部颤抖减少,抑郁和注意力不集中的症状消失,食欲恢复,语言能力提高。在整个使用Micromage-B期间,观察到神经系统状况的积极动态正常化。六个月后,总分从210分下降到45分。EDSS残疾量表得分从6.0降至5.0。第一次MRI增强检查显示大脑新脱髓鞘灶数量减少。多发性硬化症中枢神经系统活性的恢复过程不仅是由于磁铁矿纳米颗粒的免疫抑制特性,而且可能是由于酶甲基化激活了髓鞘再生机制和少突胶质细胞的分化。综上所述,在多发性硬化症的复杂治疗中使用生物相容性纳米器件是一个有前途的创新领域,并声称将进一步考虑将纳米技术纳入多发性硬化症治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Example of Effective use of Biocompatible Magnetite (Fe3O4) Nanoparticles in the Complex Treatment of Multiple Sclerosis
Multiple Sclerosis (MS) is a multifactorial disease characterized by a variety of pathogenic mechanisms and pathways. Successful treatment of multiple sclerosis requires a fundamentally new approach in solving a number of problems related to the pathogenesis of the disease. Currently, nanotechnology opens a new stage of innovative medicine. Previously accumulated clinical experience in the use of biocompatible magnetite (Fe3 O4 ) nanoparticles, the study of their mechanisms of action on biological environments and systems of the living organism creates the preconditions for their effective use in the complex therapy of MS. The primary purpose of the study was to slow down the progression of MS, improve the neurological status and general condition of the patient, reduce the dynamics of demyelinating foci in the brain by including biocompatible Micromage-B magnetite nanoparticles in the complex therapy. Following the application of Micromage-B nano-particles in the treatment of MS, objective improvement of the neurological state, reduction of stiff-ness and rapid fatigue of the lower extremities were observed. Improved gait and coordination, de-creased trembling of the hand, depression and signs of concentration disorders gone, appetite re-stored, speech improved. During the entire period of use of Micromage-B, positive dynamic normalization of the neurological condition was observed. After six months, the total score fell from 210 to 45. The EDSS Disability Scale score has decreased from 6.0 to 5.0. Examination of the brain by MRI with contrast enhancement for the first time showed a decrease in the number of new foci of demyelinating in the brain. The procedure of restoration of the central nervous system activity in MS is due not only to the immunosuppressive properties of magnetite nanoparticles, but probably also to the activation of remyelination mechanisms and differentiation of oligodendrocytes due to enzymatic methylation. Considering the above, the use of biocompatible nanodevices in the complex treatment of MS is a promising innovative area and claims to be further considered for the purpose of subsequent inclusion of nanotechnology in the protocols for MS treatment.
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