[1]谭棋文 高山 周明浩 滕小梅.生物材料治疗外周动脉疾病的研究进展[J].心血管病学进展,2025,(12):1090.[doi:10.16806/j.cnki.issn.1004-3934.2025.12.008]
 TAN Qiwen,GAO Shan,ZHOU Minghao,et al.Biomaterials in the Treatment of Peripheral Artery Disease[J].Advances in Cardiovascular Diseases,2025,(12):1090.[doi:10.16806/j.cnki.issn.1004-3934.2025.12.008]
点击复制

生物材料治疗外周动脉疾病的研究进展()

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2025年12期
页码:
1090
栏目:
综述
出版日期:
2025-12-25

文章信息/Info

Title:
Biomaterials in the Treatment of Peripheral Artery Disease
作者:
谭棋文 高山 周明浩 滕小梅
(苏州大学附属第一医院心脏大血管外科和心血管病研究所,江苏 苏州 215006)
Author(s):
TAN QiwenGAO ShanZHOU MinghaoTENG Xiaomei
(Department of Cardiovascular Surgery of the First Affiliated Hospital of Soochow University,Institute for Cardiovascular Science,Soochow University,Suzhou 215006,Jiangsu,China)
关键词:
外周动脉疾病下肢缺血性疾病生物材料
Keywords:
Peripheral artery diseaseIschemic disease of lower extremityBiomaterials
DOI:
10.16806/j.cnki.issn.1004-3934.2025.12.008
摘要:
外周动脉疾病(PAD)的发病率逐年上升,成为公共卫生领域的重大挑战。目前,PAD的临床治疗方法主要包括药物和手术治疗,这两种方法各具优缺点,因此探索更为有效的治疗方法迫在眉睫。近年来,生物材料在治疗PAD,尤其是下肢缺血性疾病的临床前试验中展现出良好的应用前景。这些生物材料不仅具有显著的组织保护作用和促进血管再生的效果,还具备优良的生物相容性、可控的药物释放特性以及良好的生物降解性。然而,这些材料在临床转化过程中仍面临着诸多挑战。本综述总结了近年来关于治疗PAD的生物材料的研究进展并探讨相关挑战。
Abstract:
The incidence of peripheral artery disease (PAD) has been rising year by year,becoming a significant challenge in the field of public health. Currently,the clinical treatment methods for PAD mainly include pharmacological therapy and surgical intervention,both of which have their own advantages and disadvantages. Therefore,exploring more effective treatment options is imperative. In recent years,biomaterials have shown promising application prospects in preclinical trials for treating PAD,especially in ischemic disease of lower extremity. These biomaterials not only exhibit significant tissue protective effects and promote vascular regeneration but also possess excellent biocompatibility,controllable drug release characteristics,and good biodegradability. However,these materials still face numerous challenges during the clinical translation process. This review summarizes the recent research progress on biomaterials for the treatment of PAD and address associated challenges.

参考文献/References:

[1]Houghton JSM,Saratzis AN,Sayers RD,et al. New horizons in peripheral artery disease[J]. Age Ageing,2024,53(6):afae114.

[2]Fowkes FG,Rudan D,Rudan I,et al. Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010:a systematic review and analysis[J]. Lancet,2013,382(9901):1329-1340.

[3]汤开,罗明尧,舒畅. 《2024年ESC外周动脉和主动脉疾病管理指南》解读[J]. 中国胸心血管外科临床杂志,2025,32(1):14-23.

[4]Gomez-Sanchez CM,Conte MS. The importance of optimal medical therapy in patients undergoing lower extremity bypass[J]. Curr Opin Cardiol,2024,39(5):451-456.

[5]Abouzid MR,Vyas A,Kamel I,et al. Comparing the efficacy and safety of endovascular therapy versus surgical revascularization for critical limb-threatening ischemia:a systematic review and meta-analysis[J]. Prog cardiovasc dis,2025,88:126-135.

[6]Costa ALR,W illerth SM,de la T orre LG,et al. Trends in hydrogel-based encapsulation technologies for advanced cell therapies applied to limb ischemia[J]. Mater Today Bio,2022,13:100221.

[7]Liu S,Y u JM,G an YC,et al. Biomimetic natural biomaterials for tissue engineering and regenerative medicine:new biosynthesis methods,recent advances,and emerging applications[J]. Mil Med Res,2023,10(1):16.

[8]Yuan Y,Zhang Z,MO F,et al. A biomaterial-based therapy for lower limb ischemia using Sr/Si bioactive hydrogel that inhibits skeletal muscle necrosis and enhances angiogenesis[J]. Bioact Mater,2023,26:264-278.

[9]Serack FE,F ennell KA,I liopoulos C,et al. Probing the effects of polysaccharide hydrogel composition on the viability and pro-angiogenic function of human adipose-derived stromal cells[J]. J Biomed Mater Res A,2025,113(1):e37800.

[10]Zhang T,Ouyang H,L iu S,et al. pH/Thermosensitive dual-responsive hydrogel based sequential delivery for site-specific acute limb ischemia treatment[J]. J Mater Chem B,2022,10(38):7836-7846.

[11]Zhu M,W ang Y,F erracci G,et al. Gelatin methacryloyl and its hydrogels with an exceptional degree of controllability and batch-to-batch consistency[J]. Sci Rep,2019,9(1):6863.

[12]Zhang Y,L iu Y,L iu H,et al. Exosomes:biogenesis,biologic function and clinical potential[J]. Cell Biosci,2019,9:19.

[13]Zhong T,G ao N,G uan Y,et al. Co-delivery of bioengineered exosomes and oxygen for treating critical limb ischemia in diabetic mice[J]. ACS Nano,2023,17(24):25157-25174.

[14]Zhang X,J iang Y,H uang Q,et al. Exosomes derived from adipose-derived stem cells overexpressing glyoxalase-1 protect endothelial cells and enhance angiogenesis in type 2 diabetic mice with limb ischemia[J]. Stem Cell Res Ther,2021,12(1):403.

[15]Sun H,W ang J,B i W,et al. Mesenchymal stem cell-derived exosomal microRNA-367-3p mitigates lower limb ischemia/reperfusion injury in mouse skeletal muscle via EZH2 targeting[J]. J Pharm Pharmaco,2024,76(12):1634-1646.

[16]Pan Y,Lin T,Shao L,et al. Lignin/puerarin nanoparticle-incorporated hydrogel improves angiogenesis through puerarin-induced autophagy activation[J]. Int J Nanomedicine,2023,18:5095-5117.

[17]Sligar AD,Howe G,Goldman J,et al. Syndecan-4 proteoliposomes enhance revascularization in a rabbit hind limb ischemia model of peripheral ischemia[J]. Acta Biomater,2023,167:425-435.

[18]Tian X,Yan X,Zang N,et al. Injectable thermosensitive selenium-containing hydrogel as mesenchymal stem cell carrier to improve treatment efficiency in limb ischemia[J]. Mater Today Bio,2024,25:100967.

[19]Kinali H,Kalaycioglu GD,Boyacioglu O,et al. Clinic-oriented injectable smart material for the treatment of diabetic wounds:coordinating the release of GM-CSF and VEGF[J]. Int J Biol Macromol,2024,276(Pt 1):133661.

[20]Le Thi P,Tran DL,Park KM,et al. Biocatalytic nitric oxide generating hydrogels with enhanced anti-inflammatory,cell migration,and angiogenic capabilities for wound healing applications[J]. J Mater Chem B,2024,12(6):1538-1549.

[21]Fang F,Yang H,Li C,et al. Injectable alginate-based hydrogels encapsulating engineered endothelial extracellular vesicles for the treatment of critical limb ischemia[J]. Biomacromolecules,2024,25(10):6656-6665.

[22]Pan Q,Xu X,He W,et al. Enrichment of miR-17-5p enhances the protective effects of EPC-EXs on vascular and skeletal muscle injury in a diabetic hind limb ischemia model[J]. Biol Res ,2023,56(1):16.

[23]Wang P,Di X,Li F,et al. Platelet membrane-coated HGF-PLGA nanoparticles promote therapeutic angiogenesis and tissue perfusion recovery in ischemic hindlimbs[J]. ACS Appl Bio Mater,2025,8(1):399-409.

[24]Tsumaru S,Masumoto H,Minakata K,et al. Therapeutic angiogenesis by local sustained release of microRNA-126 using poly lactic-co-glycolic acid nanoparticles in murine hindlimb ischemia[J]. J Vasc Surg,2018,68(4):1209-1215.

[25]Udri?te AS,Burdu?el AC,Niculescu AG,et al. Organic nanoparticles in progressing cardiovascular disease treatment and diagnosis[J]. Polymers,2024,16(10):1421.

[26]Yang C,Yang SS,Fang SM,et al. PLGA nanoparticles enhanced cardio-protection of scutellarin and paeoniflorin against isoproterenol-induced myocardial ischemia in rats[J]. Int J Pharma,2023,648:123567.

[27]Esteruelas G,Ettcheto M,Haro I,et al. Novel tissue-specific multifunctionalized nanotechnological platform encapsulating riluzole against motor neuron diseases[J]. Int J Nanomedicine,2025,20:2273-2288.

[28]Yan J,Huang L,Feng J,et al. The recent applications of PLGA-based nanostructures for ischemic stroke[J]. Pharmaceutics,2023,15(9):2322.

[29]Chen J,Zou X. Self-assemble peptide biomaterials and their biomedical applications[J]. Bioactive Mater,2019,4:120-131.

[30]Kumar VA,Liu Q,Wickremasinghe NC,et al. Treatment of hind limb ischemia using angiogenic peptide nanofibers[J]. Biomaterials,2016,98:113-119.

[31]Tongers J,Webber MJ,Vaughan EE,et al. Enhanced potency of cell-based therapy for ischemic tissue repair using an injectable bioactive epitope presenting nanofiber support matrix[J]. J Mol Cell Cardiol,2014,74:231-239.

[32]Yang L,Shridhar SV,Gerwitz M,et al. An in vitro vascular chip using 3D printing-enabled hydrogel casting[J]. Biofabrication,2016,8(3):035015.

[33]Pinnock CB,Meier EM,Joshi NN,et al. Customizable engineered blood vessels using 3D printed inserts[J]. Methods,2016,99:20-27.

[34]Gao G,Lee JH,Jang J,et al. Tissue engineered bio-blood-vessels constructed using a tissue-specific bioink and 3D coaxial cell printing technique:a novel therapy for ischemic disease[J]. Adv Funct Mater,2017,27(33):1700798.

[35]Niu J,Huang H,Pei J. Research and development strategy for biodegradable magnesium-based vascular stents:a review[J]. Biomater Transl,2021,2(3):236-247.

[36]Bosiers M,Peeters P,D’archambeau O,et al. AMS INSIGHT--Absorbable metal stent implantation for treatment of below-the-knee critical limb ischemia:6-month analysis[J]. Cardiovasc Intervent Radiol,2009,32(3):424-435.

[37]Wang Y,Wang X,Chen J,et al. Stem-cell-based small-diameter blood vessels with 3D printing[J]. Small Sci,2024,4(11):2400261.

[38]Zhong L,Tan X,Yang W,et al. Bioactive matters based on natural product for cardiovascular diseases[J]. Smart Mater Med,2024,5(4):542-565.

[39]Wang Q,Zhang Y,Shao F,et al. Bio-inspired design of 4D-printed scaffolds capable of programmable multi-step transformations toward vascular reconstruction[J]. Adv Funct Mater,2024,34(45):2407592.

[40]Aslan C,Zolbanin NM,Faraji F,et al. Exosomes for CRISPR-Cas9 delivery:the cutting edge in genome editing[J]. Mol Biotechnol,2024,66(11):3092-3116.

[41]Xu SJ,Yang F,Zhou X,et al. Uniform PEGylated PLGA microcapsules with embedded Fe3O4 nanoparticles for US/MR dual-modality imaging[J]. Acs Appl Mater Interfaces,2015,7(36):20460-20468.

相似文献/References:

[1]刘欢,王宏宇.应用踝臂指数检测四肢动脉疾病疗效[J].心血管病学进展,2015,(5):563.[doi:10.3969/j.issn.1004-3934.2015.05.010]
 LIU Huan,WANG Hongyu.Effect of Detection of Arterial Diseases on Extremities by Ankle Brachial Index[J].Advances in Cardiovascular Diseases,2015,(12):563.[doi:10.3969/j.issn.1004-3934.2015.05.010]
[2]孙吉 江洪 余锂镭.外周动脉疾病与冠心病的相关性研究进展[J].心血管病学进展,2022,(8):702.[doi:10.16806/j.cnki.issn.1004-3934.2022.08.009]
 SUN Ji,JIANG Hong,YU Lilei?/html>.Correlation Between Peripheral Artery Disease?nd Coronary Artery Heart Disease[J].Advances in Cardiovascular Diseases,2022,(12):702.[doi:10.16806/j.cnki.issn.1004-3934.2022.08.009]

更新日期/Last Update: 2026-04-14