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Targeted nanoscale therapeutics for myocardial infarction
Holly L Sullivan1, Nathan C Gianneschi, Karen L Christman
1Department of Bioengineering and Sanford Consortium for Regenerative, Medicine, University of California, San Diego, La Jolla, USA. christman@eng.ucsd.edu.
Biomaterials Science
|December 28, 2020
Summary
Nanoscale therapeutics offer targeted delivery of drugs to the heart after myocardial infarction. This review covers nanoparticles and adeno-associated viruses for effective cardiac repair strategies.
Area of Science:
- Biomedical Engineering
- Cardiovascular Research
- Nanotechnology
Background:
- Myocardial infarction (MI) necessitates targeted drug delivery for effective cardiac repair.
- Current therapeutic strategies face challenges in reaching the infarcted cardiac tissue efficiently.
- Nanoscale therapeutics present a promising avenue for localized treatment post-MI.
Purpose of the Study:
- To review advances in nanoscale therapeutics for targeting the infarcted heart.
- To discuss design considerations for nanoparticles and adeno-associated viruses (AAVs) in cardiac drug delivery.
- To highlight the potential of minimally invasive routes for directed myocardial delivery.
Main Methods:
- Literature review of current research on nanoparticles for cardiac delivery.
- Analysis of adeno-associated virus (AAV) vector engineering for myocardial targeting.
- Discussion of design principles for optimizing nanoscale therapeutic efficacy and safety.
Main Results:
- Nanoparticles can be engineered for enhanced accumulation in infarcted cardiac tissue.
- AAV vectors show potential for gene delivery to cardiomyocytes post-MI.
- Optimized design is crucial for achieving directed delivery and therapeutic outcomes.
Conclusions:
- Nanoscale therapeutics, including nanoparticles and AAVs, are advancing cardiac treatment post-MI.
- Targeted delivery to the infarcted heart is achievable through careful design and minimally invasive approaches.
- Further research into nanoscale therapeutic design will improve efficacy in treating myocardial infarction.

