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These studies suggest potential treatments for atherosclerosis include exosomes, Traditional Chinese medicines, sonodynamic therapy, HSYA, targeting chronic inflammation and immune response, nanomedicine-based strategies, nanoparticle-based approaches, and intensive induction therapy.
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Atherosclerosis, a chronic inflammatory disease characterized by lipid accumulation in arterial walls, remains a leading cause of cardiovascular diseases and stroke. Recent research has explored various innovative treatments, ranging from traditional medicine to cutting-edge nanotechnology. This article synthesizes the latest findings on these diverse therapeutic approaches.
Exosome-Based Treatment: Exosomes, small extracellular vesicles involved in cell-to-cell communication, have shown potential in both inducing and inhibiting atherosclerosis. These vesicles can deliver therapeutic substances such as RNA, DNA, and proteins to target cells, influencing the disease's progression. Understanding the role of exosomes in atherosclerosis could pave the way for novel therapeutic strategies.
Efficacy and Challenges of TCM: Traditional Chinese Medicine (TCM), particularly Chinese herbal medicines (CHM), has been used for centuries to treat atherosclerosis. Despite their long history and reported effectiveness, the widespread adoption of CHMs in Western medicine is hindered by a lack of rigorous clinical trials and unclear pharmacological mechanisms. Nonetheless, TCM remains a complementary or alternative treatment option, offering potential benefits with fewer side effects compared to conventional drugs .
Hydroxysafflor Yellow A (HSYA): HSYA, a compound derived from Carthamus tinctorius L., has demonstrated promising effects in alleviating atherosclerosis. It works by suppressing foam cell formation, reducing vascular inflammation, and protecting endothelial cells. HSYA's mechanisms involve multiple signaling pathways, making it a multifaceted approach to managing atherosclerosis and its risk factors.
Sonodynamic Therapy (SDT): SDT combines low-intensity ultrasound with sonosensitizers to target atherosclerotic plaques. This method enhances tissue penetration and focuses treatment on specific lesions, increasing plaque stability and reducing atheromatous plaque formation. SDT represents a promising non-invasive treatment option for atherosclerosis.
Nanomedicine: Nanotechnology offers innovative solutions for atherosclerosis treatment. Nanoparticles can be engineered to target inflammatory processes within arterial walls, delivering drugs directly to atherosclerotic lesions. This targeted approach minimizes systemic side effects and enhances therapeutic efficacy. Recent advances in nanomedicine have shown potential in both imaging and treating atherosclerosis, making it a promising area for future research .
Reactive Oxygen Species (ROS) Scavenging Nanoparticles: A novel approach involves using nanoparticles that scavenge ROS, which play a critical role in atherosclerosis pathogenesis. These nanoparticles, such as TPCD NPs, can reduce oxidative stress and inflammation, stabilize plaques, and inhibit foam cell formation. Preliminary studies suggest that these nanoparticles are safe and effective, offering a new avenue for atherosclerosis treatment.
Targeting Lipid Metabolism and Inflammation: Recent research has identified several molecular targets for atherosclerosis treatment. PCSK9 inhibitors, for example, reduce LDL cholesterol levels by preventing the degradation of LDL receptors. Other targets include regulatory T cells (Tregs) and TREM-1, which modulate immune responses, and CD47, which inhibits the clearance of apoptotic cells in plaques. These targets offer new strategies for managing atherosclerosis by addressing both lipid metabolism and chronic inflammation.
The treatment landscape for atherosclerosis is evolving, with innovative approaches ranging from traditional Chinese medicine to advanced nanotechnology. Exosome-based therapies, sonodynamic therapy, and ROS-scavenging nanoparticles represent promising new treatments. Additionally, targeting specific molecular pathways involved in lipid metabolism and inflammation offers potential for more effective management of this chronic disease. Continued research and clinical trials are essential to validate these therapies and integrate them into standard medical practice.
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