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BY 4.0 license Open Access Published by De Gruyter Open Access September 13, 2019

Recent Advances in Tissue plasminogen activator-based nanothrombolysis for ischemic stroke

  • Dongdong Huang , Ke Wu , Ying Zhang , Zhihui Ni , Xiaohong Zhu , Can Zhu , Jianjing Yang EMAIL logo , Qichuan ZhuGe EMAIL logo and Jiangnan Hu EMAIL logo

Abstract

Stroke is an acute cerebrovascular disorder caused by sudden decrease or interruption of blood flow in brain arteries. Deficiency of timely and effective reperfusion of ischemic brain tissue can lead to irreversible brain injury and neurological dysfunction. Currently, recombinant tissue plasminogen activator (rt-PA) is the only appropriate thrombolytic agent which is approved by FDA for patients with acute ischemic stoke. However, due to the limitation of very narrow therapeutic time window and severe intracranial hemorrhagic complication, the outcome of stroke treatment mediated by rt-PA still remains unsatisfactory. Therefore, it is urgent to find new alternative drugs or develop novel drug delivery system to achieve better outcomes. In recent years, with the rapid development of nanotechonology, nanomaterials as a drug delivery system can provide new strategies and methods to carry t-PA specifically to the occlusion site and provide advanced treatment for stroke. In this review, we briefly introduced the physiopathologic mechanisms of thrombolysis and focused on the comparison of the t-PA mediated thrombolysis and t-PA conjugated nanomaterial mediated thrombolysis.

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Received: 2019-03-01
Accepted: 2019-07-21
Published Online: 2019-09-13

© 2019 Dongdong Huang et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution 4.0 Public License.

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