2013
DOI: 10.1182/blood-2013-03-453498
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Advanced drug delivery systems for antithrombotic agents

Abstract: Despite continued achievements in antithrombotic pharmacotherapy, difficulties remain in managing patients at high risk for both thrombosis and hemorrhage. Utility of antithrombotic agents (ATAs) in these settings is restricted by inadequate pharmacokinetics and narrow therapeutic indices. Use of advanced drug delivery systems (ADDSs) may help to circumvent these problems. Various nanocarriers, affinity ligands, and polymer coatings provide ADDSs that have the potential to help optimize ATA pharmacokinetics, t… Show more

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Cited by 85 publications
(82 citation statements)
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“…[48][49][50][51][52] Our priority was to establish a comparatively straightforward model, suitable for testing and comparing targeted scFv/TM with other antithrombotic drugs. 18,[53][54][55] Although the model lacks subendothelial components of a true vessel, including epithelial tissues, it allows for control over endothelial and leukocyte activation, manipulation and treatment of human WB, and quantification of therapeutic effects with high spatial and temporal resolution. While the present focus was on abrogation of fibrin deposition, additional readouts of inflammatory biology such as leukocyte adhesion and generation of neutrophil extracellular traps were also shown to be possible using this model system.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…[48][49][50][51][52] Our priority was to establish a comparatively straightforward model, suitable for testing and comparing targeted scFv/TM with other antithrombotic drugs. 18,[53][54][55] Although the model lacks subendothelial components of a true vessel, including epithelial tissues, it allows for control over endothelial and leukocyte activation, manipulation and treatment of human WB, and quantification of therapeutic effects with high spatial and temporal resolution. While the present focus was on abrogation of fibrin deposition, additional readouts of inflammatory biology such as leukocyte adhesion and generation of neutrophil extracellular traps were also shown to be possible using this model system.…”
Section: Discussionmentioning
confidence: 99%
“…17 Our laboratory has pursued a pharmacologic approach to attenuate inflammation by specifically targeting TM to activated cellular surfaces. 18 In the first report of this strategy, recombinant mouse TM was fused to a single-chain antibody fragment (scFv) specific for mouse intracellular adhesion molecule 1 (ICAM-1, or CD54). In a murine model of acute lung injury, ICAM-1-targeted scFv/TM was found to facilitate interaction with endogenous EPCR, reduce inflammatory markers, and improve transendothelial plasma protein leakage.…”
Section: Introductionmentioning
confidence: 99%
“…54 Studies conducted in a variety of pre-clinical animal models have established immunotargeting as a means of increasing both the pulmonary delivery and protective effects of a number of different therapeutics, including antioxidant enzymes, 55–59 antithrombotic agents, 42, 44, 60 and small-molecule drugs. 45, 61, 62 Despite this substantial body of work, it remains unclear what biophysical characteristics are optimal for the delivery of targeted drug carriers to the pulmonary endothelium.…”
Section: Discussionmentioning
confidence: 99%
“…For example, platelets are efficient vectors for delivery of cargo to sites of vascular injury. It is plausible that by enhancing prothrombotic or antithrombotic properties, engineered platelets could provide novel treatment options for hemorrhagic or thrombotic diseases (26,27). Thus, with further enhancements to platelet quality and yield, the approach proposed by Noh et al could be developed into a practical platform in which to produce platelets at clinical scale.…”
Section: Thrombocytopenia and The Need For Alternative Platelet Sourcesmentioning
confidence: 99%