4.8 Review

Recent nanoengineered diagnostic and therapeutic advancements in management of Sepsis

期刊

JOURNAL OF CONTROLLED RELEASE
卷 352, 期 -, 页码 931-945

出版社

ELSEVIER
DOI: 10.1016/j.jconrel.2022.10.029

关键词

Sepsis; Infection; Antimicrobial; Anti-inflammatory; Nanomedicine; Combination therapy

资金

  1. Department of Pharmaceuticals, Ministry of Chemical and Fertilizers, Govt. of India
  2. DST -SERB [SIR/2022/000678]
  3. University of Central Lancashire

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Recent developments in nanotechnology-based approaches for the diagnosis and therapeutics of sepsis, a critical disease responsible for a high number of patient deaths, have shown promising results. Scientists are exploring advanced techniques such as biosensors, biomarkers, and biozymes to detect sepsis-associated symptoms early and provide timely treatment with appropriate antibiotics and immunomodulators, reducing the mortality rate and preventing negative impacts on other parts of the body.
COVID-19 acquired symptoms have affected the worldwide population and increased the load of Intensive care unit (ICU) patient admissions. A large number of patients admitted to ICU end with a deadly fate of mortality. A high mortality rate of patients was reported with hospital-acquired septic shock that leads to multiple organ failures and ultimately ends with death. The patients who overcome this septic shock suffer from morbidity that also affects their caretakers. To overcome these situations, scientists are exploring progressive theragnostic techniques with advanced techniques based on biosensors, biomarkers, biozymes, vesicles, and others. These advanced techniques pave the novel way for early detection of sepsis-associated symptoms and timely treatment with appropriate antibiotics and immunomodulators and prevent the undue effect on other parts of the body. There are other techniques like externally modulated electric-based devices working on the principle of piezo-electric mechanism that not only sense the endotoxin levels but also target them with a loaded antibiotic to neutralize the onset of inflammatory response. Recently researchers have developed a lipopolysaccharide (LPS) neutralizing cartridge that not only senses the LPS but also appropriately neutralizes with dual mechanistic insights of antibiotic and anti-inflammatory effects. This review will highlight recent developments in the new nanotechnology-based approaches for the diagnosis and therapeutics of sepsis that is responsible for the high number of deaths of patients suffering from this critical disease.

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