Table 1.
Typical drugs and biomolecules for anti-thrombosis and anti-restenosis treatment.
Type | Therapeutic substance | Mechanism of action | Therapeutic ability | Drawbacks | References |
---|---|---|---|---|---|
Drugs | Paclitaxel | Inhibit cell proliferation, adhesion, and migration | Reduce intimal hyperplasia | Indiscriminate cell suppression, delayed re-endothelialization and impaired endothelial functions | (Lundberg et al., 2015; Palmerini et al., 2015) |
Sirolimus/zotarolimus | Interfere cell cycle by inhibiting the mammalian target of rapamycin | Promote re-endothelialization | Long-term safety concerns, late stent thrombosis | (Joner et al., 2006; Park et al., 2010) | |
Biomolecules | NO and NO-producing materials | Activate soluble guanylate cyclase related signal pathway | Vasodilatation, stimulate EC growth, inhibit SMC proliferation and platelet activation/aggregation | Short-lived, limited diffusion distance, by-products during NO-producing process | De (Mel et al., 2011; Carpenter and Schoenfisch, 2012) |
Antibodies (e.g., CD34 antibody) | Selectively recruit endothelial progenitor cells | Enhance growth of neointimal layer and prevent adhesion of thrombotic tissues | Complex preparation process, high cost, immune response | (Hristov et al., 2003; De Visscher et al., 2012) | |
Cell-adhesive peptides (e.g., Arg-Glu-Asp-Val) | Mediate the adsorption and migration of targeted cells | Enhance re-endothelialization and anti-restenosis | Immune response, concerns on complications or undesired tissue growth | (Wei et al., 2013; Mahara et al., 2015) | |
Growth factors (e.g., endothelial growth factor) | Promotes EC recruitment, adhesion, migration, and proliferation | Facilitate re-endothelialization | Short half-life, high dose with high cost | (Poh et al., 2010; Shin et al., 2012) | |
Heparin | Inhibit the activation of thrombin | Possess anti-coagulant effect and reduce platelet aggregation | Hemorrhage and thrombocytopenia | (Gurbel and Bliden, 2003; Chuang and Masters, 2009) |