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. 2020 Jun 24;8:578. doi: 10.3389/fbioe.2020.00578

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)