ナノ血栓溶解の新戦略を開発(Scientists Develop Novel Nanothrombolytic Strategy)

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2026-02-10 中国科学院(CAS)

中国の研究チームは、血栓溶解と凝固微小環境制御を同時に実現する新しいシリコン系ナノ血栓溶解療法を開発した。上海硅酸塩研究所の石建林教授らは、臨床薬ウロキナーゼを水素化シリセン(SiH)ナノシートおよびフィブリノゲンと組み合わせることで、循環中では酵素活性を抑制し、血栓部位でのみ再活性化する仕組みを構築した。SiHは体内で分解しながら水素を発生させ、酸化ストレスを軽減し内皮修復を促進することで再血栓形成を抑制する。動物実験では、全身性出血リスクを増やすことなく高い血栓溶解効果と局所的凝固制御を示し、精密血栓治療の新たな指針を提示した。

ナノ血栓溶解の新戦略を開発(Scientists Develop Novel Nanothrombolytic Strategy)
Schematic illustration showing the targeting, anti-coagulation, and thrombolysis mechanisms of the nanothrombolytic (SiH@UK/Fib) against arterial embolism (Image by LIN Han)

<関連情報>

水素化シリコンベースのナノ血栓溶解剤によるin situ凝固環境制御による血栓除去 In situ coagulation environment regulation–assisted thrombus clearance via hydrogenated silicon-based nanothrombolytics

Ya-Xuan Zhu, Zhixin Chen, Yanling You, Yihan Chen, […] , and Jianlin Shi
Science Advances  Published:6 Feb 2026
DOI:https://doi.org/10.1126/sciadv.aea4782

Abstract

Thrombotic disorders remain among the leading causes of global mortality, yet current thrombolytic therapies are limited by poor targeting specificity and inadequate microenvironmental modulation, resulting in suboptimal efficacy and serious side effects. Here, we developed a hydrogen-generating nanothrombolytic agent that enables enzymatic clot dissolution in combination with intelligent microenvironment reprogramming. Specifically, we assembled urokinase, a clinical thrombolytic drug, with hydrogenated silicene (SiH) nanosheet and fibrinogen, a substrate of coagulation reaction, to promote thrombolysis. Functionally, SiH nanosheet plays multiple roles in the nanothrombolytics: blocking the functional sites of urokinase to durably inhibit its activity in circulation to prevent systemic bleeding, followed by urokinase reactivation in response to SiH nanosheet self-degradation and prothrombotic microenvironment regulation through the in situ hydrogen generation, which mitigates the oxidative stress of vascular endothelial cells and inhibits their release of procoagulant factors. This microenvironment-adaptive thrombolysis strategy offers a promising paradigm for the precise management of thrombotic emergencies.

医療・健康
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