Wadhwa Sheetu, Paliwal Rishi, Paliwal Shivani Rai, Vyas S P
Nanomedicine Research Centre, Department of Pharmaceutics, Indo-Soviet Friendship College of Pharmacy, Moga, Punjab, India.
Curr Pharm Des. 2009;15(23):2724-50. doi: 10.2174/138161209788923886.
Controlled drug delivery to eye is one of the most challenging fields of pharmaceutical research. Low drug-contact time and poor ocular bioavailability due to drainage of solution, tear turnover and its dilution or lacrimation are the problems associated with conventional systems. In addition, anatomical barriers and physiological conditions of eye are also important parameters which control designing of drug delivery systems. Nanosized carriers like micro/nano-suspensions, liposome, niosome, dendrimer, nanoparticles, ocular inserts, implants, hydrogels and prodrug approaches have been developed for this purpose. These novel systems offer manifold advantages over conventional systems as they increase the efficiency of drug delivery by improving the release profile and also reduce drug toxicity. Conventional delivery systems get diluted with tear, washed away through the lacrimal gland and usually require administering at regular time intervals whereas nanocarriers release drug at constant rate for a prolonged period of time and thus enhance its absorption and site specific delivery. This review presents an overview of the various aspects of the ocular drug delivery, with special emphasis on nanocarrier based strategies, including structure of eye, its barriers, delivery routes and the challenges/limitations associated with development of novel nanocarriers. The recent progresses in therapy of ocular disease like gene therapy have also been included so that future options should also be considered from the delivery point of view. Recent progress in the delivery of proteins and peptides via ocular route has also been incorporated for reader benefit.
眼部的药物控释是药物研究中最具挑战性的领域之一。由于溶液引流、泪液更新及其稀释或流泪导致药物接触时间短和眼部生物利用度差,是与传统给药系统相关的问题。此外,眼部的解剖屏障和生理状况也是控制药物递送系统设计的重要参数。为此,已经开发了纳米级载体,如微/纳米混悬液、脂质体、非离子表面活性剂囊泡、树枝状大分子、纳米颗粒、眼内插入物、植入物、水凝胶和前药方法。这些新型系统比传统系统具有多种优势,因为它们通过改善释放曲线提高了药物递送效率,还降低了药物毒性。传统给药系统会被泪液稀释,通过泪腺冲走,通常需要定期给药,而纳米载体能在较长时间内以恒定速率释放药物,从而提高其吸收和靶向递送能力。本文综述了眼部药物递送的各个方面,特别强调了基于纳米载体的策略,包括眼睛的结构、屏障、给药途径以及与新型纳米载体开发相关的挑战/限制。还纳入了眼部疾病治疗(如基因治疗)的最新进展,以便从递送角度考虑未来的选择。为了读者的利益,还纳入了通过眼部途径递送蛋白质和肽的最新进展。