Department of Pharmaceutical Technology, Faculty of Pharmacy, University of Porto, Rua Aníbal Cunha, Porto, Portugal.
Adv Drug Deliv Rev. 2010 Mar 18;62(4-5):458-77. doi: 10.1016/j.addr.2009.11.017. Epub 2009 Nov 12.
The HIV/AIDS pandemic is an increasing global burden with devastating health-related and socioeconomic effects. The widespread use of antiretroviral therapy has dramatically improved life quality and expectancy of infected individuals, but limitations of currently available drug regimens and dosage forms, alongside with the extraordinary adapting capacity of the virus, have impaired further success. Alongside, circumventing the escalating number of new infections can only be attained with effective and practical preventative strategies. Recent advances in the field of drug delivery are providing evidence that engineered nanosystems may contribute importantly for the enhancement of current antiretroviral therapy. Additionally, groundwork is also being carried out in the field nanotechnology-based systems for developing preventative solutions for HIV transmission. This manuscript reviews recent advances in the field of nanotechnology-based systems for the treatment and prevention of HIV/AIDS. Particular attention is given to antiretroviral drug targeting to HIV reservoirs and the usefulness of nanosystems for developing topical microbicides and vaccines.
艾滋病大流行是一个日益严重的全球负担,对健康和社会经济造成了破坏性影响。抗逆转录病毒疗法的广泛应用显著提高了感染者的生活质量和预期寿命,但目前可用的药物方案和剂型的局限性,以及病毒的非凡适应能力,都影响了进一步的成功。此外,只有通过有效和实用的预防策略,才能避免新感染人数的不断增加。药物输送领域的最新进展表明,工程纳米系统可能对增强当前的抗逆转录病毒疗法做出重要贡献。此外,基于纳米技术的系统也在为开发预防 HIV 传播的解决方案进行基础研究。本文综述了纳米技术系统在治疗和预防艾滋病方面的最新进展。特别关注抗逆转录病毒药物靶向 HIV 储存库和纳米系统在开发局部杀微生物剂和疫苗方面的用途。