Gharagozloo Marjan, Majewski Slawomir, Foldvari Marianna
School of Pharmacy, University of Waterloo, Waterloo, Ontario, Canada.
Medical University of Warsaw, Warsaw, Poland.
Nanomedicine. 2015 May;11(4):1003-18. doi: 10.1016/j.nano.2014.12.003. Epub 2015 Jan 14.
Autoimmune diseases are chronic, destructive diseases that can cause functional disability and multiple organ failure. Despite significant advances in the range of therapeutic agents, especially biologicals, limitations of the routes of administration, requirement for frequent long-term dosing and inadequate targeting options often lead to suboptimal effects, systemic adverse reactions and patient non-compliance. Nanotechnology offers promising strategies to improve and optimize autoimmune disease treatment with the ability to overcome many of the limitations common to the current immunosuppressive and biological therapies. Here we focus on nanomedicine-based delivery strategies of biological immunomodulatory agents for the treatment of autoimmune disorders including psoriasis, rheumatoid arthritis, systemic lupus erythematous, scleroderma, multiple sclerosis and type 1 diabetes. This comprehensive review details the concepts and clinical potential of novel nanomedicine approaches for inducing immunosuppression and immunological tolerance in autoimmune diseases in order to modulate aberrant and pathologic immune responses.
The treatment of autoimmune diseases remains a significant challenge. The authors here provided a comprehensive review, focusing on the current status and potential of nanomedicine-based delivery strategies of immunomodulatory agents for the treatment of autoimmune disorders including psoriasis, rheumatoid arthritis, systemic lupus erythematous, scleroderma, multiple sclerosis, and type 1 diabetes.
自身免疫性疾病是慢性破坏性疾病,可导致功能残疾和多器官衰竭。尽管治疗药物,特别是生物制剂的种类有了显著进展,但给药途径的局限性、频繁长期给药的需求以及靶向选择不足,常常导致疗效欠佳、全身不良反应和患者依从性差。纳米技术提供了有前景的策略来改善和优化自身免疫性疾病的治疗,能够克服当前免疫抑制和生物疗法常见的许多局限性。在此,我们聚焦于基于纳米医学的生物免疫调节剂递送策略,用于治疗自身免疫性疾病,包括银屑病、类风湿关节炎、系统性红斑狼疮、硬皮病、多发性硬化症和1型糖尿病。
自身免疫性疾病的治疗仍然是一项重大挑战。作者在此进行了全面综述,聚焦于基于纳米医学的免疫调节剂递送策略在治疗自身免疫性疾病(包括银屑病、类风湿关节炎、系统性红斑狼疮、硬皮病、多发性硬化症和1型糖尿病)方面的现状和潜力。