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微粒作为治疗溃疡性结肠炎的可控药物递送载体:简要综述。

Microparticles as controlled drug delivery carrier for the treatment of ulcerative colitis: A brief review.

作者信息

Rashid Muzamil, Kaur Veerpal, Hallan Supandeep Singh, Sharma Saurabh, Mishra Neeraj

机构信息

Department of Pharmaceutics, ISF College of Pharmacy, Ghal Kalan, Ferozpur, G.T. Road, Moga 142001, Punjab, India.

Department of Pharmacology, ISF College of Pharmacy, Ghal Kalan, Ferozpur, G.T. Road, Moga 142001, Punjab, India.

出版信息

Saudi Pharm J. 2016 Jul;24(4):458-72. doi: 10.1016/j.jsps.2014.10.001. Epub 2014 Oct 22.

Abstract

Ulcerative colitis is the chronic relapsing multifactorial gastrointestinal inflammatory bowel disease, which is characterized by bloody or mucus diarrhea, tenesmus, bowel dystension, anemia. The annual incidence of ulcerative colitis in Asia, North America and Europe was found to be 6.3, 19.2 and 24.3 per 100,000 person-years. The major challenge in the treatment of ulcerative colitis is appropriate local targeting and drug related side-effects. To overcome these challenges, microparticulate systems seem to be a promising approach for controlled and sustained drug release after oral administration. The main goal of this article is to explore the role of microparticles in ulcerative colitis for the appropriate targeting of drugs to colon. There are different approaches which have been studied over the last decade, including prodrugs, polymeric approach, time released system, pH sensitive system, which show the site specific drug delivery to colon. Among these approaches, microparticulate drug delivery system has been gaining an immense importance for local targeting of drug to colon at a controlled and sustained rate. Combined approaches such as pH dependent and time dependent system provide the maximum release of drug into colon via oral route. This article embraces briefly about pathophysiology, challenges and polymeric approaches mainly multiparticulate systems for site specific drug delivery to colon in sustained and controlled manner so that drug related side-effects by reducing dosage frequency can be minimized.

摘要

溃疡性结肠炎是一种慢性复发性多因素胃肠道炎症性肠病,其特征为血性或黏液性腹泻、里急后重、肠扩张、贫血。据发现,亚洲、北美和欧洲溃疡性结肠炎的年发病率分别为每10万人年6.3例、19.2例和24.3例。溃疡性结肠炎治疗中的主要挑战是实现药物的适当局部靶向以及药物相关的副作用。为克服这些挑战,微粒系统似乎是口服给药后实现药物控释和缓释的一种有前景的方法。本文的主要目的是探讨微粒在溃疡性结肠炎中对药物向结肠的适当靶向作用。在过去十年中研究了不同的方法,包括前体药物、聚合物方法、定时释放系统、pH敏感系统,这些方法显示出药物向结肠的位点特异性递送。在这些方法中,微粒药物递送系统对于以可控和持续的速率将药物局部靶向结肠变得越来越重要。诸如pH依赖性和时间依赖性系统等联合方法可通过口服途径使药物在结肠中实现最大程度的释放。本文简要介绍了病理生理学、挑战以及聚合物方法,主要是多微粒系统,用于以持续和可控的方式将药物位点特异性递送至结肠,从而通过减少给药频率将药物相关的副作用降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a504/4908146/c8a089f6ad6f/gr1.jpg

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