Zaioncz Soraia, Khalil Najeh Maissar, Mainardes Rubiana Mara
Universidade Estadual do Centro-Oeste, Rua Simeao Camargo Varela de Sa 03, 85040-080 Guarapuava, Brazil.
Curr Pharm Des. 2017;23(3):509-521. doi: 10.2174/1381612822666161027103640.
Amphotericin B (AmB) is the drug of choice in the treatment of invasive fungal infections and visceral leishmaniasis. Although AmB has a higher selectivity for ergosterol (present in fungi and Leishmania spp. membrane) than for cholesterol, mammalian cells are affected by AmB, mainly in its oligomeric aggregated form, resulting in side effects, especially nephrotoxicity. The development of nanotechnology-based drug delivery systems for AmB is a promising avenue since nanoparticles have the ability to target drugs to the infected cells, and their prolonged drug release profile permits longer contact between the drug and the fungi/parasite. In this review, we made an overview about nanoparticles as colloidal carriers for AmB, including polymeric-based nanoparticles, protein-based nanoparticles and solid lipid-based nanoparticles with respect to their application for the treatment of invasive fungal infections and leishmaniasis.
两性霉素B(AmB)是治疗侵袭性真菌感染和内脏利什曼病的首选药物。尽管AmB对麦角固醇(存在于真菌和利什曼原虫属细胞膜中)的选择性高于对胆固醇的选择性,但哺乳动物细胞会受到AmB的影响,主要是其寡聚聚集形式,从而产生副作用,尤其是肾毒性。基于纳米技术的AmB药物递送系统的开发是一条有前景的途径,因为纳米颗粒有能力将药物靶向感染细胞,并且其延长的药物释放曲线允许药物与真菌/寄生虫有更长时间的接触。在本综述中,我们概述了作为AmB胶体载体的纳米颗粒,包括基于聚合物的纳米颗粒、基于蛋白质的纳米颗粒和基于固体脂质的纳米颗粒,以及它们在治疗侵袭性真菌感染和利什曼病方面的应用。