Ding Chizhu, Li Zibiao
College of Science, Huazhong Agricultural University, Wuhan, China.
Institute of Materials Research and Engineering, A*STAR (Agency for Science, Technology and Research), 2 Fusionopolis Way, Innovis, #08-03, Singapore 138634, Singapore.
Mater Sci Eng C Mater Biol Appl. 2017 Jul 1;76:1440-1453. doi: 10.1016/j.msec.2017.03.130. Epub 2017 Mar 18.
The most common methods used for drug administrations are pills, injections, lotions and suppositories. The preferred means is oral dosage forms as it is simple, painless and self-administered. However, the drugs are usually degraded within gastrointestinal tract or not absorbed in sufficient quality to be effective. Over the years, a variety of other administration means have evolved to show specific advantages for particular agents and certain diseases. In this review, various nano-delivery systems consisting of different covalent linkages to conjugate the therapeutic molecules as well as those that carry the unmodified drug molecules by encapsulating or complexation are summarized, including ester, amide/peptide, disulfide, hydrazone, hypoxia-activated and self-immolative linkages. The mechanisms for controlled drug release are also discussed. In addition, the new mechanism of the recently developed photochemistry or thermolysis to trigger controlled drug release and the applications are also covered.
最常用的给药方法有服用药丸、注射、涂抹洗剂和使用栓剂。首选的给药方式是口服剂型,因为它操作简单、无痛且可自行给药。然而,药物通常会在胃肠道内降解,或者无法以足够的量被吸收以发挥疗效。多年来,已经开发出了多种其他给药方式,以显示出对特定药物和某些疾病的特殊优势。在本综述中,总结了各种纳米递送系统,包括通过不同共价键连接来共轭治疗分子的系统,以及通过包封或络合携带未修饰药物分子的系统,包括酯键、酰胺/肽键、二硫键、腙键、缺氧激活键和自牺牲键。还讨论了药物控释的机制。此外,还涵盖了最近开发的光化学或热解触发控释的新机制及其应用。