Agrahari Vibhuti, Aulgur Zach, Thukral Siddhant, Dhall Nikhil, Conley Ryan, Mitra Ashim K
Division of Pharmaceutical Sciences, School of Pharmacy, University of Missouri-Kansas City, Kansas City, MO, 64108. United States.
School of Medicine, University of Missouri-Kansas City, Kansas City, MO, 64108. United States.
Recent Pat Inflamm Allergy Drug Discov. 2017;11(2):92-106. doi: 10.2174/1872213X11666170913150146.
Ocular inflammation and allergic eye diseases range from mild to severe may disturb visual function and affect` quality of life. Since these diseases require intensive therapies, the pathophysiology and treatments of these conditions are highlighted.
The ocular diseases caused by inflammation and allergy are extensively studied in this review to provide an overview of the newer compounds, novel delivery approaches, preclinical and clinical trials for the treatment of allergic conjunctivitis, dry eye syndrome, and uveitis.
The eye is divided into two segments; anterior and posterior. Both segments provide barriers to the drug delivery to the eye. Despite many efforts by scientists, several potential drug candidates are often dropped from the initial screening portfolio due to failure in overcoming these barriers. Thus to overcome unmet challenges, remarkable progresses have been made towards the design of novel ocular therapeutics with enhanced activity and minimal toxicity to the ocular tissue. A comprehensible understanding of the diseased conditions, physiological barriers and pharmacokinetics of the eye would significantly accelerate the development of new therapeutics. Moreover, identification of new targets drives the discovery of novel drug molecules for the ocular disease treatment.
The advancement in the drug discovery and dosage from design showcases the increasing number of patent applications being filed and issued for allergic conjunctivitis, dry eye syndrome, and uveitis. In addition, preclinical and clinical trials are now becoming available showing the newer generation of ocular drugs.
This review presented a brief background on the disease condition, types, treatment, advancement in the delivery approaches, focus on emerging therapeutics, related patents and clinical trials for the treatment of allergic conjunctivitis, dry eye syndrome, and uveitis.
眼部炎症和过敏性眼病程度不一,可能会干扰视觉功能并影响生活质量。由于这些疾病需要强化治疗,因此突出了这些病症的病理生理学和治疗方法。
本综述广泛研究了由炎症和过敏引起的眼部疾病,以概述用于治疗过敏性结膜炎、干眼症和葡萄膜炎的新型化合物、新颖给药方法、临床前和临床试验。
眼睛分为两个部分,前部和后部。这两个部分都对药物进入眼睛形成屏障。尽管科学家们做出了许多努力,但由于未能克服这些屏障,一些潜在的候选药物常常在初始筛选中被淘汰。因此,为了克服未满足的挑战,在设计具有增强活性且对眼部组织毒性最小的新型眼部治疗药物方面已经取得了显著进展。对疾病状况、生理屏障和眼部药代动力学有全面的了解将显著加速新治疗药物的开发。此外,新靶点的识别推动了用于眼部疾病治疗的新型药物分子的发现。
药物发现和剂型设计方面的进展表明,针对过敏性结膜炎、干眼症和葡萄膜炎提交和获批的专利申请数量不断增加。此外,临床前和临床试验现在也开始展示新一代的眼部药物。
本综述简要介绍了疾病状况、类型、治疗方法、给药方法的进展,重点关注新兴治疗方法、相关专利以及治疗过敏性结膜炎、干眼症和葡萄膜炎的临床试验。