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肝保护靶向药物递送的意义:新型草药和制剂方法在肝毒性管理中的应用综述。

Significance of Hepatoprotective Liver Specific Targeted Drug Delivery: A Review on Novel Herbal and Formulation Approaches in the Management of Hepatotoxicity.

机构信息

Department of Pharmaceutical Sciences, Guru Jambheshwar University of Science and Technology, Hisar, Haryana- 125001, India.

出版信息

Curr Drug Targets. 2018;19(13):1519-1549. doi: 10.2174/1389450119666180104113601.

Abstract

BACKGROUND

The liver is the largest and vital organ present in all vertebrates. It performs various major functions such as detoxification, metabolism, protein synthesis, excretion and so on. Liver cells are divided into parenchymal cells and non-parenchymal cells. Hepatocytes, Kupffer cells, hepatic stellate cells and sinusoidal endothelial cells, etc. are found in liver having different receptors present on their surface which can be used for liver targeting by binding to different ligands.

OBJECTIVE

In this review, we focused on various factors such as drugs, plants; metals and so on are reported in literature to be responsible for causing hepatotoxicity, natural hepatoprotective agents and liver targeting via novel formulation approaches.

CONCLUSION

All over the world, millions of people are affected by serious liver disorders which are very difficult to treat despite of many efforts. Hepatotoxicity is one of the major reasons due to which drugs continue to be taken off from the market. This review highlights the potential of various phytochemicals as hepatoprotective agents and various strategies which have been proposed to achieve liver targeting, including passive accumulation of therapeutic drug delivery system and active targeting by surface modifications of particulate formulation with specific ligands.

摘要

背景

肝脏是所有脊椎动物中最大和最重要的器官。它执行各种主要功能,如解毒、代谢、蛋白质合成、排泄等。肝细胞分为实质细胞和非实质细胞。肝中有多种细胞,如肝细胞、枯否细胞、肝星状细胞和窦内皮细胞等,它们的表面存在不同的受体,可以通过与不同的配体结合来实现肝脏靶向。

目的

在这篇综述中,我们重点关注了文献中报道的各种因素,如药物、植物、金属等,这些因素都被认为是导致肝毒性的原因,同时还关注了天然肝保护剂和通过新型制剂方法实现肝脏靶向。

结论

在全世界范围内,数以百万计的人受到严重肝脏疾病的影响,尽管已经付出了很多努力,但这些疾病仍然很难治疗。肝毒性是导致药物不断从市场上撤出的主要原因之一。这篇综述强调了各种植物化学物质作为肝保护剂的潜力,以及为实现肝脏靶向而提出的各种策略,包括治疗药物递送系统的被动积累和通过与特定配体结合对颗粒制剂进行表面修饰的主动靶向。

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