Graduate Institute of Biomedical Materials & Tissue Engineering, College of Biomedical Engineering, Taipei Medical University, Taipei 11031, Taiwan.
Center for Human Tissues and Organs Degeneration, Institute of Biomedicine and Biotechnology, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen 518055, China.
Int J Mol Sci. 2018 Sep 19;19(9):2830. doi: 10.3390/ijms19092830.
Ocular drug delivery has been a major challenge for clinical pharmacologists and biomaterial scientists due to intricate and unique anatomical and physiological barriers in the eye. The critical requirement varies from anterior and posterior ocular segments from a drug delivery perspective. Recently, many new drugs with special formulations have been introduced for targeted delivery with modified methods and routes of drug administration to improve drug delivery efficacy. Current developments in nanoformulations of drug carrier systems have become a promising attribute to enhance drug retention/permeation and prolong drug release in ocular tissue. Biodegradable polymers have been explored as the base polymers to prepare nanocarriers for encasing existing drugs to enhance the therapeutic effect with better tissue adherence, prolonged drug action, improved bioavailability, decreased toxicity, and targeted delivery in eye. In this review, we summarized recent studies on sustained ocular drug/gene delivery and emphasized on the nanocarriers made by biodegradable polymers such as liposome, poly lactic-co-glycolic acid (PLGA), chitosan, and gelatin. Moreover, we discussed the bio-distribution of these nanocarriers in the ocular tissue and their therapeutic applications in various ocular diseases.
由于眼睛中存在复杂而独特的解剖学和生理学屏障,眼部药物递送一直是临床药理学家和生物材料科学家面临的主要挑战。从药物递送的角度来看,前眼部和后眼部的关键需求有所不同。最近,许多具有特殊配方的新药已经被引入,通过改良的药物给药方法和途径进行靶向递送,以提高药物递送的效果。目前,药物载体系统的纳米制剂的发展已经成为一种有前途的增强药物保留/渗透和延长眼部组织中药物释放的特性。可生物降解聚合物已被探索作为基础聚合物,用于制备纳米载体来封装现有药物,以通过更好的组织黏附、延长药物作用、提高生物利用度、降低毒性和眼部靶向递送来增强治疗效果。在这篇综述中,我们总结了最近关于持续眼部药物/基因递送的研究,并强调了由可生物降解聚合物(如脂质体、聚乳酸-共-羟基乙酸(PLGA)、壳聚糖和明胶)制成的纳米载体。此外,我们讨论了这些纳米载体在眼部组织中的生物分布及其在各种眼部疾病中的治疗应用。