Department of Pharmaceutics, Ernest Mario School of Pharmacy, Rutgers, the State University of New Jersey, Piscataway, NJ 08854, USA.
Department of Pharmaceutical Sciences, College of Pharmacy, Oregon State University, Portland, OR 97201, USA.
Adv Drug Deliv Rev. 2019 Apr;144:57-77. doi: 10.1016/j.addr.2019.07.010. Epub 2019 Aug 7.
Systemic drug delivery methods such as oral or parenteral administration of free drugs possess relatively low treatment efficiency and marked adverse side effects. The use of nanoparticles for drug delivery in most cases substantially enhances drug efficacy, improves pharmacokinetics and drug release and limits their side effects. However, further enhancement in drug efficacy and significant limitation of adverse side effects can be achieved by specific targeting of nanocarrier-based delivery systems especially in combination with local administration. The present review describes major advantages and limitations of organic and inorganic nanocarriers or living cell-based drug and nucleic acid delivery systems. Among these, different nanoparticles, supramolecular gels, therapeutic cells as living drug carriers etc. have emerged as a new frontier in modern medicine.
全身给药方法,如口服或注射游离药物,具有相对较低的治疗效率和明显的不良反应。纳米颗粒用于药物递送在大多数情况下可显著提高药物疗效,改善药代动力学和药物释放,并限制其副作用。然而,通过基于纳米载体的递药系统的特异性靶向,特别是与局部给药相结合,可以进一步提高药物疗效并显著限制不良反应。本综述描述了有机和无机纳米载体或基于活细胞的药物和核酸递药系统的主要优点和局限性。其中,不同的纳米颗粒、超分子凝胶、治疗细胞等作为活药物载体已成为现代医学的新前沿。