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靶向抗血吸虫病治疗的纳米技术综述

A Review of Nanotechnology for Targeted Anti-schistosomal Therapy.

作者信息

Adekiya Tayo Alex, Kondiah Pierre P D, Choonara Yahya E, Kumar Pradeep, Pillay Viness

机构信息

Wits Advanced Drug Delivery Platform Research Unit, Department of Pharmacy and Pharmacology, School of Therapeutic Science, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

出版信息

Front Bioeng Biotechnol. 2020 Jan 31;8:32. doi: 10.3389/fbioe.2020.00032. eCollection 2020.

Abstract

Schistosomiasis is one of the major parasitic diseases and second most prevalent among the group of neglected diseases. The prevalence of schistosomiasis may be due to environmental and socio-economic factors, as well as the unavailability of vaccines for schistosomiasis. To date, current treatment; mainly the drug praziquantel (PZQ), has not been effective in treating the early forms of schistosome species. The development of drug resistance has been documented in several regions globally, due to the overuse of PZQ, rate of parasitic mutation, poor treatment compliance, co-infection with different strains of schistosomes and the overall parasite load. Hence, exploring the schistosome tegument may be a potential focus for the design and development of targeted anti-schistosomal therapy, with higher bioavailability as molecular targets using nanotechnology. This review aims to provide a concise incursion on the use of various advance approaches to achieve targeted anti-schistosomal therapy, mainly through the use of nano-enabled drug delivery systems. It also assimilates the molecular structure and function of the schistosome tegument and highlights the potential molecular targets found on the tegument, for effective specific interaction with receptors for more efficacious anti-schistosomal therapy.

摘要

血吸虫病是主要的寄生虫病之一,在被忽视的疾病中流行率位居第二。血吸虫病的流行可能归因于环境和社会经济因素,以及缺乏血吸虫病疫苗。迄今为止,目前的治疗方法主要是使用药物吡喹酮(PZQ),但对早期血吸虫种类的治疗效果不佳。由于PZQ的过度使用、寄生虫突变率、治疗依从性差、不同血吸虫菌株的合并感染以及总体寄生虫负荷,全球多个地区都有耐药性发展的记录。因此,探索血吸虫表皮可能是设计和开发靶向抗血吸虫疗法的潜在重点,利用纳米技术将其作为具有更高生物利用度的分子靶点。本综述旨在简要介绍使用各种先进方法实现靶向抗血吸虫疗法,主要是通过使用纳米药物递送系统。它还归纳了血吸虫表皮的分子结构和功能,并强调了在表皮上发现的潜在分子靶点,以便与受体进行有效的特异性相互作用,从而实现更有效的抗血吸虫疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddfc/7005470/489784170462/fbioe-08-00032-g001.jpg

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