Department of Immunology, School of Medicine, Mashhad University of Medical Sciences , Mashhad, Iran.
Cellular and Molecular Research Center, Qazvin University of Medical Sciences , Qazvin, Iran.
Expert Opin Drug Deliv. 2020 Jun;17(6):767-780. doi: 10.1080/17425247.2020.1748006. Epub 2020 Apr 4.
Allograft transplantation is an effective end-point therapy to replace the function of an impaired organ. The main problem associated with allotransplantation is the induction of immune responses that results in acute and chronic graft rejection. To modulate the response of the immune system, transplant recipients generally take high dose immunosuppressant drugs for life. These drugs are associated with serious side effects such as infection with opportunistic pathogens and the development of neoplasia.
We reviewed the obstacles to successful transplantation and PLGA-based strategies to reduce immune-mediated allograft rejection.
Biomaterial-based approaches using micro- and nanoparticles such as poly (lactic-co-glycolic acid) (PLGA) can be used to achieve controlled release of drugs. This approach decreases the required effective dose of drugs and enables local delivery of these agents to specific tissues and cells, whilst decreasing systemic effects.
同种异体移植是一种有效的终点治疗方法,可以替代受损器官的功能。同种异体移植主要存在的问题是诱导免疫反应,导致急性和慢性移植物排斥。为了调节免疫系统的反应,移植受者通常需要终生服用高剂量的免疫抑制剂药物。这些药物与严重的副作用有关,如机会性病原体感染和肿瘤的发展。
我们回顾了成功移植的障碍和基于 PLGA 的策略,以减少免疫介导的同种异体移植排斥反应。
使用微球和纳米颗粒(如聚(乳酸-共-乙醇酸)(PLGA)的基于生物材料的方法可用于实现药物的控制释放。这种方法减少了药物的有效剂量,并使这些药物能够递送到特定的组织和细胞,同时减少全身效应。