Lynch Courtney R, Kondiah Pierre P D, Choonara Yahya E, du Toit Lisa C, Ally Naseer, Pillay Viness
Wits Advanced Drug Delivery Platform Research Unit, Department of Pharmacy and Pharmacology, School of Therapeutics Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Division of Ophthalmology, Department of Neurosciences, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Front Bioeng Biotechnol. 2020 Mar 20;8:228. doi: 10.3389/fbioe.2020.00228. eCollection 2020.
There are many challenges involved in ocular drug delivery. These are a result of the many tissue barriers and defense mechanisms that are present with the eye; such as the cornea, conjunctiva, the blinking reflex, and nasolacrimal drainage system. This leads to many of the conventional ophthalmic preparations, such as eye drops, having low bioavailability profiles, rapid removal from the administration site, and thus ineffective delivery of drugs. Hydrogels have been investigated as a delivery system which is able to overcome some of these challenges. These have been formulated as standalone systems or with the incorporation of other technologies such as nanoparticles. Hydrogels are able to be formulated in such a way that they are able to change from a liquid to gel as a response to a stimulus; known as "smart" or stimuli-responsive biotechnology platforms. Various different stimuli-responsive hydrogel systems are discussed in this article. Hydrogel drug delivery systems are able to be formulated from both synthetic and natural polymers, known as biopolymers. This review focuses on the formulations which incorporate biopolymers. These polymers have a number of benefits such as the fact that they are biodegradable, biocompatible, and non-cytotoxic. The biocompatibility of the polymers is essential for ocular drug delivery systems because the eye is an extremely sensitive organ which is known as an immune privileged site.
眼部药物递送存在许多挑战。这些挑战是由眼部存在的多种组织屏障和防御机制导致的,比如角膜、结膜、眨眼反射以及鼻泪引流系统。这使得许多传统眼科制剂,如眼药水,具有低生物利用度、药物从给药部位快速清除的特点,从而导致药物递送无效。水凝胶已作为一种能够克服其中一些挑战的递送系统进行了研究。它们已被制成独立的系统,或与纳米颗粒等其他技术结合使用。水凝胶能够以这样一种方式进行配制,即它们能够根据刺激从液体转变为凝胶,这被称为“智能”或刺激响应性生物技术平台。本文讨论了各种不同的刺激响应性水凝胶系统。水凝胶药物递送系统能够由合成聚合物和天然聚合物(称为生物聚合物)配制而成。本综述重点关注含有生物聚合物的制剂。这些聚合物具有许多优点,比如它们是可生物降解的、生物相容的且无细胞毒性。聚合物的生物相容性对于眼部药物递送系统至关重要,因为眼睛是一个极其敏感的器官,被称为免疫赦免部位。