Shen Andrew M, Minko Tamara
Department of Pharmaceutics, Ernest Mario School of Pharmacy, Rutgers, the State University of New Jersey, Piscataway, NJ 08854, USA.
Department of Pharmaceutics, Ernest Mario School of Pharmacy, Rutgers, the State University of New Jersey, Piscataway, NJ 08854, USA; Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08903, USA; Environmental and Occupational Health Science Institute, Piscataway, NJ 08854, USA.
J Control Release. 2020 Oct 10;326:222-244. doi: 10.1016/j.jconrel.2020.07.011. Epub 2020 Jul 16.
Pulmonary delivery of lipid-based nanotherapeutics by inhalation presents an advantageous alternative to oral and intravenous routes of administration that avoids enzymatic degradation in gastrointestinal tract and hepatic first pass metabolism and also limits off-target adverse side effects upon heathy tissues. For lung-related indications, inhalation provides localized delivery in order to enhance therapeutic efficacy at the site of action. Optimization of physicochemical properties, selected drug and inhalation format can greatly influence the pharmacokinetic behavior of inhaled nanoparticle systems and their payloads. The present review analyzes a wide range of nanoparticle systems, their formulations and consequent effect on pharmacokinetic distribution of delivered active components after inhalation.
通过吸入方式进行基于脂质的纳米治疗药物的肺部给药,是口服和静脉给药途径的一种有利替代方案,它可避免胃肠道中的酶降解和肝脏首过代谢,还能限制对健康组织的非靶向不良副作用。对于肺部相关适应症,吸入给药可实现局部递送,从而提高作用部位的治疗效果。物理化学性质、所选药物和吸入剂型的优化,会极大地影响吸入纳米颗粒系统及其有效载荷的药代动力学行为。本综述分析了广泛的纳米颗粒系统、它们的制剂以及吸入后对所递送活性成分药代动力学分布的相应影响。